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1. Patient Monitors in Critical Care: Lessons for Improvement (pdf file)
   www.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 - Among their comments, interviewed nurses mentioned that monitors now in use make it difficult to access … Nurses mentioned in the 7 interviews that they are frequently confronted with these artifacts; … In a similar vein, nurses mentioned problems with the visibility of certain functions. … They mentioned that the menu structure was often too “deep,” making it difficult to find the desired … Finally, they mentioned that it is essential to always display the alarm status on the main monitor.

2. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
   January 01, 2003 - The most frequently mentioned medication safety concern was “adverse events associated with drug-drug … Concerns about drug allergies were mentioned specifically with respect to prescriptions for antibiotics … Medication side effects of various types were mentioned, including “not stopping glucophage treatment … Another concern frequently mentioned was the safety of chronic medication use (nine mentions). … Of these, more physician education was mentioned the most (five mentions).

3. Exhibit 4.5. Organizational Goals of Lean | Agency for Healthcare Research and Quality
   www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-5.html
   November 01, 2014 - Hospital—Lakeview Healthcare Type of interviewee Aims of Lean (in order of most frequently mentioned

4. Development of the CAHPS Child Hospital Narrative Item Set | Agency for Healthcare Research and Quality
   www.ahrq.gov/cahps/surveys-guidance/item-sets/elicitation/child-hospital-narratives/development.html
   December 01, 2023 - experiences reported in response to the six narrative survey questions (i.e., the number of domains of care mentioned … Approximately eight in ten narratives mentioned topics covered in the Child HCAHPS Survey. … Approximately nine in ten mentioned topics not covered by the survey.

5. CAHPS Child Hospital Survey-Using Data and New Narrative Items - The Child HCAHPS Narrative Item Set (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-martino.pdf
   January 01, 2023 - words • Most content was positive (63% when provided by phone, 68% online) • About 8 in 10 narratives mentioned … topics covered by closed-ended items; about 9 in 10 mentioned topics not covered by those items • … Item Narrative Item Set Single-item Narrative contained positive content 4 in 10 6 in 10 Narrative mentioned

6. Exhibit 6.6. Organizational Goals of Lean | Agency for Healthcare Research and Quality
   www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-6.html
   November 01, 2014 - Hospital—Lakeview Healthcare Type of interviewee Aims of Lean (in order of most frequently mentioned

7. Exhibit 1.6. Organizational Goals of Lean | Agency for Healthcare Research and Quality
   www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-6.html
   November 01, 2014 - Hospital—Lakeview Healthcare Type of interviewee Aims of Lean (in order of most frequently mentioned

8. Tool: Premortem (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/premortem-tool.docx
   January 01, 2017 - After 10 minutes, go around the room asking everyone to share one reason that has not already been mentioned … Repeat until all reasons are mentioned. … . · Once all reasons are mentioned, briefly read through the reasons listed on the board.

9. Premortem Tool | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/tools/mvp/modules/cusp/premortem-tool.html
   January 01, 2017 - After 10 minutes, go around the room asking everyone to share one reason that has not already been mentioned … Repeat until all reasons are mentioned. … Once all reasons are mentioned, briefly read through the reasons listed on the board.

10. Appendix A. Grants Database Search Terms & Analytic Categories/Definitions Used in Portfolio Analysis 2008-2019 | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/reports/primary-care-research/appendix-a.html
    January 01, 2024 - Alaska Native, Asian, Pacific Islander, White, Race/ethnicity (not-specified): [when race/ethnicity mentioned … gender discordant with their biological sex Vulnerable (non-specific): when vulnerable populations mentioned … Other (undefined): general impact on a chronic disease mentioned Other (multiple): worded as co-occurring

