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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/001-ss-antimicrobial-prophylaxis-1-fg.docx
April 01, 2025 - Staphylococcus aureus (MRSA), and how to determine when such use is appropriate. … how long prophylaxis should continue. … The Antimicrobial Agent Should…
SAY:
So, what should the antimicrobial agent for surgical prophylaxis do … developing a MRSA infection postoperatively, and how this relates to antimicrobial prophylaxis. … recommendations in this presentation are those of the authors, who are responsible for its content, and do
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
December 01, 2017 - Slide 13: How is Safety Program for Surgery Different? … Slide 18: Case Study: Laparoscopic Gastrointestinal Surgery Trays
Image: Table with headings featured … Slide 19: Case Study: Antibiotic Irrigation
Image: Table with headings featured in arrows:
Problem … What is the “right” thing to do?
Image: Top box (1) is labeled "Culture." … Slide 50: Preparing to Lead
In a postmortem , an autopsy is performed to learn why a patient died
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www.ahrq.gov/patient-safety/reports/liability/crane.html
August 01, 2017 - do so. … chose to do so) because we were unsure at the outset of the pilot how such reporting would be viewed … Understanding how practices on a wider scale use near-miss reports to improve practice processes is a … How to open a near miss reporting form (video) . Accessed March 14, 2017. … How to complete a near miss reporting form (video) . Accessed March 14, 2017.
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
June 01, 2020 - water quality monitoring—we do not treat these types of activities as health services according to our … This category includes research studies that contribute to health service development but do not yet … involve delivery of health services to actual patients, or that do not examine how health services are … Even if a study examines aspects of personal behavior (e.g., a study of how alcohol consumption correlates … them do not fall under organization of care—unless these measures relate to their involvement in a health
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www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
January 01, 2024 - do not produce adverse events. … Tendency to ask “why” in addition to “how” around
the processes for identifying, investigating, and … expected to do
their jobs based upon their experience and place in the training hierarchy. … significant
barrier to change;
• Most near misses and errors within residency environments do not … Do House Officers Learn From Their Mistakes.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/007-ss-contact-precautions-fg.docx
April 01, 2025 - Slide 13
How To Identify Who Has MRSA? … For contact precautions to be effective, there needs to be a way to communicate the need for additional … Slide 17
Case Study: Contact Precautions in the Perioperative Setting
SAY:
The following slides will … explore a case study on contact isolation precautions in the perioperative setting. … recommendations in this presentation are those of the authors, who are responsible for its content, and do
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
April 01, 2025 - perioperative prophylaxis and balance benefits with risks
Consider approaches to a patient with a penicillin … Timing
How soon after drug exposure? … Immediate (1–6 hours) or delayed (weeks to months)
How long ago was the reaction? … Patient stated they had a penicillin allergy prior to surgery. … How do you know the risk is reduced?
| 36
Access the Learning From Defects Tool.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spread.pptx
April 15, 2012 - “Formalizing a process provides a reference to others; those new to the organization and those in the … pilot projects usually on a local level (Lean Six Sigma, Plan-Do-Study-Act [PDSA])
Safety interventions … a change
Implementing a
change
Act
Plan
Do
Study
The Plan-Do-Study-Act cycle. … do it all
Expect vigilance and hard work to solve a problem
If a pilot project works then spread it … How to improve. www.ihi.org/knowledge/Pages/HowtoImprove/default.aspx. Accessed April 10, 2012.
8.
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapd3.html
April 01, 2018 - If they have a cough, then tell them to not come. Do not want small kids in PACU. … How often are PACU bay curtains cleaned?
Once a year curtains are cleaned.
… Post-op call from ASC performed
Call the next day to check in and ask how was your stay, do you understand … instructions, do you know how to get a hold of surgeon? … Brief call—how are you doing, pain, nausea, bleeding, happy with care, what to do for pain, trouble shooting
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
September 04, 2020 - , and conclusions, which do not necessarily represent
the views of AHRQ. … and the contexts for use, will help answer these and other
critical questions and demonstrate if and how … A surgical safety checklist to reduce morbidity and mortality in a global
population. … Do you have to re-examine to
reconsider your diagnosis? Checklists and cardiac exam. … A cognitive forcing tool to mitigate cognitive bias – a randomised
control trial.
