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81. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
    July 01, 2023 - pills”) and other medications in primary care settings, but heart failure exacerbations frequently lead

82. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
    January 01, 2019 - The workshop explores how multiple weaknesses present within the hospital system can lead to error. … • Identify system vulnerabilities that could lead to patient harm. … engagingfamilies/index.html Research shows that when patients are engaged in their healthcare, it can lead

83. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
    July 01, 2023 - To avoid assumptions that can lead to error, any important communication—either verbal or nonverbal—should … Extroversion may lead people to talk when it is time for listening. … Cultural differences may lead to inaccurate perceptions of the personalities of people from diverse cultures

84. PowerPoint Presentation
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - doesn’t communicate, or the communication doesn’t meet the patients’ or families’ expectations, it may lead … Potential decrease in adverse events being litigated, which can lead potentially led to lower malpractice … Resolution should lead to a settlement of issues related to the adverse event, but doesn’t always lead

85. TeamSTEPPS 2.0 Leadership Exercise Sheet (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module4/exleadership.pdf
    March 20, 2014 - TeamSTEPPS 2.0 Leadership Exercise Sheet TeamSTEPPS 2.0 Leadership Exercise Sheet – B-4-31 Leading Teams Leadership Exercise Sheet INSTRUCTIONS: Convene in a group of 3-7 individuals 1. Begin by selecting a leader and scribe for your group. 2. The group will have ten minutes to address the questions,…

86. Infographic - State Variations in Inpatient Stays for Substance Use Disorders (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/data/infographics/sud-inpatient-stays.pdf
    January 01, 2016 - Infographic - State Variations in Inpatient Stays for Substance Use Disorders AH State-level Rate of Inpatient Stays During 2016-2018 Alcohol-Related Disorders Opioid-Related Disorders 37.7 227.8 per 100,000 per 100,000 2.6 81.3 per 100,000 per 100,000 Across 38 States Source: AHRQ, Healthcare Cost a…

87. Tool: I-PASS | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
    July 01, 2023 - to performing structured handoffs, they are more likely to avoid omissions that can harm patients or lead

88. Strategy 6L: Planned Visits | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/coordination-of-care/strategy6l-planned-visits.html
    March 01, 2020 - Effective planned visits can lead to better clinical control of the illness (e.g., improvements in indicators … They may also lead to fewer acute care visits, reduced costs, and greater patient satisfaction.

89. Identifying Key Areas for Delivery Systems Research | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/practiceimprovement/delivery-initiative/casalino/index.html
    December 01, 2017 - Identify incentives likely to lead to creation of these organizations and to movement of providers into … Slide 14 Key research area #2 Analyses of ways to structure incentives so that they lead to:

90. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
    May 01, 2023 - Medication overdoses can lead to harm, sometimes requiring emergency treatment or hospitalization and … Drug name confusion can easily lead to medication errors, and the ISMP has recommended interventions

91. Clinical Decision Support | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/cpi/about/otherwebsites/clinical-decision-support/index.html
    September 01, 2023 - Clinical decision support can effectively improve patient outcomes and lead to higher-quality health

92. AHRQ-Funded Studies Highlight Benefits of Postpartum Care Strategies | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/news/newsletters/e-newsletter/876.html
    August 01, 2023 - Digital Recruitment Strategies Can Lead to Inequity in Clinical Trial Enrollment . … Digital Recruitment Strategies Can Lead to Inequity in Clinical Trial Enrollment A primarily digital

93. Information to Help Hospitals Get Started | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/patients-families/engagingfamilies/howtogetstarted/index.html
    December 01, 2017 - Hospitals Get Started Research shows that when patients are engaged in their health care, it can lead

94. Selected Best Practices and Suggestions for Improvement (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
    May 17, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4v Selected Best Practices and Suggestions for Improvement PDI 10: Postoperative Sepsis Why focus on postoperative sepsis in children? • Postoperative s…

95. TeamSTEPPS Training Evaluation Form (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-course-evaluation-form.pdf
    June 01, 2023 - TeamSTEPPS Training Evaluation Form TeamSTEPPS Training Evaluation Form The TeamSTEPPS course evaluation form that follows is designed for a 2 day course based on the TeamSTEPPS curriculum released in 2023. If the course you are evaluating does not include all the material covered in a 2 day cours…

96. EvidenceNOW: A Model for Heart Health and Beyond (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/evidencenow-story.pdf
    September 01, 2021 - access to the data they need to improve care quality and conduct research; access to data alone does not lead

97. TeamSTEPPS 2.0 Module 8: Change Management
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule8.pptx
    March 28, 2006 - begin planning your organizational change strategy. 6 Change Management Activity When you teach, lead … Management ‹#› of 26 When you teach, after you've discussed the module objectives, you would lead … However, when you teach and you lead the 40-minute change management activity described at the beginning … Most organizations have a guiding coalition or team of individuals who lead change efforts already in … Leadership must lead the process of translating values into expected behaviors and establishing trust

98. Providing Detail in Quality Reports for Those Who Want It | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/talkingquality/explain/details.html
    November 01, 2018 - Contact information for the sponsor’s staff, perhaps including the name of the person who takes the lead … as your motivation for sharing quality information with the public and your hopes that doing so will lead

99. Applying Human Factors to Make it Easier for Clinicians to Do Their Jobs | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
    August 01, 2022 - that, too,” she adds, with their feedback on how they interpret risk and other variables that could lead … up the subject, even when tapering is indicated, as it can raise patients’ fears of withdrawal and lead

100. Guide to Patient and Family Engagement in Hospital Quality and Safety | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/patient-safety/patients-families/engagingfamilies/guide.html
     December 01, 2017 - Quality and Safety Research shows that when patients are engaged in their health care, it can lead