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3521. Communication: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
      July 01, 2023 - It allows time for patients and staff to ask and answer questions completely. … It uses plain language, such as layman’s terms, that patients and their families can easily understand … It updates patients and families frequently. … For example, patients and families can use the check-back to verify the receipt of care instructions … It’s estimated that a typical teaching hospital may experience more than 4,000 handoffs every day.

3522. Communication: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
      July 01, 2023 - • It allows time for patients and staff to ask and answer questions completely. … • It updates patients and families frequently. … For example, patients and families can use the check‐back to verify the receipt of care instructions … For example, your facility could instruct patients to use SBAR to enable them to share information … It’s estimated that a typical teaching hospital may experience more than 4,000 handoffs every day.

3523. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
      January 01, 2025 - to improve patient safety by reducing harm and identification errors among patients … ■ An AHRQ Patient Safety Learning Labiiiii (PSLL) developed an electronic Fall TIPS Tool to help patients … Care Patient Safety Learning Lab developed the Linking Outcomes Of Patients (LOOP) platform that reduced … Simplified intuitive workflow for patients and families who may experience barriers to navigating apps … Only 1.8% of patients had clinically significant pleural effusions, but these patients faced substantially

3524. High-Risk Deliveries at Facilities with Level 3 or Higher NICU Services on Campus (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0123-fullreport.pdf
      November 01, 2019 - • Fiscal burden of measure focus (e.g., clinical condition) on patients, families, public and private … For every maternal death, 100 or more women suffer severe maternal morbidity, experience a potentially … On-site blood banking services/transfusion services that are always available for obstetrical patients … Measure Topic – patient safety: Yes. k. Measure Topic – family experience with care: No. l. … All else equal, we would expect women who live in more medically dense communities to experience greater

3525. High-Risk Deliveries at Facilities With 24/7 In-House Physician Capable of Safely Managing Labor and Delivery and Performing a Cesarean Section, Including an Emergent Cesarean Section (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0120-fullreport.pdf
      May 01, 2018 - • Fiscal burden of measure focus (e.g., clinical condition) on patients, families, public and private … Similar to maternal and neonatal mortality, minority women are more likely to experience severe maternal … On-site blood banking services/transfusion services that are always available for obstetrical patients … Measure Topic – patient safety: Yes. k. Measure Topic – family experience with care: No. l. … All else equal, we would expect women who live in more medically dense communities to experience greater

3526. Module 2: How To Manage Change | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
      October 01, 2017 - How will the patient care Unit Team communicate with the Implementation Team? … Review and discuss the completed process analysis on one or more patient care units. … Membership of the Unit Managers from the pilot study patient care units. … culture whereby patient safety is a priority. … assessment and will walk us through Tool 2E, which assesses screening practices for pressure injury risk in patients

3527. Module 2: How To Manage Change (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
      June 02, 2025 - How will the patient care Unit Team communicate with the Implementation Team? … Review and discuss the completed process analysis on one or more patient care units. … Membership of the Unit Managers from the pilot study patient care units. … culture whereby patient safety is a priority. … assessment and will walk us through Tool 2E, which assesses screening practices for pressure injury risk in patients

3528. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
      August 01, 2025 - For example: ■ A patient monitoring project evaluated a remote sensing system for elderly patients … TST was much more prevalent with white patients than with African American patients. … contributions to patient safety by tracking harm to patients as reflected in the medical chart. … Experience with systems such as the Medical Event Reporting System for Transfusion Medicine (MERS-TM … than with White patients.

3529. Final Progress Report: Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent ADEs in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/kane-gill-report.pdf
      January 01, 2024 - in the Nursing Home Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient … NC), an electronic health record (EHR)- agnostic platform with which our study team has significant experience … Some patients refused the intervention during that time because they were unwell or tired, and others … who refused the telemedicine interaction, or a patient was unable to communicate). … Paperwork faxed to my outside office Need to first talk to nurses and patients before ok by doctor

3530. Plan Complete Checklist (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-plan-report.doc
      December 26, 2018 - What do you know about their customers/patients, geographic reach, and role in shaping the market? … you are trying to convey through the report. · Whether you report a broad array of measures (e.g., patient … experience, patient safety, clinical outcomes) or a narrow set that focuses on one disease and/or

3531. Implementing Antibiotic Stewardship in Your Practice – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-guide.docx
      September 01, 2022 - Senior leadership also can assist with decoupling patient satisfaction scores for upper respiratory tract … Antibiotic Prescribing” assists practices with making the case for why antibiotic stewardship is a patient … Moment One is, “Does my patient have an infection that requires antibiotics?” … Consider providing options for patients with severe penicillin allergies. … Moment Four is, “Does my patient understand what to expect and the followup plan?”

