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patientregistry.ahrq.gov/antibiotic-use/ambulatory-care/index.html
October 01, 2022 - Guidelines
Search Publications
Research Findings & Reports
Evidence-based Practice … improve prescribing in three areas: developing and improving antibiotic stewardship activities in your practice … They include an explanation of the Four Moments of Antibiotic Decision Making and how to apply them in practice … Practice Managers and Leadership: At a minimum, it is recommended that you review content in “Develop … and improve stewardship activities in your practice” and “Learn strategies for communicating with colleagues
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d5_combo_gapanalysis.docx
May 25, 2016 - Strategies
How Your Practices Differ From Best Practice
Barriers to Best Practice Implementation … Will Implement Best Practice (Yes/No; why not?) … Best Practice #1: [insert description of best practice here]
… Best Practice #2: [insert description of best practice here]
… Best Practice #3: [insert description of best practice here]
1 Tool
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patientregistry.ahrq.gov/health-literacy/improve/precautions/tool3.html
February 01, 2024 - Guidelines
Search Publications
Research Findings & Reports
Evidence-based Practice … Share practice-specific examples of health literacy improvement opportunities (e.g., a story about a … —Residency practice.
Teach specific tools. … Focus an educational session on a tool your practice has decided to implement. … Practice Experiences
"Our newsletter regularly included articles about our health literacy initiative
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
February 01, 2019 - Once the practice agrees to implement new evidence, it often
must customize it to the practice environment … Nonetheless,
the practice should have a process in place to ensure that the practice as a whole is aware … types of evidence they will implement practice-wide. … Making changes in a practice is always difficult. … In this way, practice members join practice leaders in becoming
locators and customizers of new evidence
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Recommended Practice Details of Recommended Practice
Create a process for
identifying cases
• 100% … Recommended Practice: Conduct Preliminary Case Review
• Quality-trained clinicians perform initial … Recommended Practice: Engage in Action Planning
• All participants participate in action planning based … Cases
Recommended Practice: Conduct Preliminary Case Review
Recommended Practice: Present Case to … Mortality Review Committee
Recommended Practice: Conduct Systematic Review of Case
Recommended Practice
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - Details of Recommended Practice
Counts at Appropriate
Points During Surgery
Perform a sponge, sharp … Recommended Practice: Use of Equipment and Instruments
• Integrate new instruments or equipment into … practice that prevents retention of foreign bodies
(e.g., absorbent mesh plug) … Appropriate Points During Surgery
Recommended Practice: Appropriate Staff Education
Recommended Practice … : Team Collaboration
Recommended Practice: Use of Equipment and Instruments
Recommended Practice: Standardized
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patientregistry.ahrq.gov/ncepcr/communities/pbrn/registry/register.html
January 01, 2022 - Guidelines
Search Publications
Research Findings & Reports
Evidence-based Practice … Home
National Center for Excellence in Primary Care Research
Research Communities
Practice-based … Research Initiatives
Data Resources
Tools and Resources
Research Communities
Practice-based … PBRN Profiles
PBRN Conference
Integrating Behavioral Health Into Primary Care
Practice … AHRQ defines a Primary Care Practice-Based Research Network as having the following characteristics:
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - an excess length of stay of 23.52 days
and even higher excess charges of $261,173.3
Recommended Practice … Details of Recommended Practice
Implement strategies to
prevent sepsis. … Recommended Practice: Use a sepsis resuscitation bundle
• Develop a pediatric sepsis resuscitation … Recommended Practice: Adopt sepsis measures
• Organizational performance goals need to be determined … strategies to prevent sepsis
Recommended Practice: Screen patients for sepsis
Recommended Practice:
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
November 20, 2014 - Then staff must be made aware of the assessment.
10
Barriers to Practice
Finding time for skin assessments … Consider using Tool 3C: Pressure Ulcer Identification Pocket Pad.
11
ID Pocket Pad
Tool 3C
12
Practice … Complete within first 24 hours of admission
13
13
Improving Assessment Practice
Ask a colleague … Page 42
14
Pressure Injury risk assessment
BEST PRACTICE
15
Pressure Injury Risk Assessment
Next … needs will continue to be met).
30
Improve Care Planning
Examples of prompts linked to routine practice
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patientregistry.ahrq.gov/evidencenow/projects/heart-health/index.html
March 01, 2024 - Guidelines
Search Publications
Research Findings & Reports
Evidence-based Practice … Build practice capacity to receive and incorporate evidence in the future. … More hours of practice facilitation, and more months with at least one practice facilitation visit, were … Frequent and consistent practice facilitation works best. … The effectiveness of virtual practice facilitation visits, especially given the challenges of COVID-19
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patientregistry.ahrq.gov/practiceimprovement/delivery-initiative/mccannon/index.html
December 01, 2020 - "
— Doris Lessing
Slide 4
Why Do We Fail to Take Effective Practice to Scale? … A bulls-eye graphic depicting how we typically try to move effective practice to scale: We start with … Slide 7
Why Do We Fail to Take Effective Practice to Scale? … Slide 8
Why Do We Fail to Take Effective Practice to Scale? … How will you spread your better practice (method)?
