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2441. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
      October 01, 2017 - If the group comes up with another definition, write it on the flip chart.

2442. Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
      March 01, 2013 - The implementation team will need to be freed up so that they can meet regularly under the direction … Some questions that are important to think about up front follow: What is the current readmission … Furthermore, many nurses work a 3-day week, which requires systems to be set up to ensure smooth handoffs

2443. Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2.html
      March 01, 2013 - The implementation team will need to be freed up so that they can meet regularly under the direction … Some questions that are important to think about up front follow: What is the current readmission … Furthermore, many nurses work a 3-day week, which requires systems to be set up to ensure smooth handoffs

2444. Optimizing Health and Function as We Age: Roundtable Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/healthy-aging-roundtable.pdf
      September 08, 2022 - Engineering-based approaches that start with a definition of the standard for success and then set up … healthcare, allow us to understand healthcare delivery systems as complex adaptive networks, made up … People come up with creative models but [there is] no incentive structure, so they sit there. … I’m a 66- year-old man, degenerative joint disease, dropped off at 7:00 AM and picked up at 1:00 PM. … NCCARE360 also allows for easy feedback and follow-up to help close the care loop for individuals and

2445. 2017 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/cahps-database-2017-hp-chartbook_0.pdf
      January 01, 2017 - Sometimes  Usually  Always In the last 6 months, how often did you get an appointment for a check-up …  Sometimes  Usually  Always In the last 6 months, when you made an appointment for a check-up

2446. 2017 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/cahps-database-2017-hp-chartbook.pdf
      January 01, 2017 - Sometimes  Usually  Always In the last 6 months, how often did you get an appointment for a check-up …  Sometimes  Usually  Always In the last 6 months, when you made an appointment for a check-up

2447. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-facguide.docx
      January 01, 2017 - A supervisor or manager’s expectations and actions toward promoting patient safety make up one of the … Follow the guidelines for scoring and for calculating percentages of positive, negative, and neutral … Therefore, it is important to set a high goal, even up to 90 percent.

2448. An Overview of the CANDOR Process
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
      September 10, 2015 - Follow up 6 weeks later to ensure compliance. 3. Close case, satisfied. Determine “root causes.”

2449. Module 4: Leadership
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-leadership.pptx
      January 05, 2022 - Individuals who plan to take the course but will not complete it as part of a team should follow the … and key events that occurred and ask questions related to team performance, such as: What events led up

2450. Building, Implementing, and Troubleshooting an Automatic Referral for Cardiac Rehabilitation
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-slides.pptx
      December 31, 2022 - long lists of projects waiting, your CR champion may have to negotiate to raise automatic referral up … Often, the problem list is not up to date. … Some EMR systems are set up to identify patients at admission. … provide their feedback about their experiences CR Clinicians/Staff may be chosen to provide start-up … Are pop-ups appearing and leading to pop-up fatigue?

2451. 2017 CAHPS Health Plan Survey Database Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2017_hp-chartbook.pdf
      January 01, 2017 - Sometimes  Usually  Always In the last 6 months, how often did you get an appointment for a check-up …  Sometimes  Usually  Always In the last 6 months, when you made an appointment for a check-up

2452. Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/lacson2-report.pdf
      January 01, 2025 - test results may lead to significant delays or errors in diagnosis and management, such as missed follow-up … Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic

2453. Strategy 1: Working with Patients & Families as Advisors (Tool 9) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.pdf
      March 06, 2013 - If you want to tell a story that will bring up strong emotions, ask your staff liaison or another advisor … If it does, speak up and ask people to explain what they mean. • Ask clarifying questions. … Health care providers follow appropriate safety precautions (for example, washing their hands and checking

2454. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
      January 01, 2007 - clinical unit, the program described has been supported by a small degree of effort from one clinician (up … to 20 percent) and staff (up to 30 percent). … Budgeted amounts range from $0 to $30,000, depending on the size of the clinical practice, or up to … ordered when indicated 3. not delivered as ordered 4. other “ Other treatment or follow-up

2455. Final Progress Report: Developing biomechanical models from initiated fall actions and reactions in frail elderly patients (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
      January 01, 2024 - data. 15 Results: Comparison between stable vs. unstable participants showed differences in Timed up … = 19 Age in years (SD) 69.88 (10.8) 69.95 (10.5) Morse Fall Scale 46.77 (20.7) 55.26 (19.0) Timed Up

2456. The CAHPS Ambulatory Care Improvement Guide: Ways to Approach the Quality Improvement Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/4-approach-qi-process/cahps-section-4-ways-to-approach-qi-process.pdf
      May 17, 2017 - Learn what is most important to the people who make up the microsystem and look for ways to help them … Underlying the concept of PDSA is the idea that microsystems and systems are made up of interdependent … This bottom-up approach increases the likelihood that staff will embrace the changes, a key requirement … is likely to go through multiple iterations of testing and refining before the specific changes add up … Who do they follow when they have adopted new clinical or improvement practices?

2457. AHRQ Summit to Address Emergency Department Boarding (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
      March 01, 2025 - This patient ended up boarding in the emergency department for three days. … the [inpatient] bed, [his heart rhythm was unstable and needed intervention]. … The patient ended up … poll found that 55 percent of ED physicians have been physically assaulted while working in the ED, up … Brendan Carr stated, “[The United States] set up a system to move everything to the ambulatory setting … schedules, which would also require them to change their outpatient clinic hours for consults and follow-ups

2458. 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 - to fall and hit her head; and (2) a medication allergy scenario involving a male patient who ended up … the conversation started Beginning with a statement, e.g., “You may be wondering why you ended up … Pharmacy: involve pharmacy in prevention discussions Risk managers: involve risk manager in discussions Follow-up … ensuring no additional hospital charges resulting from error), or involving risk management and planning follow-up … there that have your back but also can see the situation objectively and kind of pick each other up

2459. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
      September 01, 2017 - Management teams can use the report to track patterns, follow up on areas of decline, and monitor progress

2460. How are CHIPRA quality demonstration States supporting the use of care coordinators? Evaluation Highlight No. 9 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight09.pdf
      September 08, 2015 - deliberate effort to match care coordinators with practices, the coordinators in the six States make up … Many practices found it easier to stay up to date on their patients, tailor visits more precisely to … Providers attributed these improvements to the care coordinators’ tracking of, and following up with … • Sign up for email updates from the national evaluation team. 6.