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1581. Case Report on Ambulatory Safety and Quality (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-casereport.pdf
      September 05, 2017 - our adaptation, including TeamSTEPPS® and hospital safety protocols and recommendations. … practice and two patients, plus the head of population health/ambulatory care for the affiliated hospital … In consultation with the hospital, the practice created a handout on common blood tests (Appendix F … How do you know when a “ball gets dropped” or “something falls through the cracks?” g. … : (Circle one) a) Government b) Integrated delivery system (IDS/Hospital) c) Insurance company

1582. Improving Patient Safety in Medical Offices: A Resource List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/2010/moimpptsaf.pdf
      January 01, 2010 - Users can browse by care setting, event (e.g., falls, medication errors), discipline, audience, and … Palliative Care Nurses in Primary Care Clinics Reduce Hospital Admissions, Increase Use of Hospice and … Improving Patient Safety in Hospitals: Turning Ideas Into Action www.med.umich.edu/patientsafetytoolkit … hospitals. … Patient Care Tracking/Followup, Palliative Care Nurses in Primary Care Clinics Reduce Hospital Admissions

1583. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16658-Gallagher-report.pdf
      January 01, 2009 - patients and preserving trust.(3-5) Yet compelling evidence suggests that current clinical practice falls … (16) As pressure to disclose errors accelerates, many hospitals are developing explicit disclosure policies … It is one of two major teaching hospitals for the University of Washington School of Medicine. … the hospital. … Error reporting and disclosure systems: views from hospital leaders.

1584. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
      January 01, 2024 - patients and preserving trust.(3-5) Yet compelling evidence suggests that current clinical practice falls … (16) As pressure to disclose errors accelerates, many hospitals are developing explicit disclosure policies … It is one of two major teaching hospitals for the University of Washington School of Medicine. … the hospital. … Error reporting and disclosure systems: views from hospital leaders.

1585. Evidence-based Practice Center Systematic Review Protocol: Short and Long Term Outcomes after Bariatric Therapies in the Medicare Population (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/bariatric-surgery-protocol.pdf
      November 09, 2016 - Falls iii. Osteoporosis/bone-mineral density (DEXA, DEEG) 4 J. … Data Synthesis: All included studies will be summarized in narrative form and in summary tables that … specialty journals, and textbooks in relevant medical specialties. … as fractures (e.g., of the knee, hip, spine), need for joint replacement surgery (knee or hip), or falls … Surgery for weight loss in adults.

1586. Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
      January 01, 2024 - In fact, an increase in manuscript activity accounted in part for the slight dip in research abstract … Early Adopters of Computerized Physician Order Entry in Hospitals That Care for Children: A Picture of … This manuscript looks at uptake of CPOE in the early 2000s among hospitals that care for children, using … Identifying Pediatric Asthma Patients Who Don’t Receive Recommended Care Prior to Hospital Discharge. … Prevention of Pediatric Medication Errors by Hospital Pharmacists and the Potential Benefit of Computerized

1587. TeamSTEPPS for Office-Based Care: Measurement | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps/officebasedcare/module10/office_msmt-ig.html
      September 01, 2015 - Was TeamSTEPPS worth implementing in my unit? … In other words, behavior assesses whether participants use what they learned in training on the job and … on-call physician with concerns about a patient who needs to be seen and may need to be admitted to the hospital … Will the nurse use SBAR in the future? … offices’ interest in a survey that focuses on patient safety culture in their context, AHRQ sponsored

1588. SITUATION MONITORING
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module10/10_ts_office_measmt-ig.pptx
      January 20, 2006 - Was TeamSTEPPS worth implementing in my unit? … In other words, behavior assesses whether participants use what they learned in training on the job and … on-call physician with concerns about a patient who needs to be seen and may need to be admitted to the hospital … Will the nurse use SBAR in the future? … response to medical offices’ interest in a survey that focuses on patient safety culture in their context

1589. TeamSTEPPS 2.0 Module 9: Coaching Workshop
      www.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

1590. Prospectscare (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/prospectscare.pdf
      June 01, 2012 - new measures of care coordination Certified EHRs from providers and hospitals participating in the … Many of these alternative code sets were developed in-house and are used only in a single hospital or … For example, few HIEs today have participation from all providers or hospitals in a particular region … offers some guidance to sites on how to identify and export data, but the burden of data extraction falls … , and critical access hospitals may begin participating in Meaningful Use in 2011. 20 Table

1591. Satisfaction with Care from the Hematologist for Children with Sickle Cell Disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-219-fullreport.pdf
      April 01, 2019 - In 2009, mean hospital charges for children with SCD and a hospital stay were $23,000 for children with … In 2009, 67 percent of pediatric SCD patients discharged from the hospital were enrolled in Medicaid … The measure highlights where healthcare providers are falling short in offering quality healthcare from … Provider Level Hospital: Can compare hospitals Intended use: Is measure intended to support meaningful … In all cases, these results then need to be placed in a standard setting.

