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401. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Cross-reference to resource already described: • Composite Measure 3. … Communication About Prescriptions Across Shifts Cross-reference to resource already described: • … PlanDoStudyActWorksheet.aspx https://www.ahrq.gov/innovations/will-work/index.html Cross-reference to resource already described … Cross-reference to resource already described: • Composite Measure 1.

402. TeamSTEPPS Training Evaluation Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-course-evaluation-form.pdf
     June 02, 2025 - TeamSTEPPS Training Evaluation Form TeamSTEPPS Training Evaluation Form The TeamSTEPPS course evaluation form that follows is designed for a 2 day course based on the TeamSTEPPS curriculum released in 2023. If the course you are evaluating does not include all the material covered in a 2 day cours…

403. Meeting Minutes, November 2019 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2019-11-nac/nacmtg01121-minutes.html
     March 01, 2020 - Lomotan described AHRQ’s CDS Connect, an initiative that addresses clinical decision support (CDS), which … He described a team that has been created to identify models for sustainability of the program. … States described challenges for U.S. healthcare in the 21st century, beginning with the following major

404. Clinical-Community Relationships Evaluation Roadmap (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ccreroadmap.pdf
     July 01, 2013 - The Roadmap is rooted in a conceptual framework described in detail in Appendix A. … This distinction is more fully described in Appendix A. … These are described below. … Similar scenarios can be described for each of the six basic factors: • Does the influence of certain … As a consequence, many of the gaps identified by the panel were essentially described as general research

405. IV. Evaluation Aims, Methods, and Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/eval4.html
     May 01, 2016 - As described in Chapter II , before and after additional information is elicited through the patient … or caregiver clarification process, a physician reviews the event report and classifies the event(s) described … Provider Actions in Response to the Hotline Reports (Module 8) As described earlier, if an individual … The safety department leader described her role in the organization’s decision to participate as “key … t When a reported event described multiple harms, the physician classified the event according to the

406. Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
     April 28, 2008 - inconsistent findings in comparisons among teaching and nonteaching hospitals.3, 4, 5 In the study described … The PTF and the methodology for creating acute-only records have been described elsewhere.27, 28 We … As described elsewhere,4, 33, 34 the PSIs were developed by the UC-Davis-Stanford Evidence-based Practice … Therefore, we used algorithms, described in detail elsewhere,28 to calculate variables, including principal … Results VA and NIS facilities and discharges are described in Table 1.

407. Using Data Mining to Predict Errors in Chronic Disease Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
     March 28, 2008 - Each part of the simulation environment is described here. Patient model. … As described by Brehmer, making such decisions is analogous to a process of achieving control of a system … Each version is described in detail below. Feedback strategies. … The work described here develops data mining classifiers using information gathered at a current physician … However, the synthetic models (described in the previous section) used to simulate physician/patient

408. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/primary-care-research/results.html
     January 01, 2024 - Paul Nutting, the first Director of the Division of Primary Care for AHCPR, described the Agency's early … Other specific TeamSTEPPS projects and impact are described in the section on Safety. Figure 6. … This report described the current state of medical errors and safety risks in the healthcare setting, … Furthermore, as described in a 2017 blog post by then AHRQ Director, Gopal Khanna and CEPI Director … AHRQ's Patient-Centered Medical Home (PCMH) work (described above) also included a funding announcement

409. How did CHIPRA quality demonstration States employ learning collaboratives to improve children’s health care quality? | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight13.html
     June 01, 2015 - Findings State and practice staff reported that a combination of strategies described below helped … example, leaders of North Carolina’s learning collaborative developed a simple, one-page document that described … Both a State staff person and a provider described the in-person interaction among learning collaborative … highlight01.html . 11 A selection of learning collaborative materials, including the “one-pagers” described

410. Challenges to Real-Time Decision Support in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
     January 01, 2007 - The decision support system described in this article is part of the Trauma Reception and Resuscitation … occur in the complex dynamic medical domain of a trauma center and the need for decision support are described … Future output, testing, and development of the TR & R Project are described Safety and Errors in Emergency … typically using historical controls), and preventable deaths using cohort comparison.27, 28, 29 Previously described

411. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
     May 05, 2008 - Meliones MD, MS Abstract Background: During the analyses of adverse events, a commonly described … is commonly referred to as a “workaround.”9, 10 During the analyses of adverse events, a commonly described … phase of this study—the “Define,” “Measure,” and “Analyze” steps of Six Sigma methodology—has been described … evidence suggests, success in one environment does not necessarily predict success in another.30 For the described

412. Chapter-2 - Failure-To-Rescue (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
     March 01, 2020 - review, the article was out of scope (including not quantitative), or study design was insufficiently described … General methods for this report are described in the Methods section of the full report. … General methods for this report are described in the Methods section of the full report. … Similar results were described in the meta-analysis by Maharaj et al.,2 who found a significant reduction … Facilitators and barriers to implementation of the RRT are described below. 2.2.5.1 Facilitators

413. Making Healthcare Safer Practices: 14. Delirium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
     March 01, 2020 - General methods for this report are described in the Methods section of the full report. … General methods for this report are described in the Methods section of the full report. … General methods for this report are described in the Methods section of the full report. … For example, music therapy may be described as part of a sensory or sleep domain. … Intervention is not described in sufficient detail for replication.

414. Evaluation of Measures in the Scan | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep2.html
     June 01, 2010 - evaluation criteria for the analysis of HCBS measure scan findings was guided by the three concepts described … instruments included in these tables, they were used to inform the gap analysis for each DRA domain, which is described

415. Chapter 6. Measure Maps and Profiles (continued, 2) | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6a.html
     June 01, 2014 - indicators and reduced hospital readmissions and costs of care. 2 Logic Model/Conceptual Framework: None described … from other potential factors that influence utilization. 1 Logic Model/Conceptual Framework: None described

416. Module 3: Component Kit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
     May 01, 2017 - The second two types described above are type 2 problems. 5. … Model for Improvement To Advance Problem Solving You can introduce Plan-Do-Study-Act (PDSA) cycles, described

417. Series Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/evidence-based-reports/er208-overview.html
     October 01, 2014 - Each EPC team will consider scope options in light of specific prioritization criteria which were described … be matched to the applicable target audience(s) (KQ2) at the level(s) of implementation expected, as described

418. Established Child Health Care Quality Measures—CAHPS | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-2.html
     November 01, 2017 - Availability Protocols for administering the CAHPS 3.0 Child Survey and analyzing responses are described … CAHPS specifications are described in the CAHPS Survey and Reporting Kit, which is available free of

419. Variation in Health System Characteristics Across States, 2016 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief3-variation-in-health-system-characteristics-across-states-2016.pdf
     January 01, 2016 - Systems, 2016, which presents a list of U.S. health systems that meet the Compendium’s definition described … To opera- tionalize the definition of health systems described above, we identified systems using the

420. Half-Day Training Content | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/situation/teach/half-day.html
     July 01, 2023 - information about them (Slide 14), we recommend you use the same approach to teaching each tool as described