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401. Making Healthcare Safer Practices: 13. Alarm Fatigue (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
     March 01, 2020 - growing awareness of this issue, a number of national organizations have established alarm management guidelines … searches for PSPs in the alarm fatigue harm area were conducted, focusing on systematic reviews and guidelines … Results of a survey by Alsaad et al., before and after implementing guidelines and protocols for reducing … preset default settings (e.g., using a higher threshold to trigger the alarm), and after implementing guidelines … Clinical Trial • Corrected Article • Journal Article • Meta- Analysis • Meta Synthesis • Practice Guidelines

402. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
     May 20, 2016 - representatives from quality improvement, radiology, and information services to develop time-sequenced guidelines … Provide feedback to all stakeholders (physicians and other providers, nursing, and ancillary • staff; … Guidelines for the prevention of intravascular catheter-related infections, 2011. … Atlanta: Centers for Disease Control and Prevention; 2011. www.cdc.gov/hicpac/pdf/guidelines/bsi-guidelines … http://www.cdc.gov/hicpac/pdf/guidelines/bsi-guidelines-2011.pdf https://www.cms.gov/Outreach-and-Education

403. 5 Tk1 T2-Working With A Lab Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T2-Working_with_a_lab_final.pdf
     October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Help Clinicians Choose the Right Antibiotic Toolkit … Contact the nursing home’s lab to inquire about creating an antibiogram Identify the correct contact … In rare circumstances, nursing homes may use more than one lab. … lab to do this or whether this could be done by staff at the nursing home. … Contact the nursing home’s lab to inquire about creating an antibiogram 2.

404. Documentation and Coding for the AHRQ Pediatric Quality Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
     March 15, 2016 - ○ Incorrectly applying the coding guidelines for principal diagnosis, especially when two or more … Guidelines for achieving a compliant query practice. … Centers for Disease Control and Prevention Official ICD-10-CM Guidelines for Coding and Reporting, FY … -.pdf https://www.cms.gov/Medicare/Coding/ICD10/Downloads/2016-Official-ICD-10-PCS-Coding-Guidelines- … The stage of ulcer can be documented by nursing or other non-physicians/clinicians.

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60328/psn-pdf
     May 27, 2020 - sleep.22,40 In 42% of cases reviewed in the Anesthesia Claims database, the interval between the last nursing … addition, a standardized PCA handoff tool from the PACU to the surgical unit might have alerted the nursing … Consensus guidelines for managing postoperative nausea and vomiting. … American Society for Pain Management Nursing guidelines on monitoring for opioid-induced sedation and … Tool Kit: Patient Controlled Analgesia (PCA) Guidelines of CareFor the Opioid Naïve Patient.

406. 5 Tk1 T2-Working With A Lab Final (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T2-Working_with_a_lab_final.docx
     October 01, 2016 - Contact the nursing home’s lab to inquire about creating an antibiogram Identify the correct contact … In rare circumstances, nursing homes may use more than one lab. … These discussions should cover the lab’s capacity to produce antibiograms that meet the nursing home’ … standing agreement or contract that the nursing home has with the laboratory and modify the contract … lab to do this or whether this could be done by staff at the nursing home.

407. In Conversation with...Peter J. Pronovost, MD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
     October 01, 2010 - Guidelines don't prioritize and they don't necessarily incorporate tacit knowledge. … Fortunately, guidelines for checklist design are available. … expertise, and status—whereas a surgical checklist may need to influence the actions of both a new nursing … An example item from the WHO surgical checklist is "Nursing team reviews: has sterility (including indicator … Adhere to basic usability guidelines.

408. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
     September 26, 2019 - facilities (SNFs and from 0.5 to 0.3 for nursing homes (NHs. … There was a direct correlation between compliance with guidelines and success in containment of transmission … wards in post-acute care hospitals, discontinuation is not recommended.13 Current Israeli national guidelines … However, it is recommended that CDC guidelines be followed for this practice. … There was a direct correlation between compliance with guidelines and success in containment of

409. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
     August 01, 2022 - Nursing staff received training on the use of electronic systems for record keeping and clinical protocols … Office for Oregon Health Policy and Research Title: Medical Liability and Patient Safety Guidelines … When applied in any health care setting, a legal safe harbor allows clinical practice guidelines a special … Of the 907 claims, about 5 percent would have been avoided if clinicians had followed guidelines. … Some common themes included “use medical guidelines specific to providers that are simple, clear, and

410. Four Tips for Designing Web-Based Health Care Quality Reports | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/resources/design/additional-tips/index.html
     December 01, 2022 - This site has quality information on 11 nursing homes in this county." Tip 3. … This guide provides guidelines for creating websites that are easily accessible for older adults . … Five Guidelines for Developing Customer-Friendly Websites.