1592. Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
      January 01, 2002 - Sites trained Certified instructors MedTeams™ (Army and Navy) 28 288 (ED, OR, and whole-hospital … In Delivery Phase II, leaders train or support the training of staff, who in turn implement behaviors … Health Care Team Coordination, Patient Safety Program, Department of Defense, Skyline 5, Suite 810, Falls … In: Tobias S, Fletcher JD, editors. … Innovations in patient safety: multi-disciplinary teamwork training in the operating room.

1593. Health Coach Intervention Sustainability Plan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/60-tenn-health-coach-sustainability-plan-toolkit.pdf
      March 30, 2023 - Hospital (Outpatient only) g. Pharmacy (must be a part B provider) h. Skilled Nursing Facility 3. … Hospital Inpatient Service e. Nurse (billing alone) f. Nursing Home g. … Patients transitioning from an inpatient hospital setting like acute, psychiatric, long-term care, skilled … nursing, rehab hospital, or observation status to the patient’s own home, rest home, community mental … be dedicated to checking the primary care clinic’s attributed patients who are admitted to area hospitals

1594. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
      July 01, 2022 - Subject Matter Experts Komal Bajaj, M.D., MS-HPEd, NYC Health + Hospitals Robert El-Kareh, M.D., M.S. … Previous studies have linked return ED visits, particularly those resulting in hospital admission, to … , a quaternary pediatric hospital in Columbus, Ohio, developed a diagnostic error index as a practical … Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality … It thus potentially prevents diagnostic errors by preventing patients from “falling through the cracks

1595. Chartbook on Effective Treatment: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment-slides.html
      April 01, 2018 - Notes: Puerto Ricans include patients receiving cancer care in hospitals in Puerto Rico. … contract hospitals, age 18 and over, by age, 2003-2014 Image: Chart shows hospital admissions for … uncontrolled diabetes per 100,000 population in IHS, Tribal, and contract hospitals: Age 2003 … , Tribal, and contract hospitals decreased overall and among all age groups. … continue to be collected and these measures will be added back to the reports if their performance falls

1596. Conflict Resolution (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict.html
      April 01, 2013 - So you go to the resident, and I’ve got tons of experience working in a teaching hospital, every hospital … And if not, introduce yourself, because in a teaching hospital, chances are, if you’ve missed a couple … hospital is the ability to take a situation where there is conflict and use it as a chance to learn … The patient definitely is volume-depleted, and he definitely has saturation falling, and I think it’s … Or a yellow slip or whatever your hospital has about inappropriate behavior that then will go to the

1597. Recent Insights into CAHPS Survey Modes and Response Rates (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/recent-insights-transcript.pdf
      January 01, 2020 - In particular, we had interest in email since we were looking at a series of hospitals that had unusually … parents of pediatric in-patients from six large children's hospitals. … in 2016 we conducted a mode experiment with 50 hospitals. … For example, in our debriefings with hospital staff, they told us that they were much less likely to … Parast, Slide 31 Feasibility Test II was conducted in 2018. It involved 16 hospitals.

1598. Quality Improvement Strategies | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html
      July 01, 2021 - ) (The Children’s Hospital of Philadelphia and PolicyLab, 2015). … Data Exchange Create data exchanges with key partners (e.g., hospitals). … in this toolkit. ii Case studies and examples from the collaborative are highlighted below and in … Data Exchange One plan worked with hospital partners to capture metabolic lab testing data that was … Plan C: Provider outreach, including care gap reports and discussion; data exchange with hospitals to

1599. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
      July 01, 2003 - Care is delivered in 13 locations, in 60 clinics, throughout Snohomish County, Washington. … A hospitalist team functions 24 hours daily, 7 days weekly, and admits to the local community hospital … One of the research associates was a specialist in geriatrics (KK) and one in primary care (CW). … It did not include those for whom a hospital admission or emergency room visit was necessary. … Overlake Hospital Medical Center, Bellevue, WA (KK).

1600. AHRQ Physician and Physician Practice Research Database Methodology Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Methodology-Report.pdf
      February 01, 2023 - all providers (such as physician assistants, nurse practitioners, nurses) or provider types (e.g., hospitals … and hospital systems, ambulatory surgery centers). … Physician practice affiliation • Physician practices can be owned by or financially affiliated with hospitals … We define health systems as entities comprising at least one hospital and one physician group providing … specialties, surgical specialties, obstetrics-gynecological specialties, psychiatric specialties, hospital-based