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Showing results for "failures".

61. Table 15A: Outcome Indicators by County Demographics | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
    February 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

62. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
    March 01, 2012 - very rare, such as the risk of SSI in the ambulatory surgery environment, and examining single-point failures … Also important is the tool’s utility in examining single-point failures, as well as combinations of … thereby allowing the investigators to design interventions aimed at reducing the risks associated with failures … events are added together, with the overlap subtracted to prevent double counting of the gate if both failures … the Birnbaum measure ranks the risks based upon the relative contribution of individual component failures

63. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
    May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4g Selected Best Practices and Suggestions for Improvement PSI 10: Postoperative Physiologic and Metabolic Derangement Why Focus on Postoperative Phys…

64. TeamSTEPPS 2.0 Evidence Base: Communication (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module3/ebcommunication.pdf
    August 20, 2013 - Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis

65. Facilitator-Notes (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/facilitator-notes.docx
    March 01, 2017 - Recognize that there will often be failures in addition to successes. … Encourage staff to find the silver linings or the pearls of wisdom in these failures.

66. Exhibit 12. Probability of an intervention reducing the risk of surgical site infection (SSI) by interventions targeting component failure points individually | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraexh12.html
    April 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

67. Using Data To Drive Change and Improve Patient Safety Slides
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-slides.pptx
    April 01, 2022 - Do failures need to be addressed? Do milestones need to be celebrated?

68. FileNewTemplate
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module2.pptx
    March 07, 2019 - ‹#› Now that you have watched the videos, what were the successes you observed, and what were the failures

69. TeamSTEPPS Specialty Scenarios: ICU (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/icu.pdf
    March 19, 2014 - Instructor Comments  The failures in this case include no handoff from the Neurosurgery to ICU team

70. An Introduction to Assessing Practices: Issues to Consider (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-12-intro-to-assessing-practices.pdf
    September 01, 2015 - review and observation as tools to conduct “fall-out” assessments, where a forensic analysis of system “failures … track patients who failed to receive their lab results within the specified time period and identify failures … The practice can use these data to correct and improve the process and reduce failures in the future

71. Previous TeamSTEPPS Webinars: 2013 | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps/webinars/previous-webinars-2013.html
    August 01, 2017 - talked about UW’s approach to implementing the TeamSTEPPS tools and strategies, UW’s successes and failures

72. Project Overview: Designing Consumer Reporting Systems for Patient Safety Events | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
    October 01, 2014 - patient safety and assist in the detection of patterns associated with medical errors or health system failures

73. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil2.html
    April 01, 2018 - is a new wave of consumers who have heard stories of or actually experienced errors, mistakes, and failures

74. Implementation Guide for Automatic Referral: Building, Implementing, and Troubleshooting and Automatic Referral for Cardiac Rehabilitation (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
    March 01, 2023 - . • Review the referral process failures identified during your mapping exercise. • Build a referral

75. 0129Table8 (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
    January 01, 2013 - Table 8 – Evidence for the Relationship between Readmission and Quality of Care Type of Evidence Key Findings Citation Readmission and Quality of Care Coordination, Discharge, and Care Transition Processes Meta-analysis Investigators reviewed randomized controlled studies of structured telephone support or t…

76. Enhancing Care Coordination | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/takeheart/training/care-coordination/index.html
    April 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

77. Getting Started Resource Guide (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-resource-guide.pdf
    March 01, 2023 - November 16, 2022 9 Fishbone diagrams are a useful way to identify major causes of process failures … as well as specific failures that fall into these general categories. … team and patients in this process to ensure that you fully understand underlying causes of process failures

78. TeamSTEPPS 2.0 Evidence Base: Leading Teams (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module4/ebleadership.pdf
    January 01, 2013 - a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures

79. Library of PCOR Resources | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/pcor/library-of-resources/index.html
    April 01, 2021 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

80. Making Effective Behavior Changes Around Antibiotic Prescribing (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-facilitator-guide.pdf
    November 01, 2019 - Slide 17 Stewardship Team Communication Failures SAY: Some common stewardship team communication … failures include:  Recommendations are too complex  Sounding doubtful  Sounding accusatory