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301. Making Informed Consent an Informed Choice: Training for Health Care Leaders Audio Script | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
     September 01, 2020 - Unfortunately, there are many problems with the informed consent process in hospitals today. … While Toni's experience was not recent, failures in the informed consent process happen in hospitals … If these exceptions apply in your hospital, they should be noted in your policy. … In many hospitals, coordinating interpreter services is a full-time job for at least one person. … If your hospital is a teaching hospital, be sure that you train your residents in the hospital's informed

302. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
     April 01, 2022 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … When members or patients repeatedly experience breakdowns in service, they begin to lose confidence in … Axiom 3: Work in a spirit of partnership. Involve the person in helping to solve the problem. … Even though you may have planned solutions in place, they must be offered in a very customer-sensitive

303. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - six hospitals in the State; and created a resource Web site (http://www.macrmi.info). … Sioux Falls, SD; December 2011:16. Pichert JW, Hoffman WW, Danielson D, et al. … solutions for improving medication discrepancies in the hospital-to-home transition. … unit in one hospital. … developing projects piloting CARe in six hospitals in the State; and created a resource Web site (http

304. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
     May 01, 2017 - , Winnie Palmer Hospital for Women & Babies, Carle Foundation Hospital, and WakeMed Health & Hospitals … • Private, not-for-profit health system in Raleigh, NC • Three hospitals Strategies: Shoulder … The hospitals have institutionalized the changes by codifying them in written policies and procedures … The corporate environment empowered hospitals to implement the Program in the way that worked best in … Winnie Palmer Hospital for Women & Babies Carle Foundation Hospital WakeMed Health & Hospitals System

305. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
     May 01, 2017 - , Winnie Palmer Hospital for Women & Babies, Carle Foundation Hospital, and WakeMed Health & Hospitals … • Private, not-for-profit health system in Raleigh, NC • Three hospitals Strategies: Shoulder dystocia … The hospitals have institutionalized the changes by codifying them in written policies and procedures … The corporate environment empowered hospitals to implement the Program in the way that worked best in … Winnie Palmer Hospital for Women & Babies Carle Foundation Hospital WakeMed Health & Hospitals System

306. Chsp-Accomplishments-Report-2021 (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
     January 01, 2021 - in the hospital survey guaranteed including the system owner in the system survey and a sample of … The Hospital Linkage Files link hospitals to health systems and include information on hospitals, including … Users of the hospital linkage file can identify hospitals within and outside of health systems. … Changes in Quality of Care After Hospital Mergers and Acquisitions. … Safety Net Hospitals in Health Systems: Variation in ACO Participation and Other Characteristics.

307. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
     talkingquality.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
     January 01, 2024 - There are many new players and subspecialties involved in providing care in the operating room. … their tasks), environmental hazards (e.g., objects causing collision/bumping or the risk of slipping/falling … Infection Control and Hospital Epidemiology. 2018 April; 39(4):391-397. https://doi.org/10.1017/ice.2017.323 … /doi.org/10.1016/j.apergo.2018.03.011 https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology … influence-of-traffic-area-location-and-other-factors-on-operating-room-microbial-load/5B7991606B227B429D88E1744458D6B6 https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology

308. 2014-Women-Chartbook (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
     January 01, 2014 - ■ Patient Safety improved, led by a 17% reduction in rates of hospital-acquired conditions between … ■ Many Effective Treatment measures, including several measures of pneumonia care in hospitals publicly … Adverse drug events occur in 15% or more of older patients presenting to offices, hospitals, and extended … With the burden of suicide falling most heavily on adults of working age, the cost to the economy results … Strategies to prevent catheter-associated urinary tract infections in acute care hospitals.

309. Questions and Answers: AHRQ National Webinar on Shared Decisionmaking Tools for Lung Cancer Screening | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/health-literacy/professional-training/shared-decision/webinars/q-a-lung.html
     September 01, 2020 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … their interest in PSA testing and in their actual completion of testing. … Mortality after 6½ years drops from 21 in 1,000 individuals not screened to 18 in 1,000 individuals screened … Question : Why is reduction in disease-specific morality from this screening 3/1K, while reduction in

310. TeamSTEPPS 2.0 Module 9: Coaching Workshop
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule9.pptx
     April 10, 2006 - In this module, we'll discuss coaching in general, as well as how to include coaching in your implementation … This, in turn, results in improved team performance and safer patient care. … If the exercise falls before break, introduce the exercise and hand out the ASTD coaching self-assessment … The University of North Carolina Hospital used visuals to identify coaches and people prepared for coaching … At Franklin Memorial, our small community hospital, orientation of all new hires includes the full TeamSTEPPS

311. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
     talkingquality.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
     January 01, 2024 - The High Plains Research Network consists of 11 hospitals and associated outpatient clinics in rural … The hospitals vary in size from six to 40 beds, with a total of about 175 hospital beds. … Forty-three percent of patients in HPRN hospitals are women. … weeks after their call, 4% visited an emergency department within 2 weeks, and 2% were admitted to the hospital … It is best suited to large practices, groups of practices (e.g., PBRNs), or university- or hospital-affiliated

312. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
     April 27, 2022 - Center (MWHC), Washington, DC; ¶Michael Garron Hospital–Toronto East Health Network; #Institute of … of Health - National Institutes on Aging grant (4R33AG061882), and the Michael Garron Hospital Foundation … Communication: “In the past 5 years, have you left the hospital, the emergency department, or your provider … operationalize the NASEM definition and/or cite the re- port while using previous definitions, the work often falls … Malpractice claims related to diagnostic errors in the hospital.

313. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
     August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Issue … a hospital setting, and one way to think about a “team” in the context of the ED and diagnosis is to … Applied In- terdisciplinary Theory in Health Informatics. … Review: how do hospital organizational structure and processes affect quality of care? … teamwork’: using Goffman’s theory of impression man- agement to illuminate interprofessional practice on hospital

314. Sampling, Weighting, and Synthetization Methodologies (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Sampling-Weighting-Synthetization-Methodologies.pdf
     December 01, 2023 - Moreover, TRICARE and VA healthcare beneficiaries have access to hospital facilities that are available … only to them, and the treatments provided by these hospitals may be inconsistent with those provided … For each person, the number of IP and ED claims falling under each of the diagnosis groups was tabulated … The final weight in SyH-DR allows for weighted estimates of person-level characteristics and hospital … stay or returned to the hospital multiple times for the same procedure.

315. Guide To Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
     March 01, 2017 - in the LTC facility. … role is in supporting the changes to improve quality in the LTC facility. … Leadership and staff perceptions of resident harms such as CAUTIs or falls, AHRQ SAFETY PROGRAM FOR … substitute for care of the resident • Morbid obesity or immobility • Attempting to reduce the risk for falls … In-Service Education.

316. RFA-HS-23-012: Implementing and Evaluating New Models for Delivering Comprehensive, Coordinated, Person-Centered Care to People with Long COVID (U18) (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/long-covid/faqs-long-covid.pdf
     May 16, 2023 - These elements should be included in the PHS 398 Research Plan Form in the Research Strategy section … In this scenario, there are no special program or budget considerations beyond those specified in the … As stated in RFA Section III. … As stated in RFA Section III. … For example, if a clinic/hospital receives state https://grants.nih.gov/grants/guide/rfa-files/RFA-HS

317. EvidenceNow Key Drivers and Change Strategies | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/evidencenow/tools/keydrivers/description.html
     October 01, 2020 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … This does not mean that everyone in the practice has to execute protocols in exactly the same way. … Using data that are already available in another system is often more efficient than investing time in … Creating an environment in which teams can succeed in keeping up with the ever-changing evidence base

318. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - Missed nursing care is linked to patient harm, including falls and infections. … • Patient Falls Reduction. • RCA Resource Guide. • SBAR. 6. … Framework for Improving Joy in Work http://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Improving-Joy-in-Work.aspx … the teaching of patient safety in universities and schools in the fields of dentistry, medicine, midwifery … Framework for Improving Joy in Work 7. Hand Hygiene in Healthcare Settings 8.

319. Resource List - AHRQ Medical Office Survey (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
     April 01, 2023 - coalition of major employers, consumer groups, patient quality organizations, health plans, labor unions, hospitals … • MHS Leadership Engagement. • Patient Falls Reduction. • RCA Resource Guide. • SBAR. 6. … in universities and schools in the fields of dentistry, medicine, midwifery, nursing, and pharmacy. … Care Going Lean in Healthcare Guide to Improving Patient Safety in Primary Care Settings by Engaging … Engaging Patients in Improving Ambulatory Care 7. Framework for Improving Joy in Work 8.

320. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - This feature in Pharmacy Times defines stress in the pharmacy and identifies possible solutions for … Pharmacists can use the materials and tools in this manual to pinpoint specific areas of weakness in … • Patient Falls Reduction. • RCA Resource Guide. • SBAR. … the teaching of patient safety in universities and schools in the fields of dentistry, medicine, midwifery … Work How to Start an MTM Practice Improve Pharmacy Workflow in 6 Steps Improving Medication Safety in