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181. CAHPS Supplemental Items | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/item-sets/index.html
     October 01, 2024 - CAHPS Supplemental Items Supplemental items are optional questions that survey users can add to their standardized CAHPS instruments to meet the needs of their organizations, local markets, and/or audiences. For example, a user of the Clinician & Group Survey may want to ask patients to comment on their experie…

182. Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
     January 01, 2020 - Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety Pocket Guide Team Strategies & Tools to Enhance Performance and Patient Safety 2 Table of Contents TeamSTEPPS® • Framework and Competencies ....4 • Key Principles ...............................5 Team Structure • Multi-T…

183. Resources by Safety Topic | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/resources/type-harm.html
     April 01, 2025 - to help patients understand how blood thinner medications work and why it is important to take them correctly

184. Final Progress Report: Optimizing OTC labels for older adults (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/becker-bix-report.pdf
     January 01, 2024 - In the overall analysis, the percentage of trials in which participants correctly rated the drug as … For appropriate medications, the likelihood of correctly identifying the medication as appropriate was

185. Improving Communication and Teamwork in the Surgical Environment Module | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
     October 01, 2020 - Improving Communication and Teamwork in the Surgical Environment Module Slide 1: Improving Communication and Teamwork in the Surgical Environment Module Slide 2: Image: The objectives are listed as a series of ascending steps: Describe teamwork and communication issues in the surgical environment, Ap…

186. Calibrate Dx: A Resource to Improve Diagnostic Decisions - Appendix B (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-AppendixB.pdf
     April 07, 2025 - Calibrate Dx: A Resource to Improve Diagnostic Decisions - Appendix B 1 1 2 3 4 5 6 7 8 9 10 11 Appendix B. Revised Safer Dx Instrument 1 2 3 4 5 6 7 Strongly Disagree Neutral Strongly Agree ITEM SCORE The documented history was suggestive of an alternate diagnosis, which was not cons…

187. Coaching-Checklist (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-checklist.docx
     April 02, 2025 - Appendix I. Checklist Observation Tool and FAQs AHRQ Safety Program for Ambulatory Surgery Implementation Guide Why Should We Use This Tool? Monitoring checklist use is an extremely important part of this project. Performing observations can often reveal weaknesses in checklist performance that may otherwise go …

188. Appendix I. Checklist Observation Tool and FAQs - Implementation Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-i.html
     May 01, 2017 - Appendix I. Checklist Observation Tool and FAQs - Implementation Guide Why Should We Use This Tool? Monitoring checklist use is an extremely important part of this project. Performing observations can often reveal weaknesses in checklist performance that may otherwise go unnoticed. This tool allows you to col…

189. Four Missouri Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips80.html
     October 01, 2014 - Four Missouri Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Search All Impact Case Studies November 2011 Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider support calls focusin…

190. Safe Medication Administration: Magnesium Sulfate | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
     July 01, 2023 - the magnesium bag is clearly labeled, contains the correct dose, and that tubing and pump are set up correctly

191. Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
     April 02, 2025 - Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B Appendix B: Clinical Materials to Share With Primary Care Providers Diagnoses and Conditions ■ Anemia of Prematurity ■ Apnea of Prematurity ■ Bronchopulmonary Dysplasia ■ Gastroesophageal Reflux ■ Nephrocalcinosis ■ Patent D…

192. NICU Toolkit, Appendix A, Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_medsafety.pdf
     April 02, 2025 - NICU Toolkit, Appendix A, Medication Safety Medication Safety ■ Keep a list of your baby’s medications with your baby at all times. ■ Speak to your baby’s health care professional, and ask specific questions about your baby’s medicines. ■ When picking up refills, check the label carefully for correct medici…

193. Tool 3 Continued | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool3a.html
     March 01, 2025 - Do this until the patient is able to correctly describe your directions in his or her own words.

194. Treating Tobacco Use and Dependence | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/update/index.html
     April 01, 2013 - Treating Tobacco Use and Dependence Contents Treating Tobacco Use and Dependence: 2008 Update—Clinical Practice Guideline   ( PDF Version  [ - 2.04 MB] ) En español:  Guía de tratamiento del tabaquismo  ( PDF version  [   - 2.26 MB]   ) Supplement: Corrections and Additions to the 2008 Guideline Update …

195. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
     July 01, 2022 - results” could identify any of the following steps in the testing process: � Results that were not correctly … Applications Several e-triggers detect potential diagnostic events retrospectively and, if implemented correctly … Care escalation (e.g., hospitalization at subsequent visit) was related to worsening of an original correctly … please specify: 3) Diagnostic Tests � Ordered test not performed at all � Ordered tests not performed correctly … � Performed tests not interpreted correctly � Misidentification � Other, please specify: 4) Follow-Up

196. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
     July 01, 2022 - results” could identify any of the following steps in the testing process: � Results that were not correctly … Applications Several e-triggers detect potential diagnostic events retrospectively and, if implemented correctly … Care escalation (e.g., hospitalization at subsequent visit) was related to worsening of an original correctly … please specify: 3) Diagnostic Tests � Ordered test not performed at all � Ordered tests not performed correctly … � Performed tests not interpreted correctly � Misidentification � Other, please specify: 4) Follow-Up

197. Chapter 5 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
     August 01, 2022 - A caveat discussed by the TEP is the limited number of individuals trained to correctly perform RCAs,

198. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
     August 01, 2022 - “Common human error” and “not taking time to do the task correctly” were the two most commonly identified

199. Making Healthcare Safer Practices: 15. Care Transitions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
     March 01, 2020 - medical unit Large hospital in South London; acute medical unit with 58 beds Use of BOOST Tool correctly … The BOOST Tool correctly predicted 90% of readmissions using two or more risk factors and 99.1%

200. Agency for Healthcare Research and Quality Competency Check vs. Observational Audit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/competency-check-vs-observational-audit.pdf
     March 01, 2021 - Agency for Healthcare Research and Quality Competency Check vs. Observational Audit Competency Check vs. Observational Audit Validate Nursing Home Staff Performance To Improve Infection Prevention Processes for COVID-19 This document explains the difference between the competency check you complete to me…