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6521. Engage the Senior Executive | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/engage/exec-slides.html
      December 01, 2012 - Engage the Senior Executive The Engage the Senior Executive module of the CUSP Toolkit focuses on the role and responsibilities of the senior executive within the CUSP team. Engaging a senior executive to partner with a unit will bridge the gap between senior management and frontline providers and will facilita…

6522. Project Report - Lean Sigma (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/nurse_empower-slides/How-CUSP-Enables-Nurse-Empowerment-Nov-15-2011-508.ppt
      January 01, 2011 - Project Report - Lean Sigma CLABSI Supplemental Call Series How CUSP Enables Nurse Empowerment November 15, 2011 Presenters: Pat Posa, RN, BSN, MSA Joanne Timmel, MSN, RN, NE-BC Slide * CLABSI Supplemental Call Series Pat Posa, RN, BSN, MSA System Performance Improvement Leader St. Joseph Mercy Heath Syste…

6523. Appendix A. SIDM Competencies To Improve Diagnosis and Suggested Questions for Debriefing Case Studies | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety-apa.html
      September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators Appendix A. SIDM Competencies To Improve Diagnosis and Suggested Questions for Debriefing Case Studies Previous Page   Table of Contents Reinforcing the Value and Roles of Nurse…

6524. Methods and Processes | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes
      June 01, 2019 - Methods and Processes Share to Facebook Share to X Share to WhatsApp Share to Email Print The Task Force is committed to using a clear, consistent, and transparent recommendation development process so that health care professionals, partner…

6525. III. Hotline Implementation and Refinement | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/implement3.html
      May 01, 2016 - Challenges Identified and Lessons Learned VI. Summary and Conclusions References Appendix A.

6526. Presentation: Optimize Your Briefings and Debriefings
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
      December 01, 2017 - Here we will address the many aspects of briefings and debriefings: the fundamentals, the lessons learned … This module will review the evidence and lessons learned, and will provide tips for maximizing the briefing … defects is a powerful and visible strategy to gain staff buy-in and encourage participation. 43 Lessons Learned

6527. Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
      January 01, 2024 - taxonomies of error severity, type, phase, and cause, personnel in the majority of theses CAHs learned

6528. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-facguide.docx
      January 01, 2017 - Slide 27 Summary ASK: What have we learned today about the Four Es of early mobility?

6529. Final Progress Report: The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/leapfrog-report.pdf
      January 01, 2024 - for Healthcare Research and Quality (AHRQ) conducted four studies of purchasers’ efforts and lessons learned

6530. CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
      January 01, 2017 - CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients CUSP Guide for Reducing Ventilator- Associated Events in Mechanically Ventilated Patients AHRQ Pub. No. 16(…

6531. Final Progress Report: Making Acute Care More Patient Centered, Patient Safety Learning Laboratory (PSLL) (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
      January 01, 2024 - The administrative core focused on the lessons learned and challenges and recommended solutions throughout … contributed to the design and development activities, defining key implementation goals and lessons learned … Since 2007, our team has studied the problem of falls in hospitalized adults.1-9 Our team learned that … One key lesson learned during the initial design period was that clinicians were concerned about the … Lessons learned implementing a complex and innovative patient safety learning laboratory project in a

6532. Title Page (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015270-hayden-final-report-2008.pdf
      January 01, 2008 - Lessons learned include the importance of understanding and considering organizational structure and … We have learned that in both the pre- and post- eMAR systems, nurses would often make corrections on … We learned that the software did not provide enough patient-specific information to ever tell us. … They learned that this warning type appeared during situations when the nurse tried to administer medications … Additional Lessons Learned.

6533. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety AHRQ Safety Program for Perinatal Care Rapid Response for Perinatal Safety AHRQ Publication No. 17-0003-20-EF May 2017 SAY: The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also …

6534. Assemble the Team and Engage Leadership for Perinatal Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
      July 01, 2023 - Assemble the Team and Engage Leadership for Perinatal Safety AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Assemble the Team and Engage Leadership for Perinatal Safety Slide 2: Learning Objectives Image: Four ascending steps show the learning objectives: …

6535. Final Progress Report: Gastrointestinal Safety of Antithrombotic Drug Regimens (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/abraham-report.pdf
      January 01, 2024 - Final Progress Report: Gastrointestinal Safety of Antithrombotic Drug Regimens 1 Project Title: Gastrointestinal Safety of Antithrombotic Drug Regimens Grant Number: 5RO1HSO25402-04 Principal Investigator: Neena S. Abraham, MD Team Members: Xiaoxi Yao, PhD Nilay Shah, PhD Peter Noseworthy, MD Jeph Herrin, Ph…

6536. Translate Data Complete Checklist (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-translate-data.pdf
      December 26, 2018 - Translate Data Complete Checklist 1 TalkingQuality Your Project Checklist: Translate Data Into Information This document contains checklists for the following sections of Translate Data Into Information: • Showing Differences in Performance • Describing Quality Measure • Organizing Quality Measures • C…

6537. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/866984
      January 01, 2020 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Interdisciplinary teamwork Curated Library Foundations Medical teamwork and the evolution of safety science: a critical review. Neuhaus C, Lutnæs DE, Bergström J. Cogn Technol Work. 2020;22:13-27. In this narrative review, the authors contr…

6538. Portal and Non-Portal User Surveys to Assess MyPreventiveCare Portal (pdf file)
      digital.ahrq.gov/sites/default/files/docs/survey/portal-and-non-portal-user-surveys-to-assess-mypreventivecare-portal.pdf
      June 16, 2021 - Portal and Non-Portal User Surveys to Assess MyPreventiveCare Portal Portal and Non-Portal User Surveys to Assess MyPreventiveCare Portal Virginia Commonwealth University, Richmond VA These are questionnaires designed to be completed by patients in a home setting. The questionnai…

6539. Module 3: Staff Empowerment | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-slides.html
      March 01, 2017 - Module 3: Staff Empowerment AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 3: Staff Empowerment Slide 2: Objectives Cite staff empowerment concepts. Discuss how staff empowerment contributes to a culture of resident safety, leading to improved outcomes and quality of life. Il…

6540. Rapid Response for Perinatal Safety: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
      July 01, 2023 - Rapid Response for Perinatal Safety: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Rapid Response for Perinatal Safety Slide 2: Learning Objectives Image: Three ascending steps show the learning objectives: Define components of a rapid …