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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/module-6-slides.pptx
March 01, 2017 - How do you see other projects sustained in your facility? … to create a sustainable plan
Educate staff
Build a measurement system
AHRQ Safety Program for Long-Term … for collecting process, outcomes, and quality improvement data
Determine what, when, and how to measure … How often will it be reviewed?
How will you make this as part of daily operations? … How will you make sure excitement will be the same in a year or two as it is today?
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0082-fullreport.pdf
March 01, 2016 - Section 2: Detailed Measure Specifications
Provide sufficient detail to describe how a measure would … o Reduced fertility, due to either less ability to become pregnant again or less desire to
do so. … Unable to do today.” … Unable to do today.”
The sites also used this scale to assess measure implementation feasibility. … Can do today.”
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/046-evidence-behind-decolonization-strategies-slides.pptx
October 01, 2024 - A key early decision is to determine whether a Universal or Targeted strategy is best for your unit. … Some leaders considered soap-and-water to be a less costly option. … Staff did not receive training on how to document decolonization in the new EHR system. … recommendations in this presentation are those of the authors, who are responsible for its content, and do … Chlorhexidine gluconate to cleanse patients in a medical intensive care unit: the effectiveness of source
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-fullreport.pdf
January 01, 2020 - Section 2: Detailed Measure Specifications
Provide sufficient detail to describe how a measure would … Although submission of formal programming code or
algorithms that demonstrate how a measure would be … Performance Gap
Currently, professional guidelines do not support neuroimaging for atraumatic headache … Relationship to Other Measures (if any)
Describe, if known, how this measure complements or improves … Headache: What do children and mothers expect from
pediatricians? Headache 2010; 50(2):290-300.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight01.html
March 01, 2019 - a Medicaid program … and trying to operationalize [them] to a health system and a practice level. … to do it … Claims do not contain information about which providers work together, making it difficult to develop … One way to do this is through child-focused coalitions or improvement partnerships. … Learn how CHIPRA quality demonstration States are using quality reports to drive health care improvement
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief7-ma-plans.pdf
March 01, 2019 - The relationships between system type and offering an MA plan
do not adjust for system size or any other … To construct a variable indicating whether a system offered an
MA plan, we began by identifying MA plans … Systems with no residents
are considered nonteaching systems, systems with a resident-to-
bed ratio … inclusion of systems that do not
provide comprehensive care in the manner intended by the definition … study the characteristics of high-performing health systems and to understand how health systems use
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www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
January 01, 2024 - Simply stated, after a night of
drinking, BAC levels often do not return to zero by the next morning … These investigators sought to determine how divergent thinking, as
is commonly used in critical situations … or those who otherwise state they do not drink and to ensure that potential applicants
met the shift-work … ), which was used as
an early predictor of how much alcohol would be required to achieve the maximum … Body mass and gender gave a
preliminary indication of how many drinks would be needed to bring the BAC
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www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
January 01, 2024 - on a cadaver were used to
develop a training compact disc that was distributed to staff performing … The practices
for CTIs in community and many other hospitals do not employ the same
surgical techniques … understand how risk, uncertainty, and team and ergonomic factors impact
workplace performance. … Nardi
et al (1997) showed how video was used to examine collaborative work in a
hospital operating … Townsend RN, Clark R, Ramensofsky ML, Diamond DO (1993) ATLS-based
videotape trauma resuscitation review
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www.ahrq.gov/research/findings/final-reports/ptmgmt/design2.html
July 01, 2018 - qualifications, including whether and how non-nursing staff will be used. … The most notable variation with respect to self-management support content has to do with emphasis on … Guidelines for how to provide self-management support appear in training materials, care management software … For example, how many outbound calls does an employer want to pay a vendor/health plan to provide? … ; since they only have a few minutes with each patient, they do not want to use part of that time to
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen1.html
April 01, 2018 - Project Overview
