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2821. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/identify/notes.html
      December 01, 2012 - Identify Defects Through Sensemaking, Facilitator Notes CUSP Toolkit The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.   Contents …

2822. Information to Help Hospitals Get Started (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
      April 05, 2013 - Information to Help Hospitals Get Started Key Takeaways Patient and family engagement is not a separate initiative. It is a critical part of what your hospital is already doing to improve quality and safety. Implementing the Guide is similar to other quality improvement efforts in that it takes time to initiate, i…

2823. 015-Ss-Hand-Hygiene-Periop-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/015-ss-hand-hygiene-periop-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Hand Hygiene in the Perioperative Setting Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Hand Hygiene in the Perioperative Setting SAY: Welcome to this presentatio…

2824. Person-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P): Rapid Scan Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
      May 01, 2025 - Finally, in the discussion, we describe resources to facilitate and promote collaborations that were … there’s a family member or caregiver involved, the people doing the assessment engage them in the discussion … Discussion Summary of Findings We identified a limited number of descriptions of health care organization … of clinical organization and community-based organization partnerships Share stories of success Discussion

2825. AHRQ Safety Program for Perinatal Care Summary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
      May 01, 2017 - Discussion .......................................................................................... … (Section 2), the methods used for evaluation (Section 3), the evaluation findings (Section 4), and discussion … Discussion 5.1 Summary of Findings 5.1.1 Overall Program Implementation Nearly all participating … Discussion 5.1 Summary of Findings 5.1.1 Overall Program Implementation 5.1.2 Teamwork and Communication

2826. Conclusion | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
      October 01, 2014 - Module 3: Falls Prevention and Management Conclusion Previous Page Next Page Table of Contents Module 3: Falls Prevention and Management Learning and Performance Objectives Session 1 Session 2 Conclusion Appendix. Additional Tools and Resources In Summary Falls prevention…

2827. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/publications/search.html?page=13
      September 01, 2014 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 131 - 140 of 191 Publications displayed Find Publications by Keyword or To…

2828. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/publications/search.html?page=2
      September 01, 2023 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 21 - 30 of 191 Publications displayed Find Publications by Keyword or Topi…

2829. 16-Engaging-Stakeholders-Pitch (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/16-engaging-stakeholders-pitch.docx
      June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Developing an Elevator Pitch: A Tool for Building and Communicating a Vision for the Program What Is This Tool? Once your team has identified stakeholders for the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Surgical Care a…

2830. Job Aid: Joy in Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-joy-in-work.pdf
      June 02, 2025 - Job Aid: Joy in Work Primary Care Practice Facilitator Training Series 1 Job Aid: Joy in Work Joy in work is one of three categories of common goals practices have for improvement. Joy in work is central to good patient care and in recognition of this, the national triple aim has been expanded to…

2831. Tool: STEP | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
      June 01, 2023 - Tool: STEP STEP is a mnemonic tool that can help individuals monitor critical elements of a situation and the overall environment. It is suitable for use by teams supporting acutely ill patients in a hospital (e.g., an ICU patient the team hopes to wean off a ventilator as quickly as possible), for teams in lon…

2832. About the eCare Plan for Multiple Chronic Conditions | Agency for Healthcare Research and Quality
      www.ahrq.gov/ecareplan/about/index.html
      August 01, 2024 - About the eCare Plan for Multiple Chronic Conditions The eCare Plan project aims to build care planning tools that will improve how we do research and provide healthcare for people with multiple chronic conditions (MCC). These tools include data standards and electronic care plan applications that allow all mem…

2833. TeamSTEPPS Teamwork Perceptions Questionnaire (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-tpq-questionnaire.pdf
      June 02, 2025 - TeamSTEPPS Teamwork Perceptions Questionnaire TeamSTEPPS Teamwork Perceptions Questionnaire The Teamwork Perceptions Questionnaire (T-TPQ) is designed to assess Level II Learning and Level III Behavior. The 35-item self-report tool uses 5-point Likert scales to measure staff perceptions …

2834. Implementing Automatic Referral | Agency for Healthcare Research and Quality
      www.ahrq.gov/takeheart/training/implementing-automatic-referral/index.html
      April 01, 2023 - Implementing Automatic Referral This focus area will walk you through the necessary steps for implementing an automatic referral system in your hospital. Automatic referral is a proven, evidence-based strategy to increase participation in cardiac rehabilitation (CR). Automatic referral is the systematic, au…

2835. Tool: Handoff | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/communication/tools/handoff.html
      May 01, 2023 - Tool: Handoff A handoff is a standardized method for transferring information, along with authority and responsibility, during transitions in patient care. Handoffs include the transfer of knowledge and information about the degree of uncertainty (uncertainty about diagnoses, etc.), response to treatment, recen…

2836. Artificial lung ventilation tube connected to the patient in the bed (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/044-vap-prevention-essential.docx
      October 01, 2024 - Ventilator-Associated Pneumonia (VAP) Prevention Essential Practices1 Avoid intubation if possible.2-3 Consider alternative strategies, such as, high flow O2 or noninvasive positive pressure ventilation. Consider each patient’s clinical scenario to determine the most appropriate strategy. Minimize sedation.2-5 Determ…

2837. New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201518.html
      July 01, 2015 - New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety Search All Impact Case Studies July 2015 Description New York City Health and Hospitals Corporation (HHC), the nation’s largest municipal health care delivery system, uses several AHRQ resources to improve patient care…

2838. Table 1. Implications of Telediagnosis for Diagnostic Quality and Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-table1.html
      August 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Table 1. Implications of Telediagnosis for Diagnostic Quality and Safety Previous Page Next Page Table of Contents Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Introduction Ev…

2839. Why Aren't Numbers and Graphs Sufficient for a Quality Report? | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/explain/numbers.html
      November 01, 2018 - Why Aren't Numbers and Graphs Sufficient for a Quality Report? Quality reports need a brief and compelling explanation of the purpose and value of the information they contain, as well as the trustworthiness of the report’s sponsor. This page discusses why this is necessary. Quality Information Is New Som…

2840. NICU Family Information Packet, Appendix B, Feeding Tubes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-tubes.pdf
      June 02, 2025 - NICU Family Information Packet, Appendix B, Feeding Tubes Feeding Tubes Types of Devices ■ Nasogastric (NG) tube: non-weighted, polyurethane tube for use more than 10 days. ■ Gastrostomy tube: tube protrudes from anterior abdominal wall; most common initial gastrostomy device. ■ Button/skin-level gastrostomy: …