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1141. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
      April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…

1142. Event Investigation and Analysis Guide: Appendix I | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
      August 01, 2022 - Event Investigation and Analysis Guide: Appendix I Glossary Adverse safety event: a deviation from generally accepted performance standards that reaches the patient and results in moderate to severe harm or death. Anchoring bias:   the tendency to make all information fit into a preconceived story, causing…

1143. Identifying Key Areas for Delivery System Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsr2.html
      February 01, 2014 - Identifying Key Areas for Delivery System Research Identifying Key Areas for Delivery System Research Previous Page Next Page Table of Contents Identifying Key Areas for Delivery System Research Executive Summary Identifying Key Areas for Delivery System Research Conclusion References Appe…

1144. Sustainability Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
      October 01, 2020 - Sustainability Module: Facilitator Notes Slide 1: Sustainability Module Say: This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to augment the existing Spread module of the CUSP Toolkit while offering organization…

1145. Training-Tools-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
      May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Sustainability Module Facilitator Notes SAY: This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to au…

1146. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-slides.pptx
      January 01, 2017 - Presentation: Program Overview Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-42-EF January 2017 Intro to Daily Care Processes ‹#› AHRQ …

1147. Developing a Community-Wide Electronic Shared Medication List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
      June 15, 2005 - Developing a Community-Wide Electronic Shared Medication List Developing a Community-Wide Electronic Shared Medication List Ron Stock, MD; Eldon R. Mahoney, PhD; Dawn Gauthier, MIS; Linda Center; Mary Minniti, CPHQ; James Scott, MD; Marc Pierson, MD; Lori Nichols Abstract This study demonstrates the feasib…

1148. Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
      December 27, 2021 - Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes Primary Care Practice Facilitation Curriculum Module 11: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes Agency for Healthcare Research and Quality …

1149. Deep-Rooting Your Data: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-slides.html
      December 01, 2017 - Deep-Rooting Your Data: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Deep-Rooting Your Data Slide 2: Learning Objectives After this session, you will be able to– Identify surgical site infection (SSI) data sources. Define your audie…

1150. Exhibit 4.2. Suntown Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.2. Suntown Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Ca…

1151. The CAHPS Ambulatory Care Improvement Guide: Determining Where to Focus Efforts to Improve Patient Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
      May 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Determining Where to Focus Efforts to Improve Patient Experience The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 5: Determining Where to Focus Efforts to Improve Patient Experience Visit the AHRQ Website for…

1152. PowerPoint Presentation; Deep-Root Your Data
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
      December 01, 2017 - PowerPoint Presentation; Deep-Root Your Data Deep-Rooting Your Data AHRQ Safety Program for Surgery Sustainability AHRQ Pub. No. 16(18)-0004-15-EF December 2017 AHRQ Safety Program for Surgery – Sustainability SAY: This module focuses on the concept of deep-rooting and set up sustainable interaction with your qual…

1153. Strategy 6E: Rapid Referral Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
      April 01, 2023 - Strategy 6E: Rapid Referral Programs Contents 6.E.1. The Problem 6.E.2. Intervention #1: The Referral Agreement    6.E.2.a. Key Elements    6.E.2.b. Example 6.E.3. Intervention #2: The Referral Expert References   Download Strategy 6E: Rapid Referral Programs (PDF, 241 KB)        …

1154. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
      May 01, 2016 - the old system and found that the RMCM approach fared better or the same in the length of time for processing … Compared with the old claims model, the RMCM approach fared better or the same in the length of time for processing

1155. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
      May 01, 2016 - the old system and found that the RMCM approach fared better or the same in the length of time for processing … Compared with the old claims model, the RMCM approach fared better or the same in the length of time for processing

1156. Nutritional Research Series, Volume 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp2.pdf
      March 01, 2009 - fortified foods available to the general population (e.g. heme and nonheme iron); differences in food processing

1157. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
      June 01, 2023 - PowerPoint Presentation Frontline Provider Education Presentation Template AHRQ Safety Program for Improving Surgical Care and Recovery AHRQ Pub. No. 23-0052 June 2023 Purpose and Use of This Frontline Provider Education Tool Purpose of tool: An important first step to gain buy-in for change is to educate teams abo…

1158. Performing SSI Investigations: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
      December 01, 2017 - Performing SSI Investigations: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Onboarding Performing an SSI Investigation Slide 2: Learning Objectives After this session, you will be able to– Explain the difference between process and outcome data. D…

1159. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
      August 01, 2005 - Is Your Organization Ready for TeamSTEPPS™? Is Your Organization Ready for TeamSTEPPS™? Answering these questions can help your institution understand its level of readiness to initiate the TeamSTEPPS program. You may find it helpful to have a colleague review your responses or to answer the questions with a large…

1160. Primary Care Practice Facilitation Curriculum Module 8: Approaches to Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-8-approaches-to-qi.pdf
      September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 8: Approaches to Quality Improvement Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facilitation Curriculum Module 8: Approaches to Quality Improvement Primary …