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - Details of Recommended Practice
Wound dehiscence risk
assessment. … Recommended Practice: Wound Dehiscence Risk Assessment
• Complete a preoperative assessment to identify … Best practice recommendation: prevention and
management of open surgical wounds. … Risk Assessment
Recommended Practice: Reduce the Incidence of Surgical Site Infections
Recommended … Practice: Postoperative Wound Assessment
Educational Recommendation
Effectiveness of Action Items
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - Details of Recommended Practice
Skin Assessment at Admission and
Daily, With Documentation of Lesions … Recommended Practice: Skin Assessment at Admission and Daily, With Documentation of
Lesions
• Determine … Recommended Practice: Pressure Ulcer Risk Assessment at Admission and Daily
• Determine which pressure … • Document risk assessment results in the medical record.7-9
Recommended Practice: Repositioning … of Highest Level of Mobility
Recommended Practice: Daily Rounds Assessment
Educational Recommendation
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - Details of Recommended Practice
Assess risk factors. … Recommended Practice: Assess risk factors
• Determine which pediatric patients are at increased risk … Recommended Practice: Initiate various treatments during the perioperative and postoperative
period … Best Processes/Systems of Care
Introduction: Essential First Steps
Recommended Practice: Assess risk … factors
Recommended Practice: Initiate various treatments during the perioperative and postoperative
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patientregistry.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/northshore.html
March 01, 2021 - Guidelines
Search Publications
Research Findings & Reports
Evidence-based Practice … More topics in this section
EvidenceNOW
EvidenceNOW Model
Practice … In search of new ideas, the care team turned to their EvidenceNOW practice facilitator, Ms. … Working with Jennifer to extract and analyze the practice's patient data, NorthShore's Director of Practice
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - and IV pressure ulcers for Medicaid
patients unless they are present on admission.5
Recommended Practice … Details of Recommended Practice
Skin Assessment at Admission and
Daily, With Documentation of Lesions … • Document risk assessment results in the medical record.9-11
Recommended Practice: Repositioning … Due to few pediatric studies, it is undetermined if this is a current safe practice.1,12
o Low-air-loss … of Highest Level of Mobility
Recommended Practice: Daily Rounds Assessment
Educational Recommendation
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patientregistry.ahrq.gov/prevention/chronic-care/index.html
July 01, 2019 - Guidelines
Search Publications
Research Findings & Reports
Evidence-based Practice … Evidence-Based Decisionmaking
Evidence-based practice is the use of the best available evidence together … Prevention and Chronic Care Program works to expand the available evidence base for evidence-based practice … and to ensure clinicians have the tools to put this knowledge base into practice. … and Medicaid Resources
Speakers and Partner Organizations
Contact Us
Improving Primary Care Practice
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - Details of Recommended Practice
Assess Neonatal Patients for
Risk Factors
Identify the risk factors … Recommended Practice: Assess neonatal patients for risk factors
• Assess all neonatal NICU patients … Recommended Practice: Maximal Barrier Precautions and Skin Preparation
• Prepare skin:
○ Prepare … Recommended Practice: Prevent early-onset Group B Strep (GBS) disease
• Screen pregnant women with … to prevent neonatal bloodstream infections
Recommended Practice: Site Selection
Recommended Practice
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patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
May 20, 2016 - : Details of Recommended Practice
Implement Blood Glucose
Monitoring Requirements
Implement blood … Recommended Practice: Implement Blood Glucose Monitoring Requirements
• Ensure that all diabetic patients … Recommended Practice: Manage Prevention Strategies for Postoperative Patients
• Implement the following … KDOQI Clinical Practice Guideline for Diabetes and CKD:
2012 update. … Best Processes/Systems of Care
Introduction: Essential First Steps
Recommended Practice: Implement
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patientregistry.ahrq.gov/learning-health-systems/how-lhs-learn.html
May 01, 2019 - Implementation in a clinical service area is designed to occur across all practice locations. … Clinicians tend to make use of practice guidelines produced by their own specialty. … Those who have high rates of inappropriate use are given an opportunity to engage with their practice … A Model for Implementing Evidence-Based Practice More Quickly. NEJM Catalyst . January 26, 2017. … Available at A Model for Implementing Evidence-Based Practice More Quickly
3.