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool3a.html
March 01, 2025 - Confirm that the patient knows how to reschedule if a conflict arises. … The time of day to take them. What to do if he or she misses a dose. … What do I need to do? Why is it important for me to do this? … Some points to keep in mind include: This is not a test of the patient's knowledge; it is a test of how … may need additional support to understand why this is useful and how to do this.
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool3a.html
March 01, 2025 - Confirm that the patient knows how to reschedule if a conflict arises. … The time of day to take them. What to do if he or she misses a dose. … What do I need to do? Why is it important for me to do this? … Some points to keep in mind include: This is not a test of the patient's knowledge; it is a test of how … may need additional support to understand why this is useful and how to do this.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/penicillin-allergy-one-pager.pdf
September 01, 2022 - Do you have any allergies to any antibiotics? Which antibiotics?
2. What was the reaction? … How soon after taking the antibiotic did the reaction occur?
3. … , do not document
an allergy … deemed to not have the
antibiotic allergy.
4. … How long ago did you have the reaction?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
June 01, 2021 - just in case you do. … How can you reduce the risk for next time?
How will know that your changes worked? … Her urine culture grew ≥100,000 CFU/mL E. coli resistant to ciprofloxacin but susceptible to a number … Foster a culture of safety for all team members.
Do not worry about offending clinicians. … recommendations in this presentation are those of the authors, who are responsible for its content, and do
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/data-research/cahps-data-research-abstract-form-example.pdf
July 01, 2025 - COMPLETED FORM
This completed abstract presents an example of how to complete this form. … the CAHPS Databases, the data do not constitute a nationally
representative sample. … Explain
how these measures will
operationalize the concepts in
your hypotheses. … Expected Outcomes of the Research/How Results will be Presented
Results will be presented at professional … Indicate if you are a student
and conducting this research as
part of a degree program.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.docx
January 01, 2012 - Information to Help Hospitals Get Started
How Patient and Family Engagement
Benefits Your Hospital
Information … do, but also the many individual benefits of patient and family engagement work together to contribute … Partnering with patients and families to design a patient- and family-centered health care system: a … Case study: achieving a culture of patient- and family-centered care at Bronson Methodist Hospital. … Chaboyer W, McMurray A, Wallis M. Bedside nursing handover: a case study.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/primer-for-pbrn-business-opportunities.pdf
September 01, 2015 - In these arrangements, researchers do
operational QI work in addition to their externally funded grant … Investigators need to make a plan for maintaining scholarly activities which
traditionally do include … Although PBRNs do
not need to become ACOs to contribute to QI work, RRN had knowledge about and a relationship … Advice to organizations on how to generate meaningful data summaries and/or reports
I. … Fisher ES, Staiger DO, Bynum JP, Gottlieb DJ.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment-guide.pdf
April 01, 2022 - to do so. … to do so. … • Audio interview with Anne Donovan – How To Empower Staff To Speak Up To
Stop a Central Line Insertion … /patientsafetyculture/hospital/userguide/hospcult.pdf
https://www.commonwealthfund.org/publications/case-study … bronson-methodist-hospital-reducing-central-line-bloodstream
https://www.commonwealthfund.org/publications/case-study
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
March 01, 2015 - support QI;
• present case studies from exemplary primary care organizations to guide and assist … the use of health IT for QI, in this section we present
case studies of two primary care practices—one … The case studies provide real-world examples for other primary care practices and
organizations working … on the Beacon Consortium in Colorado is available at
http://www.commonwealthfund.org/Publications/Case-Studies … You’ve got to do what
you’ve got to do for that, [which is] seeing
patients.
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily4.html
July 01, 2018 - researchers and policymakers want patients to do), instead of discussing what behaviors patients and … Most studies reviewed tended to be single descriptive studies or case studies. … Information is more readily available for hospitals on how to establish a Patient and Family Advisory … There seems to be a dearth of tools specifically for nurses on how to better communicate with patients … to implement them, including how materials should be distributed or by whom.