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5041. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
      January 12, 2022 - Diagnostic harm, which can result from diagnostic error, is an emerging area of concern in healthcare quality … • An evidence-based teamwork system • Designed to improve team effectiveness, specifically: ‒ Quality … ‒ Monitor and measure programs. A TeamSTEPPS initiative occurs in three continuous phases. … • Monitor and measure the program’s ongoing effectiveness. … Rockville, MD: Agency for Healthcare Research and Quality.

5042. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
      January 12, 2022 - Diagnostic harm, which can result from diagnostic error, is an emerging area of concern in healthcare quality … An evidence-based teamwork system Designed to improve team effectiveness, specifically: Quality Safety … Monitor and measure programs. A TeamSTEPPS initiative occurs in three continuous phases.   … Monitor and measure the program’s ongoing effectiveness. … Using quality improvement principles, monitor processes that were the focus of intervention activities

5043. Module 2 Implementation Guide: System Change: Laying the Foundation and Leadership (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-2-implementation-guide.pdf
      June 02, 2025 - Topics include how to: 1) identify a CR champion, 2) form a multidisciplinary CR Quality Improvement … “Quality Improvement Essentials Toolkit.” 2020. … Available at: http://www.ihi.org/resources/Pages/Tools/Quality-Improvement-Essentials-Toolkit.aspx … Health Information Technology, Evaluation, and Quality Center. … “Clinical Decision Support Quality Improvement Worksheet.” 2016.

5044. Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
      January 22, 2008 - Even less is known about how sign-out should be conducted or how interventions might improve the quality … Our primary outcome measure was the number of call nights when something unanticipated occurred that … There were repeated measures on individual nights of call and by individual residents on different call … of their sign-out; however, we did not significantly influence our primary outcome measure. … The Quality in Australian Health Care Study. Med J Aust 1995; 63 :458-471. 24.

5045. Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
      July 01, 2023 - Slide 7: CUSP Aligns With and Supports Other Quality and Safety Tools Kotter's 8 Step Process for … Dovetails with, and supports, a range of quality and safety improvement models. … Slide 9: A Collaborative Effort 1 Johns Hopkins Quality and Safety Research Group developed CUSP … Rockville, MD: Agency for Healthcare Research and Quality; April 2011. Kotter J, Rathgeber H. … Agency for Healthcare Research and Quality, Department of Defense. TeamSTEPPS.

5046. Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
      January 01, 2004 - If a heuristic is violated, it is given a severity rating based on the following scales:17 0 = Not … This conclusion is consistent with the measure in terms of the quantity of heuristic violations: Pump … It was also supported in part by grant P01 HS11544 from the Agency for Healthcare Research and Quality … Overall Requirements of the New Quality System Regulations. … 30 >> /JPEG2000ColorImageDict << /TileWidth 256 /TileHeight 256 /Quality 30 >> /

5047. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
      August 01, 2010 - Introduction The Guide to Patient and Family Engagement in Hospital Quality and Safety is a resource … Department of Health and Human Services’ Agency for Healthcare Research and Quality by a collaboration … Bedside shift report can improve: Patient safety and quality. … Helpful Link For more information on setting aims and identifying measures, see the Institute of Healthcare … Bedside handover: quality improvement strategy to ‘transform care at the bedside.’

5048. AHRQ Works: Building Bridges Between Research and Practice | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/impact/index.html
      April 01, 2017 - Help doctors and nurses improve quality. … in Hospital-Acquired Conditions, 2010-2015 (Preliminary) Goal: Help Doctors and Nurses Improve Quality … AHRQ develops tools for doctors and nurses to improve safety, quality, and patient engagement in hospitals … Their quality and safety efforts reduced readmissions by 22 percent in 18 months, saving approximately … AHRQ is committed to harnessing the power and promise of health information technology to improve quality

5049. Section 2: Web Products and Website Development and Redesign | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/publications/pubcomguide/pcguide2.html
      July 01, 2023 - Publishing and Communications Guidelines Section 2: Web Products and Website Development and Redesign Previous Page Next Page Table of Contents Publishing and Communications Guidelines Section 1: Product Development Audio and Video Products Appendix 1-A. Release Forms Appendix 1-B. Trademark…

