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401. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/notes.html
     December 01, 2012 - The Learn from Defects Form, which provides a standardized means to assess where defects occur and to … One Sensemaking tool that will help CUSP teams identify and learn from defects is the Discovery Form, … To accomplish the same work, Sensemaking uses the Discovery Form, the Root Cause Analysis, the Failure … Further guidance to complete this exercise can be found using the CUSP Learn from Defects Form. … The Learn From Defects Form can be used to facilitate a Sensemaking conversation.

402. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-43 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-43.pdf
     December 17, 2010 - Denominator: The total number of eligible children shown on Line 1 of the CMS-416 Form which represents … but insufficient detail provided Admin MR Survey  Other (specify): Annual EPSDT report CMS Form

403. Why Was This Guide Developed? | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp-why.html
     May 01, 2014 - Chart Audit Form and Instructions Tool 3. Clinical Care Observation Guide Tool 4.  … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10. 

404. Warm Handoff Plus: Role Play Scenarios (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-role-play-final508.pdf
     June 02, 2025 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

405. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
     January 01, 2004 - An electronic form would appear on the screen of the PC when the clinician clicked the mouse on the … We identified from our initial analysis of the paper- based forms four priority areas. … Reported errors increased to an average of 79.9 per month, using the Web-based electronic form. … Prior to the implementation of the Web-based electronic form, 17.3 percent of the medication errors … After implementing the Web-based form, the number of intercepted medication errors increased to 58.2

406. SimCare: A Model for Studying Physician Decisionmaking Activity (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Dutta.pdf
     January 01, 2003 - Each case is presented in the form of a patient case history, with initial Modeling Decisionmaking … A medication order form consists of a formulary and an insulin order matrix that allows the physician … A referral order form and laboratory test order form are modeled on those used in a large medical group … The general form of the function that approximates the proportion of the drug effect as a result of … , laboratory test order form, referral order form, physical exam report, etc.).

407. Step 6: Develop an Evaluation Plan | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Develop-an-Evaluation-Plan.html
     December 01, 2019 - an Evaluation Plan Review all steps in the process of planning a survey project: Step 1: Form … Step 2: Form an Advisory Group .   Step 3: Define Your Goals .

408. CPQSC Participating Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-a-participating-hospitals.pdf
     June 02, 2025 - More than half of patients (53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas 40.81% use Medicaid, 1.20% use another form

409. Section 6-A, CPQSC Participating Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-a-cpqsc-participating-hospitals.pdf
     June 02, 2025 - More than half of patients (53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas 40.81% use Medicaid, 1.20% use another form

410. Section 6-A, CPQSC Participating Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-a-cpqsc-hospitals.pdf
     June 02, 2025 - More than half of patients (53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas 40.81% use Medicaid, 1.20% use another form

411. Final Progress Report: Accountability and Health Safety – A Statewide Approach (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
     January 01, 2024 - Form • A web-based tool has been developed for the Reassessment Improvement Plan … Surveys • Safe Medication Use Survey, and Safe Medication Use Improvement Plans and Reassessment Forms … The Safe Medication Use Improvement Plan Survey and Reassessment Forms were reworded. … Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions

412. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/forming-cuspteam-slides.pptx
     January 01, 2017 - Presentation: Program Overview Forming a Comprehensive Unit-based Safety Program Team AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No 16(17)-0018-28-EF January 2017 Forming a CUSP Team ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this session,…

413. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
     January 01, 2014 - PSOs are asked to complete the PSO Profile Form annually to provide additional detail on the PSO program … The PSO Profile Form provides retrospective information about a PSO’s operations, and the numbers and … , Patient Information Form, and Summary of Initial Report Form) and then applying Common Formats for … Levigate with a small amount of base solution to form a paste. 4. … Accessed February 8, 2016. 8 Conclusion The PSO Profile Form information presented in this brief

414. Foreword | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp-fore.html
     May 01, 2014 - Chart Audit Form and Instructions Tool 3. Clinical Care Observation Guide Tool 4.  … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10. 

415. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp-refs.html
     May 01, 2014 - Chart Audit Form and Instructions Tool 3. Clinical Care Observation Guide Tool 4.  … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10. 

416. Barrier Identification and Mitigation Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
     December 01, 2017 - This document summarizes the five-step process and provides more detailed explanations and sample forms … Use the BIM Team Information Form to gather contact information for subgroup members. … List the team member names and responsibilities on the BIM Team Information Form. … BIM Team Information Form Compose a diverse subgroup from the safety program team. … Use the BIM Team Information Form below to gather contact information for subgroup members.

417. Final Progress Report: SAFER: Standardizing Admissions for Elderly residents (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
     January 01, 2024 - Maine Quality Forum Collaborative of Stakeholders •Develop universal standardized transfer form and … The research team provided a chart review tracking form (Figure B) to the hospital project leads for … The original proposal included the development of a universal transfer form. … Patient transfer forms enhance key information between nursing homes and emergency department. … An extended care facility-to-emergency department transfer form improves communication.

418. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
     January 01, 2024 - Sequence of Review For Detection of Errors & Contributing Factors Administrative Screening Form … Outcome Assessment Form Human Factors Form Operative Error Form Medication Error Form Missed … /Delayed Diagnosis Form Obstetric Error Form END if no detectable adverse outcome END if no … Analysis The hand-filled data forms were electronically entered and verified by a professional data … Form.

419. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
     June 01, 2021 - Team meetings Use the Staff Safety Assessment and Learning From Antibiotic-Associated Adverse Events forms … Checkpoint Tool to keep track of your progress   Collect and analyze data using the Monthly Data Collection Form … prescribing clinicians and other frontline staff   Apply the Four Moments of Antibiotic Decision Making Form … Infections, Bacterial Pneumonia, and COPD Exacerbation one-pagers Four Moments of Antibiotic Decision Making Form … Monthly Data Collection Form Staff Safety Assessment Checkpoint Tool ‹#› Assessment of RTI 20

420. Appendix B31: Engineer Wheelchair Inspection | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb31.html
     December 01, 2017 - Forms and Training Materials (Appendix Contents) Appendix C. … Refer to the wheelchair diagram at the end of this form. … Keep this form for your records so that you know when this wheelchair was last inspected. … Use this form each time you repeat the assessment.