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421. TeamSTEPPS for Office-Based Care: Measurement | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/officebasedcare/module10/office_msmt-ig.html
     September 01, 2015 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 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 … offices’ interest in a survey that focuses on patient safety culture in their context, AHRQ sponsored

422. TeamSTEPPS Rapid Response Systems Module | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.html
     October 01, 2014 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … People die unnecessarily every day in our hospitals. … of days in the hospital after an arrest, and inpatient deaths. … hospital: preliminary study. … S Safety Concerns —Critical lab values/reports, socio-economic factors, allergies, alerts (falls, isolation

423. Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
     December 10, 2013 - hospital for 24 hours after surgery. … Chronic furosemide use improves both oxygenation and lung compliance, but has not decreased length of hospital … ■ If the ductus is open at the time of hospital discharge, followup with a cardiologist should occur … Abnormal Growth ■ Infants whose growth curve plateaus or growth trajectory falls off, and those who … – Interest in feedings. – Decrease in tongue thrust.

424. Experiences From the Frontline: Case Studies (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
     May 01, 2015 - OMH is the only civilian hospital in the county. … WAKEMED HEALTH & HOSPITALS SYSTEM AT A GLANCE • Three private, not-for-profit medical centers in … The three hospitals also share an electronic health record (EHR) system. … 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

425. Practical Solutions for Supporting Primary Care Quality Improvement with Health Information Technology (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/EvidenceNOW-Webinar-Practical-Solutions.pdf
     May 01, 2018 - Second Stream of Influence • Million Hearts • Funding from the Affordable Care Act – Beginning in … the PCMH – Guidance on practice facilitation as a tool for practice improvement – Investments in … (ABCS) • Build primary care practices’ capacity to receive and incorporate other PCOR findings in … “�uilding Quality Improvement �apacity in Primary �are: Supports !nd Resources;” Rockville, MD: ! … ssistant Professor of Pediatrics, The �hildren’s Hospital of Philadelphia and Perelman School of Medicine

426. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
     March 01, 2016 - http://www.safesurgery2015.org/ Ariadne Labs, a Joint Center of Innovation at Brigham and Women's Hospital … Beginning with hospitals, the program has expanded for use in additional health facilities across the … Missed nursing care is linked to patient harm, including falls and infections. … The checklist was developed by Atul Gawande of Brigham and Women's Hospital Center for Surgery and … mnpatientsafety.org/Culture-Road-Map The Minnesota Alliance for Patient Safety, a partnership among the Minnesota Hospital

427. HIV and AIDS | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/hiv.html
     April 01, 2018 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … continue to be collected and these measures will be added back to the reports if their performance falls … of hospital admissions and related increases in cost, morbidity, and mortality. … In 2013, 81.0% of RWHAP HIV patients were retained in care.

428. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     www.cpsi.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

429. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     www.cpsi.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

430. Chsp-Accomplishments-Report-2021 (pdf file)
     www.cpsi.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.

431. Serious Reportable Adverse Events in Health Care (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
     December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health … in a systematic manner. … Health care facilities include—but are not limited to—hospitals, nursing homes, rehabilitation centers … many States to bill for hospital services. … Patient safety in American hospitals. Denver, CO: Health Grades, Inc.; 2004. 3.

432. SITUATION MONITORING
     www.cpsi.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

433. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
     www.cpsi.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.

434. TeamSTEPPS for Office-Based Care: Teaching and Coaching | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/officebasedcare/module8/office_teach-ig.html
     September 01, 2015 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … "Coaching in the Moment" (video). … In it, an individual benefits from some "coaching in the moment" on using a 300-level tool. … The "Three I’s" model, which we will discuss more in depth in the following slides, was developed at

435. Results | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/ncepcr/reports/primary-care-research/results.html
     January 01, 2024 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … use in hospitals and health systems, leading to the training of more than 6000 master trainers and nearly … Because when you look at the literature, most patient safety studies are done in hospitals. … implemented nationally and endorsed by more than 40 state hospital associations and the American Hospital

436. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
     www.cpsi.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

437. Training Program Summary: Practice Coach Training for the North Carolina AHEC Practice Support Program | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/ncepcr/tools/case-studies/ncahec.html
     August 01, 2014 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … in Practice initiative. … Teams included an expert in QI and an expert in data. … in a timely manner.

438. Guide To Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care (pdf file)
     www.cpsi.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.

439. Module 16: Academic Detailing as a Quality Improvement Tool (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
     September 01, 2015 - Healthcare Research & Quality Michael Fischer, MD, MS, Harvard Medical School and Brigham and Women’s Hospital … individuals in the practice. … In summary, consider using the following steps in working with an academic detailer: 1. … Research and Quality to the Division of Pharmacoepidemiology and Pharmacoeconomics of Brigham and Women’s Hospital … Key Messages In an academic detailing visit your goal is to bring about behavioral change in keeping

440. Training Program Summary: Millard Fillmore College Practice Facilitator Certificate Program | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/ncepcr/tools/case-studies/fillmore.html
     April 01, 2022 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Net), in partnership with AHRQ, had recently completed a guide to assist in the training of new PFs— … in spring 2014. … In the first, students develop and describe each of the steps in a hypothetical PDSA cycle that could