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2461. 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.”

2462. 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

2463. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
      June 01, 2020 - Minimizing diagnostic error: the importance of follow-up and feedback. … Development and validation of electronic health record-based triggers to detect delays in follow-up of

2464. Final Progress Report: Incorporating Temporary Health States into Decision Support (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/col-report.pdf
      January 01, 2024 - primary data from a longitudinal study by the Melbourne Women’s Midlife Health Project – the longest follow … up of menopausal women to date and the most informative on the topic. … Additional findings were that the layout of the Website was easy to follow, the tone was very well liked … Each participant would be asked to complete two follow-up surveys after their appointment.

2465. Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/lessons_from_top-performing_medical_practices_CG-CAHPS_transcript.pdf
      October 01, 2014 - the actual dynamics of how we make this work, at the clinic level it tends to be something where we follow … Continuing education for your clinical staff to remain up to date, in our case with NCCN guidelines, … Julie Susi Our practice has been up and running for 19 years. … So some of these we've just seen after 19 years of being up and running of trial and error. … Dale Shaller I think we need to move toward the kind of wrap-up.

2466. Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2021 User Database Report Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-II-508.pdf
      January 01, 2021 - Communication Openness % Most of the time/Always In this unit, staff speak up if they see something … staff in this unit see someone with more authority doing something unsafe for patients, they speak up … Communication Openness % Most of the time/Always In this unit, staff speak up if they see something … staff in this unit see someone with more authority doing something unsafe for patients, they speak up … Communication Openness % Most of the time/Always In this unit, staff speak up if they see something

2467. 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

2468. Primary Care Practice Facilitation Curriculum Module 9: Using Appreciative Inquiry with Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
      September 01, 2015 - In the AI framework, the types of questions asked set the direction for everything to follow. … What keeps you showing up day after day? … For example, you might follow a patient through a visit to observe staff and care team interactions … The first part of the destiny stage involves reflecting on and celebrating the progress made up to this … The teams should be made up of individuals who volunteer based on their interest in the topic.

2469. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
      December 01, 2015 - Protocol: Enhanced Practices – Evaluation of indication for use, maintenance, and removal technique Follow … Changing the people involved in the success Moving them up the administrative ladder 36 Creating … comprises “positive expectations for favourable outcomes” (Professor Rosabeth Moss Kanter) On the way up … Education 57 Physician IP Education – contains HICPAC indications for UC placement 57 Measures Follow-up … Catheter Care charting not being done in EMR Educated Nurse Techs and added to charting Measures Follow-up

2470. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/excelling_cahps_lessons_medicaid_webinar_transcript.pdf
      January 01, 2016 - It does report up to the Quality Council. … needing to follow suit or they're at a competitive disadvantage. … However, they do not want us burning up their minutes. … Well, we always look to see what's coming up next. … There are a number of questions that have queued up.

2471. 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

2472. Final Progress Report: Evaluating the Impact of Simulated Team Training on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
      January 01, 2024 - in the Journal of the American Medical Association that postoperative complications accounted for up … residents available for assessment during Year 2 of this study, skill retention was 96% at the 1-year follow-up

2473. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
      July 01, 2023 - ethnic disparities in age-adjusted mortality rates for heart disease had existed in the years leading up … important contributors to heart disease disparities than quality of hospital care in the years leading up

2474. How are CHIPRA quality demonstration States improving perinatal care? Evaluation Highlight No. 12 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight12.pdf
      January 01, 2020 - demonstration funds to improve the quality of perinatal care, defined as health care provided during pregnancy up … Illinois’s partnership with Florida as part of the CHIPRA quality demonstration, inclusive of start-up … giving it to hospitals, they know how they’re doing compared to the other hospitals, so they can come up … • Sign up for email updates from the national evaluation team. 7. Berns S.

2475. 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.

2476. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
      July 18, 2008 - This third aspect of teamwork is starting to be valued as teamwork experts “team up” with medical experts … ambulatory error chain by proactively sharing information, clarifying patient care issues, providing back-up … Another part of success with this process is for the receiver to speak up if there is any concern with … Tetanus status is up to date, but on arrival, suggest IV antibiotics, immediate x-ray, repeat neuro-circ … goals (e.g., via briefs), make decisions with collective input from the team, empower members to speak up

2477. Practice and Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-improvement.html
      May 01, 2024 - Assessing the Use of Practice Facilitation to Optimize Scale Up of CDS for Hypertension Management (R18 … Enhanced Kidney Follow-up for AKI Survivors in Care Transitions (the ACT Study) (R03) PI: Erin Frazee

2478. 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?

2479. Conducting Cognitive Testing for Health Care Quality Reports | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/resources/cognitive/index.html
      September 01, 2019 - Report designers often conduct additional rounds of testing to follow up on problems identified in earlier

2480. Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-fac-guide.html
      January 01, 2017 - be titrated to maintain either light sedation, in which the patient is still able to be aroused and follow … Slide 19: Wake Up and Breathe Program Results: Indiana University Say: In terms of modifying the