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1481. Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
      January 01, 2003 - The table below presents a summary of the course components and links to evidence-based practice and … Nurse staffing and patient outcomes in the inpatient hospital setting (Executive Summary).

1482. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/001-clabsi-prevention-webinar-slides.pptx
      October 01, 2024 - Executive leadership should also be aware and engaged. … Antimicrobial-resistant pathogens associated with adult healthcare-associated infections: summary of

1483. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
      July 01, 2023 - AHRQ Publication No. 23-0040-3-EF 1 e Executive Summary Although the literature has established … Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive … Summary Introduction Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods Learning

1484. Improving Healthcare Safety by Enhancing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
      April 30, 2025 - This summary was funded under contract number GS-00F-260DA/ 75Q80120F80007 from the Agency for Healthcare … Readers should not interpret any statement in this summary as an official position of AHRQ or of the … Key Findings/Impact: Eight ISO executive and four staff training sessions were held. … Key Findings/Impact: A final report was not available, but an executive summary of the conference described … The executive summary of the report was published within the March 2005 issue of AJN, which went to

1485. Hospital Language Services: Quality Improvement and Performance Measures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
      May 08, 2008 - Summary of hospitals participating in the Speaking Together collaborative Bellevue Hospital Center … ongoing support and participation of multiple departments, clinicians, and managers; and it hinges on executive

1486. TeamSTEPPS Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/implguide.pdf
      March 01, 2006 - It should be formally recognized by executive leadership and communicated as part of a continuous improvement … Change Team Member Name (Staff Position) Key Characteristics Primary Role(s) Senior Leader “Executive … Responsible for coaching and role-modeling the team behaviors and skills  Responsible for keeping the executive … o Ensure key leadership representation: senior leadership, front-line leadership o Identify an Executive … 57 Checklist for The Joint Commission Requirements for Action Plans Root Causes:  Summary

1487. TeamSTEPPS Implementation Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/implguide_0.pdf
      March 01, 2006 - It should be formally recognized by executive leadership and communicated as part of a continuous improvement … Change Team Member Name (Staff Position) Key Characteristics Primary Role(s) Senior Leader “Executive … Responsible for coaching and role-modeling the team behaviors and skills  Responsible for keeping the executive … o Ensure key leadership representation: senior leadership, front-line leadership o Identify an Executive … Guide - 57 Checklist for The Joint Commission Requirements for Action Plans Root Causes:  Summary

1488. Using-Health-It-To-Support-Qi (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
      March 01, 2015 - The expert panel included: Michael Barr, M.D., M.B.A., Executive Vice President for Research, Performance … the clinic team (including the provider, NCC, and others) has access to a modular single-page EHR summary … These summary snapshots enhance previsit planning and during-visit discussions with the patient.

1489. 047-Evidence-Behind-Decolonization-Strategies-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
      October 01, 2024 - Slide 11 Decolonization Evidence Summary SAY: This table summarizes the key evidence for decolonization … Slide 56 Key Takeaways SAY: In summary, universal decolonization is a proven strategy for reducing

1490. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module1-introduction.pptx
      January 12, 2022 - Instructions for completing the questionnaire and calculating the average summary score can be found … Slide 28 Module 1 Summary Diagnostic error is common and often harmful, but appropriate communication … Facilitator develops and implements a training plan informed by TAT summary scores and the unique insights … The Facilitator summarizes submitted TAT scores and gathers participants to review summary results. … The Facilitator then develops and implements a training plan informed by TAT summary scores and the unique

1491. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
      January 12, 2022 - Instructions for completing the questionnaire and calculating the average summary score can be found … Slide 28 Module 1 Summary Diagnostic error is common and often harmful, but appropriate communication … Facilitator develops and implements a training plan informed by TAT summary scores and the unique insights … The Facilitator summarizes submitted TAT scores and gathers participants to review summary results. … The Facilitator then develops and implements a training plan informed by TAT summary scores and the unique

1492. Strengthening National Efforts to Reduce Healthcare-Associated Infections | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article2.html
      June 01, 2014 - Advances in the Prevention and Control of HAIs Strengthening National Efforts to Reduce Healthcare-Associated Infections Previous Page Next Page Table of Contents Advances in the Prevention and Control of HAIs Preface Advances in the Prevention and Control of HAIs: Setting the …

1493. Strengthening National Efforts to Reduce Healthcare-Associated Infections | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article2.html
      June 01, 2014 - Advances in the Prevention and Control of HAIs Strengthening National Efforts to Reduce Healthcare-Associated Infections Previous Page Next Page Table of Contents Advances in the Prevention and Control of HAIs Preface Advances in the Prevention and Control of HAIs: Setting the Stage Advancing …

1494. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
      December 01, 2017 - High-level summary of best practices Recommended practices Staff required– Equipment Communication … Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Slide 59 Summary

1495. Final Progress Report: Toward safer opioid prescribing for chronic pain in high risk populations (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/robinson-papp-report.pdf
      January 01, 2024 - Summary of CDCG Guideline for Prescribing Opioids for Chronic Pain (CDCOPG) 1. … Significance In summary, the TOWER pilot study demonstrates that a relatively simple and sustainable

1496. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
      January 01, 2024 - Recently, the Center formed an Executive Council comprised of leading patient safety and industry experts … Women’s Hospital and comparative review of incidents identified through spontaneous reporting through Executive … Summary The checker found no problems in this document. … Regularity Passed Tables must contain the same number of columns in each row and rows in each column Summary … Skipped Tables must have a summary Lists Rule Name Status Description List items Passed LI must

1497. Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
      January 01, 2025 - We engaged a subset of the authors of this Guideline and others from the Executive Committee of the … National Hospital Ambulatory Medical Care Survey: 2004 Emergency Department Summary. … Summary The checker found no problems in this document. … Regularity Passed Tables must contain the same number of columns in each row and rows in each column Summary … Skipped Tables must have a summary Lists Rule Name Status Description List items Passed LI must

1498. Appendix A: References and Available Abstracts | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/acfselection/appendixa.html
      July 01, 2018 - Next Page Table of Contents Disaster Alternate Care Facilities: Report and Interactive Tools Executive … Summary Chapter 1. … Appendix C: Alternate Care Facility Questionnaire Appendix D: Alternate Care Facility Questionnaire—Summary … SUMMARY: Health care systems are required to prepare an effective response model to cope with MCIs. … SUMMARY: The Gulf coast of Mississippi and southeast Louisiana were struck on August 29, 2005, by Hurricane

1499. Appendix F. Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/appf.html
      March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive … Summary Introduction Limitations of the Environmental Scan Model of Patient Safety in Primary … Patient and family engagement strategies Yes Yes Moderate Summary of engagement … Using e-health tools to engage patients and caregivers Yes Yes Moderate Summary … Good background and summary of interventions and approaches.

1500. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/vtguide/guide4.html
      May 01, 2016 - Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive … Summary Chapter 1. … risk information from history and physical forms, especially for elective surgical procedures. 41 In summary