411. Tip 4. Use Writing Devices To Engage Readers of a Quality Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/resources/writing/tip4.html
     May 01, 2015 - Pose and discuss statements such as the following: Some nursing homes may look better than others … Test the Report With Your Audience Guidelines and Other Resources To Fine-tune Your Writing

412. Dykes, Patricia | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/dykes-patricia
     June 15, 2023 - Research Findings into Diverse Primary Care Practices (ASPIRE) Transforming Guidelines … Fall risk management using clinical decision support in a rural nursing-led primary care practice. … Fall risk management using clinical decision support in a rural nursing-led primary care practice.

413. Retained Surgical Items: Causation and Prevention | PSNet
     psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
     January 04, 2024 - The nursing team called the sponge count “correct” at the end of the case because they “counted” twenty … was added in the middle of the operation, which actually contained eleven sponges instead of ten, the nursing … Nursing staff frequently find packs with 9 or 11 sponges and by policy these “bad packs” of sponges are … The Association of periOperative Registered Nurses (AORN) has guidelines on the importance of how and … Guidelines in practice: prevention of unintentionally retained surgical items.

414. Pressure Injury Prevention Program Implementation Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
     October 01, 2017 - Table 3 provides some guidelines for project charters. Table 3. … Project Charter Guidelines Do Don’t Give the Implementation Team guidance about what they are being … It describes the National Pressure Ulcer Advisory Panel (NPUAP) Clinical Practice Guidelines specific … Putting the Nutrition Guidelines Into Practice for Pressure Injury Prevention Presented by Mary D. … Solution: Start a new residency program for new nursing graduates.

415. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
     January 01, 2012 - units; and representatives from quality improvement and information services to develop evidence-based guidelines … • Provide feedback to all stakeholders (physician and other providers, nursing, and ancillary staff … resources/educational-and-clinical-resources/push-tool/ • Pressure Ulcer Training, National Database of Nursing … hospital-acquired_conditions.asp http://archive.ahrq.gov/professionals/clinicians-providers/resources/nursing … resources/nurseshdbk/nurseshdbk.pdf http://archive.ahrq.gov/professionals/clinicians-providers/resources/nursing

416. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4b_pdi02-pressureulcer-bestpractices.pdf
     January 01, 2012 - units; and representatives from quality improvement and information services to develop evidence-based guidelines … • Provide feedback to all stakeholders (physician and other providers, nursing, and ancillary staff … resources/educational-and-clinical-resources/push-tool/ • Pressure Ulcer Training, National Database of Nursing … hospital-acquired_conditions.asp http://archive.ahrq.gov/professionals/clinicians-providers/resources/nursing … resources/nurseshdbk/nurseshdbk.pdf http://archive.ahrq.gov/professionals/clinicians-providers/resources/nursing

417. A National Web Conference on the Role of Telehealth to Increase Access to Care and Improve Healthcare Quality - Slides (pdf file)
     digital.ahrq.gov/sites/default/files/docs/telehealth-slides-06092020.pdf
     June 09, 2020 - Quality of Mental Health Care for Nursing Home Residents: A Literature Review. … ) • Low-cost business model • Standards  clinical guidelines  regulations Christensen C, Grossman … technology platform • Identify access sites – office hours, after hours • Articulate phone triage guidelines … Facilities: A Pilot Study Telepsychiatry in Nursing Facilities: A Pilot Study Telepsychiatry in Nursing … Telepsychiatry in Nursing Facilities: A Pilot Study • Outcomes Telepsychiatry in Nursing Facilities

418. Clinical Areas | PSNet
     psnet.ahrq.gov/clinical-areas
     March 24, 2025 - (179) Critical Care Nursing (260) Emergency Nursing (169) Home Nursing … Nursing (59) Nursing (7) Palliative Care (62) Pharmacy ( … (179) Critical Care Nursing (260) Emergency Nursing (169) Home Nursing … Nursing (59) Nursing (7) Palliative Care (62) Pharmacy ( … Organizational Policy/Guidelines ISMP Targeted Medication Safety Best Practices

419. Adverse Event During Intrahospital Transport | PSNet
     psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
     June 16, 2021 - The transporter did not communicate any concerns about the patient to the nursing staff. … of unexpected events after implementing a pretransport checklist in the emergency department.( 5 ) Guidelines … the American College of Critical Care Medicine and the Society of Critical Care Medicine.( 6 ) The guidelines … Gothenburg, Sweden Wendy Chaboyer, RN, PhD Professor and Deputy Head of School (Research) School of Nursing … Guidelines for the inter- and intrahospital transport of critically ill patients.

420. Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
     October 01, 2020 - Consider the guidelines from the Centers for Disease Control and Prevention. … Slide 9: Why Don’t Clinicians Follow the Guidelines? … Engaging a senior executive requires a different strategy than engaging a surgeon or a nursing colleague … to reductions in communication breakdowns, operating room delays, communication-related disruptions, nursing … It also reduces nursing time spent in the core, or the sterile room where surgical supplies are stored