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121. Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Gershon_88.pdf
     January 01, 2012 - Unsanitary conditions are a special concern, since the spread of infectious disease within the household … One household area of potential concern in this regard is the bathroom. … Household laundry is also a concern because it has been shown to be a route for the spread of disease … Mismanagement of medical waste may also be a cause for concern in the home care environment because … The CDC Web site also provides useful references in this regard.47 Finally, a topic of special concern

122. Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-facilitator-guide.pdf
     November 01, 2019 - Moment 2: Etiology of Nonpurulent Cellulitis in the MRSA Era Is NOT MRSA SAY: A common clinical concern … Commentary Slide Number and Slide Skin Abscesses With Minimal Cellulitis SAY: Another clinical concern … Gram-negative coverage include critically ill patients, neutropenic or severely immunocompromised patients, concern … You should consider extending IV therapy in obese patients if there is concern that adequate tissue

123. Implement-Facilitator-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
     May 01, 2017 - The second challenge should provide some support for your concern for the patient. … The two-challenge tactic ensures an expressed concern has been heard, understood, and acknowledged. … After two attempts, if the concern is still disregarded but you believe patient or staff safety is or … When you use CUS, you state your concern, you state why you are uncomfortable, and then you state that

124. Develop and Improve Your Stewardship Program | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/antibiotic-use/long-term-care/improve/index.html
     September 01, 2021 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

125. Prologue -- Blueprints for Action (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield1.pdf
     January 01, 1999 - Less clear, however, was when and how the concern about unsafe systems would be translated into action … Sustainability, while a serious concern, also is rarely addressed.

126. Module 2: Component Kit (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
     May 01, 2017 - Leader asks each person to offer one positive safety observation or one issue about safety (e.g., a concern … Use the opportunity to report on and reinforce the use of the “Concern-Uncomfortable-Safety Event” (CUS

127. Module 16: Academic Detailing as a Quality Improvement Tool (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
     September 01, 2015 - Enablers are parts of your key messages; they are benefits and features that might address the concern … sign of participation and opens an opportunity for addressing an issue he or she sees as an important concern … For such concerns you should acknowledge the concern and then reframe the issue so that it fits into … • Use open-ended probing to understand the nature of the remaining concern or hesitation or to discover … • Offer information, features, and benefits related to your key messages to address the concern.

128. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
     December 01, 2003 - exclusions or cases where clinicians consider they have been driven out of the health service are of concern … reducing blame in the NHS, yet little guidance on how to do this is currently available.”9 With this concern … • Of particular concern are incidents where protocols are either ineffective or routinely violated … Of concern, however, were situations where managers stated overtly that they wished to select a preferred … ” • Of equal concern were those users who liked the tool because they felt it shielded them.

129. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
     May 01, 2017 - This approach can include— · Care provider clearly stating the concern for shoulder dystocia · Communication … · Care provider calls out concern for or diagnosis of shoulder dystocia, reducing error through an … This is a safety issue.” · Use the "two-challenge" rule, repeating concern, and asking whether you have

130. TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teamattitude.pdf
     March 21, 2014 - It is appropriate to continue to assert a patient safety concern until you are certain that it has

131. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
     July 12, 2018 - outpatients experiences a diagnostic error 55% of patients said diagnostic errors were a chief concern

132. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/3_Deborah_Kilstein_slides_29-40.pdf
     January 15, 2014 - specific composite measures  Plans working together on quality issues  Helps to identify issues of concern

133. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/endoscopy-checklist-template.docx
     January 01, 2009 - Strategy 2: Communicating to Improve Quality (Tool 3) Long-Term Care Safety Toolkit Appendix E. Endoscopy Checklist Template Endoscopy Safety Checklist Preprocedure Area/Procedure Room AHRQ Safety Program for Ambulatory Surgery Implementation Guide Before Patient Enters Room Nurse, Anesthesia Professional, and P…

134. TeamSTEPPS Video: STEP for Inpatient Medical Teams | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps-program/resources/additional/step.html
     June 01, 2023 - Even though the patient's vital signs were normal, were there reasons for concern?

135. Scenario 1 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/learnbench.pdf
     February 28, 2014 - Stop action, verify the correct dose, and thank the nurse for her concern regarding patient safety. … Respect for team input • Focus on the patient and safety 7 D • Proper response to the question and concern

136. About the CAHPS® Health Literacy Item Set for Hospitals (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/about-hospital-health-literacy-item-set.pdf
     October 30, 2017 - .......................................................... 1 Background: Health Literacy Is a Major Concern … Literacy Item Set for Hospitals Document No. 911 Page 2 Background: Health Literacy Is a Major Concern … Literacy Item Set for Hospitals Table of Contents Introduction Background: Health Literacy Is a Major Concern

137. Labor and Delivery Unit Safety: Umbilical Cord Prolapse | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
     July 01, 2023 - This approach can include— Staff who identify a possible prolapse and clearly state the concern. … Staff call out concern for or diagnosis of cord prolapse, reducing error through an anticipated and coordinated … Use the "two challenge" rule, repeating the concern, and asking whether you have been heard.

138. Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
     July 01, 2023 - The second challenge should provide some support for your concern for the patient. … The two-challenge tactic ensures an expressed concern has been heard, understood, and acknowledged. … After two attempts, if the concern is still disregarded but you believe patient or staff safety is or … When you use CUS, you state your concern, you state why you are uncomfortable, and then you state that

139. AHRQ Safety Program for Perinatal Care: Implement Teamwork and Communication
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement.pptx
     May 01, 2017 - or data to support their concerns An assertive statement should— Open the discussion State the concern … , clarify, and confirm Tool used: I PASS the BATON Introduction Patient Assessment Situation Safety Concern

140. Pediatric Developmental Screening Flowchart (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_VA.pdf
     August 22, 2014 - Pediatric Developmental Screening Flowchart Pediatric Developmental Screening Flowchart Parent completes screening tool in waiting room. Clinical staff scores, reviews screening tool answers. Screens Negative Concerns No Concerns No Concerns Further Concerns Referral to appropriate early inte…