This project sought to assess whether, to what extent, and how easily a health system … We used a case study approach, informed by the PRISM (Practical, Robust Implementation and Sustainability … we were encouraged to do so by the Task Order Officer and the project's Technical Advisors from CDC. … Those who continue to be eligible (and do not opt out) receive a second mailing with information about … or a mechanism, such as a mail-in request card, to request one.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0123-fullreport.pdf
November 01, 2019 - Section 2: Detailed Measure Specifications
Provide sufficient detail to describe how a measure would … of women deliver in
hospitals that do not have one. … We asked the Bioethics Consortium to extrapolate
the primum non nocere (First, do no harm) principle … 0-4 measure but could
imagine some States or other entities wanting to do that. … risk than a population of women who do not meet these
criteria.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-fullreport.pdf
September 01, 2019 - Section 2: Detailed Measure Specifications
Provide sufficient detail to describe how a measure would … of women deliver in
hospitals that do not have one. … We asked the Bioethics Consortium to extrapolate
the primum non nocere (First, do no harm) principle … 0-4 measure but could
imagine some States or other entities wanting to do that. … a population of women who do not meet these criteria.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-fullreport.pdf
April 02, 2018 - how a measure would be calculated from the
recommended data sources, uploading a separate document … Another possible performance barrier has to do with hospital type and location. … Abstraction Times
In addition to calculating IRR, the study team assessed how burdensome it was to locate … This measure provides families with a straightforward measure to assess how well basic levels of
comprehensive … to assess how well
comprehensive care is provided to children with severe sepsis or septic shock.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-slides.html
December 01, 2017 - system of orders of angels and heavenly beings‘
Now: a group of individuals ranked according to authority … , capacity, or position
Slide 5
How did we get here- Historically speaking? … Health professionals for a new century: transforming education to strengthen health systems in an interdependent … to Add?” … wait to see what others do”
—Gandhi
Slide 21
Thank you!
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www.ahrq.gov/patient-safety/reports/hotline/eval4.html
May 01, 2016 - The team also tabulated how frequently patients and caregivers agreed to receive a followup clarification … If it’s rational and reasonable, it’s easy to do.” … A member of the legal team asked, “ How do we know that we’re going to get the patient’s name? … How do we know we could get back to the patient? … Why do I need to create an account?
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
June 30, 2025 - Qualitative analysis of interviews with nine
staff members was completed to better understand how materials … Publications: 0 (5 AHRQ Impact Case Studies)
Veerappa Chetty
Boston Medical
Center
Boston,
Massachusetts … perform
a modified process evaluation to determine how well the intervention worked as
designed. … research how provider handoffs of care are a leading source of
miscommunication and adverse events. … Key Findings/Impact: This contract conducted exploratory research on
how to develop a primary care counterpart
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
January 01, 2025 - Visions help to do this. … When errors do occur, our pride
leads us to respond with surprise (This should never happen here!) … Disclosure, no longer optional in 2025, will be understood as simply the “right thing to do” and
as … • Present no risk to patients.
How will this revolution in health care be accomplished? … If clinicians are to fulfill the ethical obligation to “first, do no harm,” they
must invest in systems
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load-references.html
May 01, 2024 - https://nap.nationalacademies.org/catalog/9728/to-err-is-human-building-a-safer-health-system . … How do attending physicians describe cognitive overload among their workplace learners? … Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? … Barriers to effective EMS to emergency department information transfer at patient handover: a systematic … How features of the healthcare setting may lead to biases in medical decision making.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight07.pdf
September 08, 2015 - Such training helps them
not only to understand this role and
how to execute it effectively, but also … caregivers who provide peer
support is important but challenging
The States acknowledged that they do … However, the reimbursement
rates do not account for additional
hours that caregivers spend preparing … “Peer support organizations are not
. . . traditional providers that know
how to handle billing, and … The observations
in this document represent the views of the
authors and do not necessarily reflect
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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 - error problems is only now being
realized.13, 14
Web-based reporting systems are one example of how … Unlike most Web-based reporting systems, which are self-contained and do
not interface with other information … Those reporting errors could do so from PCs located
throughout the hospital, or from the privacy of … How can
information technology improve patient safety and
reduce medication errors in children’s health … case study.