11. Introducing the CAHPS Cancer Care Survey" Transcript (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-cancer-care-transcript.pdf
    June 01, 2017 - They're voluntary, as I mentioned, but they are widely used. … And I know, as Caren had mentioned, for many stakeholder groups. … As Caren mentioned, there are avenues for getting those data. … That's the one that Ashley had mentioned as well. … As I mentioned, I mentioned some of them, but it included an environmental scan, focus groups with patients

12. Recent Insights into CAHPS Survey Modes and Response Rates (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys.pdf
    January 01, 2020 - We've mentioned it before and it bears repeating. … The CAHPS Clinician & Group Survey as well, and as mentioned by Caren at the outset of the webcast, … As I mentioned, we have an application process for organizations that want to request research data … We mentioned it really quickly in passing, but yes, absolutely. … Dale Shaller Well, that's a great question and I think I mentioned the CAHPS Improvement Guide, which

13. Improving Your Response Rates on the AHRQ Hospital Survey on Patient Safety Culture: Podcast Transcript (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/rrpodtrans.pdf
    August 01, 2013 - One of the things you both mentioned was that leadership was critical in increasing your response rate … HSOPS, the leadership team promoted the survey to staff on each of these units and departments and mentioned … Theresa Famolaro It’s interesting that you mentioned competition as a way to increase your response

14. Design Options for a Self-Management Support Program (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ptmgmt/design2.html
    July 01, 2018 - The second column shows some of the commonly mentioned prerequisites for providing this content: … Small incentives—such as water bottles, totes, and baby shoes—were mentioned. … Subcontracting out for training was infrequently mentioned. … Others mentioned ongoing presentations, monthly meetings, onsite mentors, call monitoring, shadowing, … Other communication strategies mentioned include: Provide the primary care physician with access

15. Program Evaluation | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation.html
    July 01, 2018 - More than one informant mentioned patient activation measures currently being developed and validated … physician. 46 Smoking behavior, quit rates, and daily weighing were some of the behavior measures mentioned … Several of these measures also were mentioned in the interviews. … Fewer outcome measures were mentioned by the interview respondents. … Most interviewees focused on return on investment, and many mentioned the need for a standard methodology

16. 50-Multimodal-Analgesia-Facilitator (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/50-multimodal-analgesia-facilitator.docx
    June 01, 2023 - majority of perioperative pain can be reasonably managed with the use of the agents we have already mentioned … dexmedetomidine are best administered under the close guidance of pain management professionals and, as mentioned

17. Emerging-Strategies-Slides (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/emerging-strategies-slides.pdf
    August 12, 2020 - Patient Perspective: Which of the changes that have been mentioned or which other changes should CR … 13 Resources Mentioned in

18. Case 2. Central Hospital | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
    November 01, 2014 - Some staff members also mentioned participating in projects that used Find, Organize, Clarify, Understand … This caused great tension mentioned by at least two nurses in the D2B project because some physicians … In general, a few staff mentioned that some RCI projects, especially those involving housekeeping and … Leadership was mentioned as both a facilitator and a barrier to Lean implementation. … The nature of project leadership was mentioned as a barrier by many interviewees from the ED.

19. Case 6. Horizon Hospital—Lakeview Healthcare | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
    November 01, 2014 - Staff turnover was only mentioned by one interviewee, a staff person from the Management Engineering … In addition, one process improvement staff member mentioned that awareness of the tools would generate … It is interesting that none of the interviewees mentioned a project that had been rejected. … Two frontline staff mentioned that in the new NICU, visitors were asked to scrub before entering the … Employees mentioned barriers that were related to resources, communication, and staff engagement.

20. Case 3. Grand Hospital Center | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
    November 01, 2014 - A third desired outcome mentioned by interviewees was to increase patient satisfaction as a result … Improved communication and teamwork was mentioned as an outcome by several Cardiology Follow-up team … Many interviewees mentioned that the culture at Grand reflects improved teamwork and collaboration. … Here, we discuss the factors mentioned by interviewees, noting how they operated as facilitators and/ … A special resource barrier mentioned by several interviewees is the availability of IT resources.