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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/index.html
July 01, 2022 - Use post-implementation audit findings to educate staff and increase and sustain compliance. … Implementation of Medication Reconciliation Process
Post-Implementation Strategies to Increase and Sustain Compliance
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance.pptx
April 01, 2022 - assessments
Share results with leadership, identify gaps, and garner support for recommended improvements in compliance … assessment criteria
Discuss line during handoffs – consider including ED and anesthesia personnel
Assess compliance … bloodstream infection in some studies
Perform hand hygiene before and after central line entry
Monitor staff compliance … understanding of the “why”
Time constraints, staffing issues
Lack of available supplies
Absence of auditing of compliance … customized checklists, standardized processes
Use prepackaged dressing change kits
Conduct audit bundle compliance
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T1-Suggested_Agenda_for_Meeting_on_Monitoring_Final.docx
October 01, 2016 - Example of complex measures: (1) Focus on a particular infection and look at the rate of compliance with … prescribing criteria; or (2) Examine compliance with antibiogram (e.g., percentage of prescribed antibiotics
-
www.ahrq.gov/policy/privacy.html
November 01, 2017 - Privacy Program
This Privacy Notice documents AHRQ's Information Security and Privacy Program compliance … and its data against potential information technology (IT) threats and vulnerabilities and ensures compliance … Below is a list of policies and procedures that AHRQ follows in compliance with Federal privacy legislation … contractors receive annual information security and privacy awareness training and role-based training in compliance
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www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-DUA_20230303.pdf
March 01, 2023 - Responsibility
• I acknowledge and affirm that I am personally responsible for compliance with the terms … Terms, Breach, and Compliance
Any violation of the terms of this Agreement shall be grounds for immediate … this Agreement is requested by the United States Agency for Healthcare Research and
Quality to ensure compliance
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4j_combo_psi13-sepsis-bestpractices.pdf
May 20, 2016 - Evaluate compliance by using process measures such as door-
to-antibiotic time; share reports regularly … Use a retrospective chart review
tool to identify baseline sepsis management compliance. … o Evaluate compliance by using process measures such as door-to-antibiotic time; share
reports regularly … and when
this protocol is added to job responsibilities.2
Effectiveness of Action Items
• Track compliance … providers, nursing, and ancillary
staff; senior medical staff; and executive leadership) on level of compliance
-
www.ahrq.gov/sites/default/files/2024-04/levett-report.pdf
January 01, 2024 - The CAT Clinic developed a “compliance assessment” tool to
measure warfarin compliance. … The CAT Clinic compliance score increased from 97% to 99%. … Average Compliance Score
100
97.5
95
Good
92.5
90
87.5
85
M
ay
-0
6
82.5
Ju
n-
06 … % Average
This score measures patient compliance regarding changes in
medications, diet, alcohol … An increase in the CAT Score
indicates better compliance with Coumadin®/warfarin therapy.
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices-slides/slides.html
October 01, 2014 - bundle was established and has been in use since then
Initial challenges were physician buy-in and compliance … constantly at your processes for opportunities for improvement
Monitor every insertion and share compliance … our CCU since July 2008
If you make the process simple and convenient, you are more like to achieve compliance
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap7.doc
September 03, 2013 - of CVC system entries for each 24-hour period for 72 hours prior to infection date
8
What are compliance … [ ] Yes
[ ] No If no, explain:
15
What is hand hygiene compliance like for all units the patient
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T1-Suggested_Agenda_for_Meeting_on_Monitoring_Final.pdf
October 01, 2016 - (c) Example of complex measures: (1) Focus on a particular infection and look at
the rate of compliance … with prescribing criteria; or (2) Examine compliance with
antibiogram (e.g., percentage of prescribed
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
June 01, 2023 - As you improve your compliance with process measures (elements of your ISCR pathway), you can evaluate … measure selected in previous month and compare to set goal
Review another process measure with low compliance … measure selected in previous month and compare to set goal
Review another process measure with low compliance … measure selected in previous month and compare to set goal
Review another process measure with low compliance … Create and share target compliance rates and develop an accountability plan that kicks in when rates
-
www.ahrq.gov/policy/electronic/privacy/infosecurity.html
August 01, 2018 - The program ensures compliance with Federal mandates and legislation, including the Federal Information … employees and contractors receive annual information security awareness training and role-based training in compliance
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
March 01, 2020 - Training, monitoring, compliance auditing, and feedback systems are also effective for improving
compliance … Not provided Researchers implemented
“enforcement of CP
compliance.” … Authors did not measure
hand hygiene and CP
compliance. … Moderate Focuses on how
work environment
can affect CP
compliance. … Poor CP/infection control
compliance is implicated, but
monitoring was not done.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/communication-strategies-slides.pptx
January 01, 2017 - Feb 2014
March 2014
April 2014
May 2014
June 2014
July 2014
Aug 2014
60%
65%
70%
75%
80%
Monthly SAT Compliance … Trials
Communication ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
21
Monthly SAT Compliance … Trials
Communication ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
22
As SBT Compliance
-
www.ahrq.gov/news/newsroom/case-studies/ktcquips85.html
October 01, 2014 - Through education on the use of this six-step tool, the medication reconciliation process and compliance … Compliance with the creation of an accurate medication history surpassed the goal of 85 percent and rose … Following implementation, compliance with documentation of last dose taken improved from 94 to 99 percent
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
December 01, 2017 - Process measures identify process compliance, such as hand hygiene. … SAY:
When you collect data on your processes, compliance for each intervention is visible. … Low compliance rates point to inconsistent areas in the care delivery.
Share your data. … If you need frontline staff to comply with a bundle, share compliance rates and outcome data. … Make it clear that greater compliance leads to fewer infections.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance-notes.docx
April 01, 2022 - Some highlights from this 2011 CDC Guideline for CLABSI Prevention Checklist include hand hygiene compliance … date (as facility policy dictates), also facilitates timely interventions, as well as auditing for compliance … We also know that the absence of audits of compliance, and feedback concerning processes and outcomes … kits to make it easier to access supplies and follow proper procedures.
· And, conduct audit bundle compliance … Ask champions to assess individual and unit compliance.
· Perform an immediate Learn From Defects to
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
December 01, 2017 - Slide 12
Polling Question 2
What is your compliance with SCIP-Inf-9 process measure? … of care measures (domain weight 20%) in FY15 Hospital Value-Based Purchasing (VBP) Program
Current compliance … Images: Screen shots of 2 graphs titled "Correlation Between UTI rates and SCIP Inf-9 Compliance" and … Slide 34
UW CAUTI Team
Problems:
CAUTI rates high
Device utilization high
SCIP-Inf-9 compliance … Slide 46
SCIP Inf-9 Compliance Improved
Image: Chart showing compliance rates from July 2010 to
-
www.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
October 01, 2015 - Other examples include evaluations of compliance with infection risk reduction strategies (e.g., use … Nurses are very important in supporting compliance with correct processes and practices. … Compliance with proper insertion technique is important to reduce the risk. … Compliance with proper maintenance (keeping the system closed with a securement device) is important … They may consider unannounced audits to evaluate compliance with processes of care.
-
www.ahrq.gov/news/newsroom/case-studies/ktcquips94.html
October 01, 2014 - Over 5 months, compliance with collection of a complete home medication list increased from 0 to 100 … Over 6 months, compliance with a complete medication list upon admission increased from 80 to 90 percent