3532. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
      December 01, 2009 - In the first year of life, more than 50 percent of children will experience OME, increasing to more than … Inpatient Patient Safety In 2007, children ages 0-17 accounted for 6.3 million inpatient community … Pediatric catheter-associated blood stream infection rates (intensive care and high risk nursery patients … Children at risk are patients in pediatric intensive care units (PICUs), neonatal intensive care units … program measure is similar to the overall measure of ED utilization (measure 17 above), except that the patient

3533. Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
      January 01, 2024 - Our short‐term objectives are to build upon our prior experience to further refine, implement, and evaluate … , if the patient was harmed, and to what degree.  … Journal of Patient Safety. 2010;6(1 Jun):59‐67.  PMID:  22130345  4. … Acute Kidney Injury in Low‐Risk versus High‐ Risk Patients in Intensive Care.  … Patient Safety: Achieving a New Standard for Care. 

3534. Personal Health Records to Improve Health Information Exchange and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Fricton_21.pdf
      April 17, 2008 - to Improve Health Information Exchange and Patient Safety James R. … The effects of promoting patient access to medical records: A review. … The informed patient project – study report. … Use of a patient-accessible electronic medical record in a practice for congestive heart failure: Patient … The "bank of health"—a model for more useful patient health records.

3535. Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
      January 01, 2024 - of data on patients’ clinical and functional statuses as well as on patient demographics, living arrangements … For Patient Survey Sample As mentioned above, a subsample of patients was interviewed 60 days after home … Patient Survey Sample Findings Supplemental information collected from a subsample of patients is reported … Only 10% of the patients’ records indicated that the nurse advised the patient to discuss medication … Nurses with more agency experience and those who were in salaried staff positions (versus nurses paid

3536. Chapter 2. Determining Surgical Site Infection Rates | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
      April 01, 2018 - an algorithm entirely in the VA and applying it to other hospitals include the fact that the veteran patient … Previous experience detecting methicillin-resistant Staphylococcus aureus (MRSA) by means of electronic … postoperative days 4 and 30 because pre- or perioperative data might indicate risks for SSI or that the patient … than 3mg/dL Or postoperative antibiotics given Or the presence of a postoperative culture, or the patient

3537. Webinar #1: Fuzzy Set Analysis (Slide Presentation) | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
      July 01, 2013 - Importance of practice systems contingent on patient population. … patients.   … CM resources for staff and patients. … Location of CMgr visits with patients. CMgr visit documentation. … Slide 44 All Patients Included in CM Program: Neither Necessary nor Sufficient Graph of all patients

3538. Improving Patient Safety with the Military Electronic Health Record (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
      January 24, 2004 - Improving Patient Safety with the Military Electronic Health Record 23 Improving Patient Safety with … In addition, these systems monitor and improve overall health care delivery to patients, detect and … DoD leverages the power of computers to help military health care teams better treat patients, since … 3 30 patients with chronic conditions, who are seen by multiple providers in multiple settings. … This adoption process encourages user buy-in through demonstrations of how physicians and patients will

3539. 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 - healthcare purchasers exploring the strategy of pay-for-performance to improve the delivery of care to patients … External Incentives, Information Technology, and Organized Processes to Improve Health Care Quality for Patients … Data for Epidemiologic Research: The Concordance of Claims-Based Criteria with the Medical Record and Patient

3540. Final Progress Report: Evaluating e-Prescribing in a Community-Based, Integrated Health System (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/devine-report.pdf
      January 01, 2024 - prescriber adherence to clinical guidelines for laboratory monitoring of medications prescribed for patients … Each calculates to 20 seconds longer per patient. … Advances in patient safety: New directions and alternative approaches. Vol. 4. … These patients are being cared for with one of three types of interventions: open surgical procedures … This leverages her experience in working with EHRs.