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801. Impact of a pediatric-focused medical home learning collaborative on preventable emergency department visits by publicly-insured children in Massachusetts (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-medical-home-academyhealth.pdf
     December 12, 2015 - evaluation plan we committed to for CHIPRA Evaluation • PCMH LC participation doesn’t necessarily lead

802. Improving Communication and Teamwork in the Surgical Environment
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief.pptx
     June 01, 2015 - the next case Case volume doesn’t allow sufficient time for a debrief between cases No one takes the lead

803. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
     September 01, 2012 - At minimum, hospitals should focus on addressing the root causes that lead to high-risk scenarios for … Furthermore, failing to address language barriers can lead to significant financial risk, as well as … Poor communication can lead to medical errors, patient safety events, and overall lower quality of care … Research has shown that all of these problems can lead to miscommunication and patient safety issues … • It can lead to significant miscommunications between the patient and providers/care team.

804. Perspectives on Implementing Quality Improvement Collaboratives Effectively: Qualitative Findings from the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/perspectives-quality-improvement-collaboratives.pdf
     January 01, 2018 - model of care and/or improve their performance on quality measures, which practices often hoped might lead … It also includes screening patients for developmental delays, autism spectrum disorder conditions, lead

805. Module 2: Example (doc file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-pdsa-form.docx
     May 01, 2017 - Module 2: Example AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 5: Visual Management Sample “Plan-Do-Study-Act”[footnoteRef:1] Form [1: “Plan-Do-Study-Act” refers to a method for testing changes in clinical practice. In the “plan” step, lay out the specifications of your…

806. SOPS Ambulatory Surgery Center Webcast - HARE (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdf
     January 01, 2023 - Ambulatory Surgery Center Webcast - HARE SOPS ASC Survey, Database and Resources Ryan Hare, MPP Lead

807. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
     May 01, 2017 - One member of the team should lead this portion of the checklist and initiate this discussion by asking … Slide 53: Summary Say: In summary, improving teamwork and communication can lead to better patient … Teaching team members structured language like CUS and closed-loop communication can lead to improved

808. Problem Solving and Escalation – Standards Component Kit | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-comp-kit.html
     June 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 …

809. Implementing the Surgical Safety Checklist | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-implement.html
     November 01, 2017 - It is a vital part of every successful implementation because it helps lead individuals and teams to

810. Primary Care Practice Facilitation Curriculum Module 6: An Overview of the Facilitation Process (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-6-pf-process.pdf
     September 01, 2015 - select from among the thousands of changes possible those that are most likely to be “high yield” and lead … Agree and assist are the steps that lead to the creation of a personal action plan. 17 Tips on

811. Measure: Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-3-ef.pdf
     May 01, 2016 - There is a possibility that missing data or ambiguous information from poor documentation of care can lead

812. Measure: Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (PICU) (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-2-ef.pdf
     May 01, 2016 - There is a possibility that missing data or ambiguous information from poor documentation of care can lead

813. Introducing electronic screening tools for developmental delay and autism into pediatric primary care: Special Innovation Feature (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/pa-specialinnovation.pdf
     August 01, 2015 - time and the inclusion of referral resources in the system’s clinical decision-support tools should lead

814. Module 1: Preventing Falls in Hospitals—Training Guide | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
     September 01, 2017 - We understand that even small failures in safety protocols can lead to catastrophic or adverse events

815. Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #1: Fuzzy Set Analysis
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar03/logic_models.pptx
     July 15, 2013 - Dana is the lead author of the brief on Logic Models in AHRQ’s PCMH research methods series .

816. Debrief Example - Implementation Guide | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k.html
     May 01, 2017 - No one takes the lead on initiating the discussion .

817. FileNewTemplate
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module2.pptx
     March 07, 2019 - FileNewTemplate Module 2: Team Structure Office-Based Care Online Course Welcome to Welcome to the TeamSTEPPS for Office-Based Care Online Course. This is Dr. Brigetta Craft. The following presentation will cover Module 2, Team Structure, that you, as a practice facilitator, will review. Please select the forwar…

818. Introduction Instructor Guide (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module5/ts2-0ltc_module5_ig_sitmon.pdf
     June 22, 2017 - Introduction Instructor Guide SITUATION MONITORING SUBSECTIONS • Teamwork Exercise #2 • STEP • Situation Awareness • Shared Mental Models TIME: 45 minutes Slide INSTRUCTOR OUTLI…

819. Guide To Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
     March 01, 2017 - clinical interventions, it is important to determine if the facility is ready to take actions that lead … one of the leading causes for antibiotic overuse in long-term care.12,13 Moreover, antibiotics can lead … reactions, and antibiotic-related infections.14 Antibiotics can also wipe out healthy bacteria that can lead … to secondary infections like yeast and Clostridium difficile infections.15,18 Furthermore, it can lead

820. Appropriate Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
     April 01, 2018 - From infancy onward, the presence of this hemoglobin variant can lead to an array of serious medical … This, in turn, may lead to seemingly aberrant behaviors in children and adolescents with SCD (e.g., … Health IT Calculation Please assess the likelihood that missing or ambiguous information will lead to … Missing or ambiguous information in the following areas could lead to missing cases or calculation errors