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  1. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap7.doc
    September 03, 2013 - [ ] Yes Explain: [ ] No Explain: If defects are identified, use the Learning from Defects
  2. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdf
    March 01, 2004 - Twenty-four articles were selected, and identified indicators from the National Quality Forum were compared … nursing-sensitive quality indicators that advances our ability to monitor trends and patterns among identified … Accounting for overlap across search terms, we identified 24 articles for review (a full listing of … types of measures are not found in administrative databases, which is the likely reason they were not identified … Only one identified study examined the influence of nursing practice on positive patient outcomes.21
  3. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/webinars/sharewebinar518-slides.pdf
    May 18, 2015 - inform the development of a training program that would meet the needs of health care professionals Identified … barriers for providers  Common themes identified (Survey, focus groups, interviews, literature review …  Lack of organizational support  Lack of access to trusted sources/decision aids 67 Identified … barriers for patients  Common themes identified (literature review)  Not knowing that they can and … AHRQ’s Effective Health Care Program AHRQ’s SHARE Approach Workshop Formative research approach Identified
  4. ce.effectivehealthcare.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 - No case was closed until action had been taken to rectify all issues identified. … Subsequentl adoption of the system and form progressed identified the need for an eighth category: ( … related patient complaints were reviewed, this category was needed for those cases in which no error was identified … If all identified issues had not been sufficiently addressed, the QI director could send the cases back … Adverse events in primary care identified from a risk- management database.
  5. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-ed-kdd.pdf
    March 10, 2021 - addressed • Parents and caregivers understand the acute management of asthma • Environmental factors are identified
  6. Develop Your Own (doc file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/develop/develop.doc
    January 01, 2003 - Contents Before You Begin · Have You Identified the Significant Health Problems of Your Target Population … developing your own quality measure, you may wish to consider the following questions: · Have You Identified … Return to Contents Have You Identified the Significant Health Problems of Your Target Population(s)? … Children's Health Insurance Program (SCHIP) or Medicaid, can SCHIP or Medicaid children be accurately identified … and PCCM programs, volunteer MCOs and PCCM programs with experience in quality measurement will be identified
  7. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
    May 30, 2008 - related to these fail points, common to a number of institutions’ risk assessments (generic risks), are identified … that are common to a number of institutions’ risk assessments are generic risk contributors and are identified … Step 1: Identify Hazards The hazards are identified in the risk assessments that are subsequently grouped … Extremely unlikely Unlikely Anticipated High III II I I Moderate IV III II I Low IV IV III III Identified … Representative cases are those that are emblematic of the risk scenarios identified.
  8. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
    March 15, 2016 - Reasons for False Positives Several key reasons for false positives in the QI rates have been identified … These issues were identified through a search of published papers on QI measurement issues, and from … Cases of iatrogenic pneumothroax can be identified from ICD-9-CM coded data. … Documentation Issues Pertaining to Each Pediatric Quality Indicator PDI Documentation Problems Identified … Documentation Issues Pertaining to Each Patient Safety Indicator PSI Documentation Problems Identified
  9. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
    February 26, 2008 - Once the initial search is complete, the knowledge developer screens each identified source for relevance … Organizing the Evidence to Evaluate Risk Based on Fall Etiology Morse16, 17 has identified three types … These are falls that occur in patients who are identified as “fall-prone,” based on identified risk … Four common patient populations were identified. … Patients who have none of the identified fall risks (i.e., injury risk, special conditions, or anticipated
  10. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/data-research/cahps-data-release-agreement.pdf
    March 01, 2018 - According to the CAHPS Database DUA, AHRQ may grant researchers access to Participating Organizations’ de-identified … Valid purposes for using the de- identified data do not include the use of the Data for public reporting
  11. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.docx
    November 02, 2015 - After discussion, any new ED indications for UC placements can be mutually agreed upon and clearly identified … We identified a resident physician champion who then presented information and educated his peers about
  12. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
    December 01, 2017 - key elements of a successful briefing process, including a thorough system to follow up on defects identified … Staff at one hospital identified a gaping hole in the hospital’s policy surrounding contingency plans … cards. 27 Examples of Debriefing Comments Debriefing comments: Scheduling errors Types of issues identified … 29 Examples of Debriefing Comments Debriefing comments: Inferior disposable light handles Issues identified … their sets. 31 Examples of Debriefing Comments Debriefing comments: Outdated preference card Issues identified
  13. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.docx
    May 01, 2017 - successful team, Identify the characteristics of effective teams and barriers to their performance as identified … The senior executive should— Work with team members to consider patient risks identified in the Staff … By addressing patient risks identified, senior executives are partnering with their teammates to tackle … List identified safety issues One of the most effective approaches to bridging the gap between senior … Culture Checkup Tool The Culture Checkup Tool will help the L&D unit team address problems identified
  14. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
    January 01, 2003 - This enabled the researcher to track the ability of the RN to complete identified priorities of care … Nursing diagnosis data included the patient problems/priorities identified by the RN. … By tracking the priorities and activities of care that an RN identified, the researchers determined … A tentative time was identified for when the omitted activity should have been performed. … Any activity or priority that is identified as needing to be performed is added sequentially.
  15. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
    April 22, 2004 - In the remainder of this paper, the main steps that these methods share are identified and explained … They also provide criteria on which to evaluate the impact of failures, weaknesses, or hazards identified … Step 9 Once hazards (i.e., causes of failure modes or variances) have been identified, control strategies … Advances in Patient Safety: Vol. 2 346 All of the hazards identified for control are then listed … This matrix displays the identified problems, current system status, and proposed problem solutions.
  16. ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
    September 01, 2017 - Purposeful rounding is a strategy for fall precautions, especially for those patients who have been identified … Once risk assessment has helped identify patient risk factors, care planning should match the identified … To develop the fall education plan, identified fall risk factors and interventions are reviewed with … Fall Prevention Team leaders and staff in an acute-care hospital identified an opportunity to heighten … Develop a fall prevention care plan based on identified risk factors.      
  17. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
    January 01, 2003 - The concept maps identified in interviews can be used to make inferences about the control of patients … The goal was to identify the central issues and to relate them to the dimensions of control as identified … The nurses identified several issues regarding current monitor technology. … Usability The largest group of issues identified by the nurses involved problems with monitor usability … Given the limitations identified in our interviews, it is clear that ICU nurses are not being supported
  18. TO (doc file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d5_combo_gapanalysis.docx
    May 25, 2016 - Determine the “gaps” between your organization’s practices and the identified best practices.
  19. Fallpxtool3C (doc file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3c.docx
    January 29, 2013 - the room number and bed beside all the tasks that need to be done (leave blank if no safety issue is identified
  20. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
    April 01, 2018 - Studies in neonatal and pediatric intensive care units have identified, respectively, 74 and 203 AEs … Trigger tool studies have identified specific triggers that have high yields for AE detection, such … In some cases, however, the AEs identified in the medical records differed. … In some cases, however, the AEs identified in the medical records differed. … Specifically, the expected number of AEs identified in patients with multiple body systems affected

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