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61. 2013 Child Core Set Measure Retirement Process Summary of SNAC Scoring: Round II – Final Scoring (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc3.pdf
    September 01, 2014 - Prenatal care is important, how timeliness is measured is difficult. … General Though this is a difficult measure to collect, and though it is difficult to affect low birth … Very difficult to call Y/N on this one. … It would be an important but difficult measure to prove. … Difficult measure without knowing if visit was necessary.

62. Preventing CAUTI in the ICU Setting Facilitator’s Guide Transcript | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
    February 01, 2023 - If this happens where you work, take the time to have this difficult conversation, but do it outside … Keep in mind that this difficult conversation actually educates and empowers the transporter to be part … Sally: I’m sorry you had such a difficult night, but I did run the situation by the team and they all … Although these are difficult decisions, it is important to keep the overall goal in mind. … Change in practice can be difficult, so this situation was an opportunity for staff to discuss the plan

63. Chapter 2. Determine Surgical Site Infection Rates (continued) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
    April 01, 2018 - Otherwise, it appears that further improvements may be difficult without information extraction from … accumulate enough events to estimate their rates within an aggregated 2- to 3-year time period are difficult … As with the other surgeries, direct comparisons can be difficult because followup time can be variable … The most difficult aspect of developing the query is the complexity inherent in joining multiple data … However the measures of sensitivity at the principal hospitals are difficult to interpret because the

64. Strategy 6G: Training To Advance Physicians' Communication Skills | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6gtraining.html
    March 01, 2020 - strives to develop the ability of physicians to relate to patients effectively in both routine and difficult … In particular, it is intended to help physicians learn and practice techniques for dealing with difficult … clinicians reported improved confidence in their ability to conduct effective medical interviews and handle difficult

65. Project Context | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/data/apcd/envscan/context.html
    June 01, 2017 - across hospital referral regions. 7 APCDs could also be used to engage local stakeholders in the often difficult … It is also difficult or expensive to follow patients longitudinally in these databases. … Lastly, APCD data usually include useful data on commercially insured patients that are otherwise difficult … needed for consumer price transparency efforts, and APCD data are a feasible source for this often difficult

66. Categorizing High and Low Performance in Quality Reports | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/talkingquality/translate/compare/categorize.html
    December 01, 2022 - It is more difficult that one might think to do that without extra help. … It is also difficult to promote your report if it essentially says that everyone’s about the same.

67. Appendix B8: Unsafe Behavior Worksheet | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5.html
    February 01, 2023 - Instructions Unsafe Behavior Worksheet All behavior is meaningful; however, it may be difficult … To staff, he may be anxious, combative, uncooperative and difficult.

68. CAHPS QI The Case for Improving Patient Experience (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/The_Case_for_Improving_Patient_Experience_-2011_10_01_Transcript.pdf
    January 01, 2011 - I think it was difficult because there was that sense of this is something we do really well and we … very tough conversations with parents around things like for example antibiotic use, things that are difficult … And it’s not that you don’t have those difficult conversations because you need to talk about things

69. Strategies for Improving Patient Experience with Ambulatory Care: Training to Advance Physicians’ Communication Skills (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-g.pdf
    July 31, 2017 - strives to develop the ability of physicians to relate to patients effectively in both routine and difficult … In particular, it is intended to help physicians learn and practice techniques for dealing with difficult … clinicians reported improved confidence in their ability to conduct effective medical interviews and handle difficult

70. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-worksheet.docx
    March 01, 2017 - It’s Friday at 4 p.m., and the nurse knows the doctor is extremely difficult to reach on the weekend.

71. TeamSTEPPS 2.0: Summary Skills Practice Exercise Sheet (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module7/exsummary.pdf
    March 20, 2014 - Powers, who is notoriously difficult to work with and does not work well under stress, is attending

72. Conclusions | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp4.html
    August 01, 2015 - While it is difficult to eliminate other explanations for why success factors were more likely found … organizations with a diverse range of management practices linked to CLABSI prevention rates, it is difficult

73. AHRQ CAHPS Program: Addressing Emergining Needs for Patient Experience Measurement & Improvement webcast-HAYS (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/addressing-emerging-needs-09132023-hays.pdf
    October 05, 2023 -  Random Truncation of Item Lines Flesh-Kincaid Readability Score: 14th Grade Level Difficult to Read

74. Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
    September 01, 2015 - It can be difficult to keep the virtual attendees engaged as in-person attendees discuss issues. … This can be particularly true if difficult issues are being discussed during a meeting. … Resist the urge to criticize or write difficult participants off. … Often the most difficult participants become the strongest supporters in the end. … These are difficult moments for a PF and for meeting leaders.

75. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
    December 01, 2009 - conditions may emerge gradually over months or years, and endpoints for successful outcomes may be difficult … based on specifications provided by CMS. 47 The need for performance improvement on this measure is difficult … Data on the number of children at risk are difficult to come by because at the current time, PICU and … are working to try to include this measure in their quality monitoring, but that the data have been difficult … Balancing all of these perspectives in a single measure would be difficult, although the prevalence of

76. Family-Facilitator-Guide (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
    June 01, 2021 - So, it’s difficult to predict. … Remember that while family members may have a lot of requests, and this can sometimes be difficult, it … a resident acquiring a drug-resistant organism that causes future infections that are increasingly difficult … These can be emotionally difficult conversations to have.

77. A New Model of Thinking in Clinical Preventive Services (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/new_model_thinking.pdf
    February 01, 2014 - However, harms have not been well defined, and therefore have been difficult to describe and measure.

78. TeamSTEPPS Model for Change (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/modelchange.pdf
    March 01, 2006 - healthcare team trained force in the world, experience indicates training and training evaluation are difficult

79. Dear [NURSES NAMES]-- (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap9.doc
    December 11, 2012 - Were there any mechanical problems (not drawing, difficult to infuse, repositioned, etc.) with the central

80. Dear [NURSES NAMES]-- (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap8.doc
    December 11, 2012 - Were there any mechanical problems (not drawing, difficult to infuse, repositioned, etc.) with the central