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101. Job Aid: 5 Whys and Fishbone Diagrams (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
     May 17, 2021 - Job Aid: 5 Whys and Fishbone Diagrams Primary Care Practice Facilitator Training Series 1 Job Aid: 5 Whys and Fishbone Diagrams Overview The 5 Whys and fishbone diagrams help practices identify obstacles to good performance and what causes them. They can also be used to identify the factors contribut…

102. Appendix E | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
     April 01, 2018 - Complications 26 429  -- Delirium 2 427  -- Nosocomial Infections 3 450  -- Patient Falls

103. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/teamstepps/instructor/fundamentals/module3/slcommunication.html
     July 01, 2018 - S afety: Critical lab values/reports, socioeconomic factors, allergies, and alerts (falls, isolation

104. Advancing Patient-Centered Care for People Living With Multiple Chronic Conditions | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/mcc.html
     July 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 …

105. Pressure Injury Prevention in Hospitals Training Program | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/index.html
     October 01, 2017 - 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 …

106. 4 Tk2 T1-Medical Care Referral Form (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
     May 01, 2014 - Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality MEDICAL CARE REFERRAL FORM USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM AND INFECTION MAY BE SUSPECTED, AND IS BEING REFERRED TO A MEDICAL CARE PROVIDER, INCLUDING TRANSFER TO AN EMERGENCY DEPARTMENT OR HOSPIT…

107. Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-phase-two-plan.pdf
     December 01, 2018 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care Plan for Phase Two Tara Servati, M.P.H. Patient Experience Specialist for the Ambulatory Care Network, New York-Presbyterian New York, NY Study Phase 2 How can narrative information be reported to practice leaders and clinic…

108. Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/research/findings/studies/index.html?page=1
     January 01, 2024 - Emergency Preparedness (26) Evidence-Based Practice (929) Eye Disease and Health (35) Falls … They discussed progress made in three potential use cases in the ED: falls, cognitive impairment, and … that research progress and operational deployment vary by use case, ranging from deployed solutions in falls

109. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
     March 01, 2019 - Here is an example of the use of a check-back: One member of the team calls out, "BP is falling, 80 … Another team member verifies and validates receipt of the information by saying, "Got it; BP is falling … S    Safety Concerns— Critical lab values/reports, socio-economic factors, allergies, alerts (falls,

110. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-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.4n Selected Best Practices and Suggestions for Improvement IQI: Mortality Review of Select Procedures and Conditions Why Focus on Mortality Review? …

111. Job Aid: Introduction to Quality Improvement (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-intro-qi.pdf
     May 18, 2021 - Job Aid: Introduction to Quality Improvement Primary Care Practice Facilitator Training Series 1 Job Aid: Introduction to Quality Improvement Quality Improvement (QI) Basics The QI Process You will be helping practices to:  Identify areas for improvement.  Set goals.  Develop a plan that…

112. SDOH Environmental Scan - Updated April 29, 2021 (xls file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
     April 29, 2021 - SDOH Environmental Scan - Updated April 29, 2021 Overview Scan Overview: AHRQ conducted an environmental scan of social determinants of health (SDOH) data sources to inform the development of AHRQ’s SDOH beta data files publicly released in December 2020. AHRQ is publicly releasing the environmental scan as a resour…

113. TeamSTEPPS for Office-Based Care: Team Structure | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/teamstepps/officebasedcare/module2/office_structure-ig.html
     September 01, 2015 - Each strategy falls under one of the four critical and evidence-based teamwork skills around which TeamSTEPPS

114. Biden Administration Tackles Financial Strains on Healthcare Consumers | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/news/blog/ahrqviews/financial-strains-healthcare.html
     November 01, 2023 - This privately financed portion of total U.S. healthcare expenditures is regressive, falling mainly on

115. Chsp-Compendium-2018-Updated-2021 (xls file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2018-updated-2021.xlsx
     January 01, 2021 - 81 11 10 6 5 4 4 2 1 403 16573 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 HSI00000068 Avera Health Sioux Falls … 16 16 1 1 1 1 103 4045 0 0 0 0 0 0 0 0 0 0 0 0 0 HSI00000107 Benefis Healthcare System Great Falls … 17773639 191 69 93 15 57 1 1 18 1 285 11876 0 0 0 0 0 0 0 0 0 1 1 133 0 20 HSI00000401 Glens Falls … Hospital Glens Falls NY 1 0 18156853 130 44 28 53 29 1 1 0 1 507 11567 0 0 0 0 0 0 0 1 1 0 0 0 0 … Memorial Medical Center Niagara Falls NY 1 0 18407987 53 19 15 13 14 1 1 1 1 133 5064 11.92 0 0 0 0

116. Chsp-Compendium-2018-Updated-2021
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2018-updated-2021.csv
     January 01, 2021 - 81 11 10 6 5 4 4 2 1 403 16573 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 HSI00000068 Avera Health Sioux Falls … 16 16 1 1 1 1 103 4045 0 0 0 0 0 0 0 0 0 0 0 0 0 HSI00000107 Benefis Healthcare System Great Falls … 17773639 191 69 93 15 57 1 1 18 1 285 11876 0 0 0 0 0 0 0 0 0 1 1 133 0 20 HSI00000401 Glens Falls … Hospital Glens Falls NY 1 0 18156853 130 44 28 53 29 1 1 0 1 507 11567 0 0 0 0 0 0 0 1 1 0 0 0 0 … Memorial Medical Center Niagara Falls NY 1 0 18407987 53 19 15 13 14 1 1 1 1 133 5064 11.92 0 0 0 0

117. Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/news/newsletters/e-newsletter/884.html
     October 01, 2023 - an emergency department-based machine learning clinical decision support tool to prevent outpatient falls

118. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
     March 11, 2021 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to convene a cross agency wo…

119. What We Learned | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/index.html
     October 01, 2020 - 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 …

120. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - For example, they might discuss the resident's decreasing mobility and the risk for falls. … The team could then make a plan to keep the resident from falling by providing a walker and teaching … response to treatment S Safety Concerns— Provide critical lab values/reports, allergies, alerts (falls