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2261. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-I.pdf
      January 01, 2023 - patients is available and well communicated within the ASC. 4 Communication Openness Staff speak up … , and understand each other’s roles and responsibilities. 4 In addition to the items that make up … Item G1) 94% Just before the start of procedures, the doctor encouraged all t eam members to speak up … Table 6-2 presents statistics for each of the 27 survey items that make up the composite measures. … 100% 100% When we see someone with more authority doing something unsafe for patients, we speak up

2262. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-I-rev.pdf
      January 01, 2023 - patients is available and well communicated within the ASC. 4 Communication Openness Staff speak up … , and understand each other’s roles and responsibilities. 4 In addition to the items that make up … Item G1) 94% Just before the start of procedures, the doctor encouraged all t eam members to speak up … Table 6-2 presents statistics for each of the 27 survey items that make up the composite measures. … 100% 100% When we see someone with more authority doing something unsafe for patients, we speak up

2263. Final Progress Report: Society for Pediatric Sedation Consensus Meeting: Great Expectations— Defining Quality in Pediatric Sedation (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/connors-report.pdf
      January 01, 2025 - Children may not have the ability to follow commands, tolerate painful stimuli or even lie still for … Children may not have the ability to follow commands, tolerate painful stimuli, or even lie still for … smaller therapeutic index and more risk, but this should be managed by improved training and back-up … Post-discharge follow up Next Steps: Developing a tool that can be developed to measure the key elements … This tool, envisioned by the group as a follow-up questionnaire, would allow us to measure, intervene

2264. Experiences From the Frontline: Case Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
      May 01, 2015 - This “ramping up” approach to simulations helped to gain staff buy-in and demonstrate the value of the … TeamSTEPPS procedures and tools, such as SBAR, CUS, DESC, briefs, huddles, debriefs, and escalating up … AHRQ Safety Program for Perinatal Care Case Studies 16 Safety huddles also allowed staff to come up … nurses were required to communicate the changes they saw in the tracing and to escalate any issues up … TOP-DOWN AND BOTTOM-UP IMPLEMENTATION Through participation in the SPPC, WakeMed sought to improve

2265. Hand Hygiene
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/hand-hygiene.pptx
      March 01, 2017 - When we look at the kinds of germs that are picked up on the hands of caregivers in nursing homes, many … tips of fingers, and under fingernails Hands are clean when dry Usually takes about 15-20 seconds; follow … Hand Hygiene │ 13 AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI As we wrap up this presentation

2266. Development of a Screening Tool for Safe Wheelchair Seating (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
      January 01, 2001 - make this determination, the researcher and the KT were able to recruit 18 of the 50 subjects for a follow-up … for one or more pair of raters indicating no problem with knees being level with hips, holding head up … prevalence, the kappa may be calculated as a negative value.15, 16 This occurred for two items (hold head up … For instance, the ability to hold one’s head up without support is less likely to change than foot support … The very low prevalence of certain problems in this study (e.g., inability to hold head up without

2267. Executive Summary: Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/takeheart-executive-summary.pdf
      August 01, 2023 - refining their AR processes during TAKEheart, despite reporting many challenges related to setting up … suffered from the lack of IT/EHR team’s direct and early involvement in implementation and prolonged (up … Partner Hospital staff used innovative approaches to sign-up patients for CR and keep them engaged to … length of engagement, with hospitals having limited resources and QI experience needing as much as up

2268. Mod5-Comm-Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
      April 01, 2016 - Ron often arrives late to group meetings; once he showed up halfway through the meeting and was clearly … Conventional Responses can include… ■ Describe Mary’s current condition and the events that led up to … Would you please follow me to a private area so I can update you about your daughter’s procedure?

2269. Quality Improvement Strategies | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/qi-strategies.html
      July 01, 2021 - NHLBI guideline adherence alone would not address the root causes of why some children with asthma end up … they anticipated would lead to eventual improvement in the outcome measure (e.g., Increase percent of follow-up

2270. 2. Overview of AHRQ’s Recent Investments in Primary Care Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2025-annual-report/overview.html
      August 01, 2025 - The largest proportion of these grants was made up of R01s (n=36, 42%), followed by R18s (n=22, 25%),

2271. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
      November 01, 2017 - issue: new med/dose change/suspected reaction               Resident chooses not to follow … recommendations: alert and oriented               Resident unable to follow recommendations … The report can display information for up to the six most recent falls for an individual resident, including

2272. Hospital-Level Gap Analysis for MRSA and SSI Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/132-gap-analysis-hospital-level.pdf
      April 01, 2025 -  Yes, provides backup to the Infection Prevention program if employees do not follow policies and … Yes promotes Infection Prevention messages via newsletters screen savers etc: Off Yes provides back up … to the Infection Prevention program if employees do not follow policies and: Off Yes other: Off TO

2273. CAHPS Health Plan Survey Adult Medicaid Survey 5.0 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/adult-med-eng-hp50-2152a.pdf
      September 01, 2015 - In the last 6 months, did you make any appointments for a check-up or routine care at a doctor’s office … In the last 6 months, how often did you get an appointment for a check-up or routine care at a doctor's … A personal doctor is the one you would see if you need a check-up, want advice about a health problem

2274. Physician and Staff Engagement: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
      March 01, 2017 - like if everyone—all the staff, the nurses, the physicians, the technicians—were empowered to speak up … Slide 6: Teamwork Disconnect Say: How comfortable people are speaking up represents our teamwork … Say: The way we feel when we show up at work profoundly influences how well we do and what we do at

2275. Chapter 2. What is Care Coordination? | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter2.html
      June 01, 2014 - Jones picks up her medication from the pharmacy and calls the physical therapist to schedule an appointment … Kidney and Love and picks up medications prescribed by Dr. Busy at a pharmacy near his home. Mr. … Andrews was very tired so his daughter picked up the prescriptions from a pharmacy near the hospital,

2276. AHRQ Works: Building Bridges Between Research and Practice | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/impact/index.html
      April 01, 2017 - RED toolkit is a standardized approach to discharge planning that centers on the patient by making follow-up

2277. Measure Descriptions for Daily Early Mobility: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-slides.html
      February 01, 2017 - Goal to determine if patient can follow a simple command for that period of time. … Can include up to three events if necessary.

2278. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
      December 01, 2017 - 1 1 in 25 people will undergo surgery 7 million complications follow inpatient surgeries Complications … impact 25% of inpatient surgeries 1 million deaths follow surgery Between 0.5 and 5% of surgical patients … Calendars can fill up quickly and often months in advance, particularly for executives and surgeons. … What happens when they informally bring up a concern to another member of their team or to their work … You can then dive deeper and look at responses to specific questions in a targeted area that make up

2279. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
      June 02, 2025 - Let’s all take a look at that list; speak up if you see something that is not considered as part of … I was afraid that introducing another initiative on the unit would set the staff up for frustration … Now it makes sense why the percentages here on the report add up to more than 100 percent. … Annmarie when she comes here next week to talk about the reports, in general, and then Miranda will follow … up with her on the Elms unit.

2280. Final Progress Report: Care and Safety Practices During the COVID-19 Pandemic in Home-Based Long-Term Services and Supports (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/wendel-hummell-report.pdf
      January 01, 2024 - Follow-up interviews were conducted with a small portion of early interview participants (9%), to beter … On the other hand were the poor-quality workers, who did not perform assigned care tasks or follow safety … I couldn’t even tell you exactly how much I’ve been spendin’… It adds up.” … Furthermore, some DSWs also reported difficulty getting clients to follow COVID-19 protocols, with 31.1% … reporting that they worked with consumers with impaired cognition, which impacted their ability to follow