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21. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - Protecting the organization to ensure the event analysis is not discoverable during a potential lawsuit … Protecting patients from future harm, since the organization has a process to ensure continuous learning … Risk Management personnel should ensure all parts of the organization are using the event reporting system … approach to Event Investigation and Analysis is that managing individual performance alone does not ensure … Eventually, the team sends a report to leadership and the board, conducts followup 6 weeks later to ensure

22. Getting Intentional About Equity: New Guide Helps Developers and Users of Digital Healthcare Technologies | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/news/blog/ahrqviews/intentional-about-equity.html
    April 01, 2024 - Public health leaders developed policies to ensure that people most vulnerable to severe illness got … For example, developers should ensure that datasets used to train an artificial intelligence (AI)-powered … By empowering developers and users to consider healthcare equity outcomes, AHRQ’s new guide can ensure

23. TeamSTEPPS 2.0 Quick Reference Guide to TeamSTEPPS Action Planning (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/quickrefguide.pdf
    March 13, 2014 -  Ensure key leadership representation: senior leadership, frontline leadership. …  Ensure key expertise representation: clinical/technical, medical teamwork, process improvement … Part B: Develop an Implementation Plan for the TeamSTEPPS Intervention  Ensure you have collected … Ensure that your final Action Plan includes all of the following:  Identification of the Change

24. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
    January 01, 2012 - to 2 hours.6,8,9 Daily Rounds Assessment Include in the daily rounds a nutritional assessment to ensure … facilities may adapt the tool to allow for easy completion, using check boxes and short phrases to ensure … of Patients Every 1 to 2 Hours and Promotion of Highest Level of Mobility • Have senior leaders ensure … dietitian when nutritional elements could contribute to risk of nutritional deficiencies.7-9 o Ensure … standard hospital mattress.1,6-9 o Triage use of pressure-redistributing beds and mattresses.7 o Ensure

25. Teach-Back Teach-Back Teach-Back: Role Play Scenarios (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-role-play-final508.pdf
    April 05, 2018 - Ask the volunteer to engage in teach-back to ensure the patient understands. 6. … The clinician will engage in teach-back to ensure the patient understands. … Ask the volunteer to engage in teach-back to ensure the patient understands. 6. … The clinician will engage in teach-back to ensure the patient understands. … The clinician will engage in teach-back to ensure the patient understands.

26. Improving Health Equity through Research and Action: Fact Sheet (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/cpi/about/health-equity/health-equity-factsheet.pdf
    March 01, 2024 - and to work with consumers, healthcare leaders and clinicians, HHS divisions, and other partners to ensure … Research and Action AHRQ’s goal is to “hard wire” health equity into the Agency’s core competencies to ensure … for its use to help creators and users of healthcare solutions that involve digital technologies ensure … the importance of prioritizing patient-centered and participatory methods that center equity and ensure

27. The Quick Reference Guide to TeamSTEPPS Action Planning | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/teamstepps/instructor/essentials/implguide3.html
    November 01, 2018 - Ensure key leadership representation: senior leadership, front-line leadership. … Ensure key expertise representation: clinical/technical, medical teamwork, process improvement and trending … Part B: Develop an Implementation Plan for the TeamSTEPPS Intervention Ensure you have collected all … Ensure that your final Action Plan includes all of the following: Identification of the Change Team

28. Appendix 3: Data Abstraction (xls file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
    June 24, 2022 - CMS Design Prospective (rather than retrospective) studies to ensure a more thorough and systematical … CMS Design Masking (blinding) to ensure patients and investigators do not know to that group patients … Innov (UK) Protocol Development of a data/statistical analysis plan to ensure methods and analytical … CMS Design Prospective (rather than retrospective) studies to ensure a more thorough and systematical … CMS Design Masking (blinding) to ensure patients and investigators do not know to that group patients

29. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
    January 01, 2012 - Daily Rounds Assessment Include in the daily rounds the following: (1) nutritional assessment to ensure … facilities may adapt the tool to allow for easy completion, using check boxes and short phrases to ensure … of Patients Every 1 to 2 Hours and Promotion of Highest Level of Mobility • Have senior leaders ensure … dietitian when nutritional elements could contribute to risk of nutritional deficiencies.1, 9-11 o Ensure … Orthotics o Wheelchairs and wheelchair cushions (must be frequently readjusted in growing children) • Ensure

