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421. Preventing CAUTI: What to Do When It’s Time for Plan B | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-slides.html
     December 01, 2017 - hospital-acquired infection Most due to urinary catheters Up to 20 percent of inpatients are catheterized Leads

422. Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs: Summary (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/haidesign-summary.pdf
     September 01, 2013 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs: Summary 1 Contract Final Report Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs Executive Summary Prepared for: Agency for Healthcare Research…

423. Risk-Based Patient Safety Metrics (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-Scanlon_62.pdf
     March 25, 2008 - occur in 3.0 to 6.9 percent of inpatients.7, 8, 9, 10, 11, 12 The relatively high frequency of errors leads … “Hindsight bias” leads to simplified attributions of the cause of errors.23, 24 Furthermore, incorrect … ” or the medical equivalent of the arcade game “whack-a-mole”——events occur, inadequate evaluation leads

424. Involving Patients and Families in Safety: Agenda (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/action-alliance/involving-pts-families-agenda-072523.pdf
     July 25, 2023 - Involving Patients and Families in Safety: Agenda National Action Alliance to Advance Patient Safety Summer Webinar Series Agenda Involving Patients and Families in Safety Tuesday, July 25, 2023 2:00 – 3:00 PM ET Questions We are Running On: 1. What are the foundational elements of including patients and f…

425. Chapter 2. Building the Project Foundation: Project Teams and Scope | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-2.html
     July 01, 2022 - Implementing a successful project on a limited scale often leads to a larger effort.

426. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
     August 01, 2022 - 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 …

427. Resource List - AHRQ Hospital Survey (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
     April 01, 2023 - Multifaceted Program Increases Reporting of Potential Errors, Leads to Action Plans To Enhance Safety … Calls and Hazardous Conditions o #4, Multifaceted Program Increases Reporting of Potential Errors, Leads … Patient and Family Engagement Survey Multifaceted Program Increases Reporting of Potential Errors, Leads … Multifaceted Program Increases Reporting of Potential Errors, Leads to Action Plans To Enhance Safety

428. Assemble the Team and Engage Leadership for Perinatal Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.pdf
     May 01, 2017 - The nurse manager on the CUSP team : • Supports or leads CUSP activities on L&D, • Ensures staff … Team leads should remember to use the 4 Es when recruiting CUSP team members: 1. … Team leads should keep the 4 Es in mind when recruiting team members: engage, educate, execute, and

429. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
     February 01, 2017 - Look at each of these system factors and consider how each can carry a defect that leads to patient harms

430. Turning Data Into Action—Using HSOPS and SSI Data as Part of a Meaningful Change: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/data-into-action-slides.html
     December 01, 2017 - Debriefing is a semistructured conversation among frontline clinicians that a facilitator leads.

431. TeamSTEPPS for Office-Based Care: Summary: Putting It All Together | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/module7/office_sum-ig.html
     April 01, 2022 - 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 …

432. Strategies for Improving Patient Experience with Ambulatory Care: Cultivating Cultural Competence (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6k.pdf
     August 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Cultivating Cultural Competence The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 6: Strategies for Improving Patient Experience with Ambulatory Care 6.K. Cultivating Cultural Compet…

433. Presentation: Program Overview
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/nursedr-early-mobility-protocols-slides.pptx
     January 01, 2017 - Program for Mechanically Ventilated Patients Scope of Problem1-4 Prolonged bed rest in patients often leads

434. Strategies for Improving Patient Experience with Ambulatory Care: Shared Decision-Making (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-i.pdf
     July 01, 2017 - increased compliance with treatment regimens.7  Greater consumer involvement in decision making leads

435. Auditing Your Briefings and Debriefings Process: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.html
     December 01, 2017 - Say: The circulator nurse, of course, consistently contributes, as this role leads the briefing. … Specialty team leads also work on their preference cards.

436. Discharge Instructions Quality: How the University of Iowa Stead Family Children's Hospital Improved their Electronic Template for Family/ Caregiver Written Discharge Instructions (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/iowa-case-study.pdf
     January 29, 2021 - Discharge Instructions Quality: How the University of Iowa Stead Family Children's Hospital Improved their Electronic Template for Family/ Caregiver Written Discharge Instructions …

437. TeamSTEPPS® 2.0 Leadership Briefing | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
     April 01, 2017 - For example, its important to have a change agent who leads periodic meetings for a few months after

438. Co-producing a Diagnosis
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/09-diagnostic-safety-practice-orientation.pptx
     November 24, 2020 - Co-producing a Diagnosis Engaging Patients To Improve Diagnostic Safety Practice Orientation AHRQ Publication No. 21-0047-8-EF August 2021 1 Diagnostic Errors Are a Big Challenge Nearly every person will experience a diagnostic error in their lifetime. Diagnostic error is the leading patient safety challenge…

439. DSF Measures 2-3 Attachment 11.1 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_XIA.pdf
     February 29, 2016 - DSF Measures 2-3 Attachment 11.1 Attachment 11A.1 Additional ICD-9 and ICD-10 Codes ICD-9-CM Codes Used to Describe a Positive Developmental Screening Result 1. 783.42 Delayed milestones 2. 315.31 Language disorder, developmental 3. 315.9 Learning disorder, NOS 4. 348.3 Static encephalo…

440. DSF Measures 2-3 Attachment 11.1 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_XIA.pdf
     February 29, 2016 - DSF Measures 2-3 Attachment 11.1 Attachment 11A.1 Additional ICD-9 and ICD-10 Codes ICD-9-CM Codes Used to Describe a Positive Developmental Screening Result 1. 783.42 Delayed milestones 2. 315.31 Language disorder, developmental 3. 315.9 Learning disorder, NOS 4. 348.3 Static encephalo…