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5281. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2022 User Database Report Part I (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report.pdf
      January 01, 2022 - Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2022 User Database Report Part I PATIENT SAFETY SURVEYS ON PATIENT SAFETY CULTURETM (SOPS®) HOSPITAL SURVEY 2.0 2022 User Database Report Surveys on Patient Safety Culture™ [This page intentionally left blank] Surveys on Patient Safety Cultu…

5282. 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

5283. Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning (pdf file)
      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.

5284. Documentation and Coding for Patient Safety Indicators (pdf file)
      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

5285. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
      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

5286. Biosketches | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
      September 01, 2016 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

5287. Spontaneous Awakening Trials and Spontaneous Breathing Trials Literature Review | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-lit-review.html
      January 01, 2017 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

5288. References | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/healthsystemsresearch/hspc-research-study/references.html
      June 01, 2020 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

5289. Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
      February 01, 2005 - Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments 469 Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments Elizabeth A. P. Vane, Edward Drost, Daryl Elder, Yvonne Heib Abstract The United States Army per…

5290. The CAHPS Database Research Request Data Use Agreement (pdf file)
      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

5291. Reducing-Unnecessary-Urinary-Catheter-Use-Ed-Transcript (doc file)
      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

5292. Presentation: Auditing Your Briefings and Debriefings
      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

5293. Assemble-Team-Facilitator-Guide (doc file)
      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

5294. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)
      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.

5295. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      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.

5296. Module 3: Best Practices in Fall Prevention—Training Guide | Agency for Healthcare Research and Quality
      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.      

5297. Patient Monitors in Critical Care: Lessons for Improvement (pdf file)
      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

5298. 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.

5299. 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

5300. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
      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