30. Quick Reference Guide to TeamSTEPPS Action Planning | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/teamstepps/instructor/reference/quickrefguide.html
    March 01, 2014 - Ensure key leadership representation: senior leadership, frontline leadership. … Ensure key expertise representation: clinical/technical, medical teamwork, process improvement and trending … Part B: Develop an Implementation Plan for the TeamSTEPPS Intervention Ensure you have collected all … Ensure that your final Action Plan includes all of the following: Identification of the Change Team

31. Step 3: Build the Stakeholder Group Structure | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step3.html
    March 01, 2019 - a charter 11 or similar document outlining the stakeholder group’s vision and priorities can help ensure … Consider using time-limited or rotating positions to ensure a diverse mix of representative stakeholders … If using a cochair system, ensure that each chair represents a different perspective or role within the … To ensure that all stakeholders can participate equally and meaningfully, staff in Massachusetts have … They also work to ensure that families feel empowered to engage in discussions at the meetings.

32. Chapter 2: Five Key Recommendations To Improve Patient Safety for LEP Patients | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/health-literacy/professional-training/lepguide/chapter2.html
    September 01, 2020 - Findings Our research revealed several key areas for improvement to ensure that addressing issues of … A set of policies and strategies is needed to support individuals' work and to ensure that the tools … all staff to help build an institutional culture sensitive to issues that affect LEP patients; and ensure … Ensure that clinicians communicate effectively about errors with patients and their families. 55-57 … Findings Our research revealed several key areas that need improvement to ensure that patient safety

33. Gap Analysis Facilitator's Guide | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
    August 01, 2022 - (If it is impractical to find a neutral individual, ensure that at the beginning of each session, the … Designate a timekeeper to help ensure that the meeting length does not exceed 1–1.5 hours. … Ensure that the Anonymous Reporting Tool ( Appendix D ) is sent out to participants in all groups to … the conclusion of each individual focus group, discussion summaries and notes should be compiled to ensure

34. Patient and Family Engagement | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - Advisors work with physicians, nurses, administrators, and support staff to ensure their contributions … Advisors work with physicians, nurses, administrators, and support staff to ensure their contributions … What else could the nurse have done to ensure effective communication with the patient and family member … Staff members should ask patients and their families what questions they have to ensure an open line … What else could the health care team have done to ensure the patient and family member were involved?

35. Executive Summary | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/health-literacy/professional-training/lepguide/exec-summary.html
    September 01, 2020 - communication by using structured tools (e.g., check-backs), in conjunction with the care team, to ensure … Interpreter services benefit not only the patient, but also staff members who otherwise struggle to ensure … Although it is critical to ensure that you have qualified in-person medical interpreters (or access to … Therefore, they should be empowered to more fully participate in the interaction to ensure patient safety … Second, many hospitals do not have the information technology in place to capture data to ensure timely

36. Health Care Facility Design Safety Risk Assessment Toolkit | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
    October 01, 2020 - locations to decide where to place isolation and medication preparation rooms, where to place sinks, how to ensure … from correct medication administration, and where to locate slings and supplies for mobile lifts to ensure

37. Prevention and Chronic Care | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/prevention/chronic-care/index.html
    July 01, 2019 - Chronic Care Program works to expand the available evidence base for evidence-based practice and to ensure … To ensure these efforts are successful, there is a need to build and sustain the ability of primary care

38. The Freedom of Information Act (FOIA) Memoradum (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policy/foia/foiamemo0309.pdf
    March 19, 2009 - This memorandwn is rneant tc underscore that commitment and to ensure that it is realized in practice … We all must do our part to ensure open government. … Those professionals deserve the full support of the agency's Chief FOIA Officer to ensure that they

39. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
    March 01, 2021 - addition, the primary care team should assess health literacy, coping strategies, and social support to ensure … • Ensure the patient knows how to contact provider or primary care staff to schedule a followup … • Print and review the care plan with the patient and family to ensure they understand it and address

40. Office of the Director (OD) | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/cpi/centers/od/index.html
    February 01, 2022 - Office of the Director (OD) The Office of the Director oversees AHRQ activities to ensure