5050. Tool 3: How To Deliver the Re-Engineered Discharge at Your Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool3.html
      March 01, 2025 - Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures

5051. Tool 3: How To Deliver the Re-Engineered Discharge at Your Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool3.html
      March 01, 2025 - Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures

5052. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
      May 30, 2013 - L), and the same magnesium level would be reported using different numbers depending on the unit of measure … This might include an existing medical peer-review process or review by a perinatal safety or quality … This might include an existing medical peer-review process or review by a perinatal safety or quality … a rapid response, · when regrouping to discuss plan of care if patient fails to respond to initial measures … Institute of Medicine (US) Committee on Quality of Health Care in America; Kohn LT, Corrigan JM, Donaldson

5053. New Dashboard Tracks Progress Toward 50 Percent Reduction in Patient and Workforce Harm | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/941.html
      December 01, 2024 - "It is not the fault of the health care team - it is the way the system works": a mixed-methods quality … This service is provided to you at no charge by the Agency for Healthcare Research and Quality (AHRQ

5054. Primary Care Practice Facilitation Curriculum Module 3: The Primary Care Landscape (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-3-primary-care-landscape.pdf
      September 01, 2015 - The Primary Care Landscape Prepared for: Agency for Healthcare Research and Quality U.S. … McNellis, M.P.H., P.A., Agency for Health Research and Quality Janice L. … achieving high-quality, accessible, efficient health care for all Americans.” … and safety, with the PCMH demonstrating an ongoing commitment to quality and quality improvement … measured through patient experience, claims-based quality measures, or other metrics).

5055. Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
      January 01, 2004 - AHRQ = Agency for Healthcare Research and Quality MCLNO = Medical Center of Louisiana at New Orleans … strategies have focused on medical injury and medical errors.6, 7 By reviewing patient outcomes, we can measure … Rockville, MD: Agency for Healthcare Research and Quality; 2003 Dec. … A report of the Committee on Quality of Health Care in America, Institute of Medicine. … 30 >> /JPEG2000ColorImageDict << /TileWidth 256 /TileHeight 256 /Quality 30 >> /

5056. Module 16: Academic Detailing as a Quality Improvement Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
      September 01, 2015 - Quality U.S. … McNellis, M.P.H., P.A., Agency for Health Research and Quality Janice L. … Ideally, the visit takes place with the quality improvement team. … Academic Detailing as a Quality Improvement Tool Appendix 16. … • Ineffective key messages: • HbA1c levels are indirect measures of glucose levels.

5057. Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nishisaki2-report.pdf
      January 01, 2025 - Final Progress Report: Evaluating safety and quality of tracheal intubation in pediatric ICUs PI: Akira … To identify candidate factors to target for pediatric TI quality improvement by analyzing NEAR4KIDs … Definitions and Outcome Measures Undesired events were a priori defined as TIAEs with two categories … Quality Improvement Bundle Development A NEAR4KIDS Quality Improvement (QI) bundled intervention was … Development of tracheal intubation quality improvement bundled intervention The quality improvement

5058. Creating a Learning Health Care System: The Role of Practice Facilitators in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/webinar_summary.pdf
      August 02, 2017 - McNellis, M.P.H., P.A., Senior Advisor for Primary Care at the Agency for Healthcare Research and Quality … grant program dedicated to helping primary care practices implement evidence to improve health care quality … EvidenceNOW studies how external quality improvement support helps primary care practices improve the … EvidenceNOW cooperatives provide five quality improvement services to primary care practices: • On-site … PFs help everyone in the practice see that the data needed to measure change doesn’t always come from

5059. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
      January 01, 2014 - Limited progress in improving quality and patient safety is due to our inability to learn from care breakdowns … rarely addresses their needs. 4 Module 1 All of us in health care want to provide excellent, high-quality … Organizations have quality and safety programs, but many struggle to ensure that solutions to errors … Holds bills In Malizzo case, critical to understanding system failures that led to her death Important measure … “Patients and families could offer a unique perspective on norms and quality of care that would otherwise

5060. Outpatient Benzodiazepine Prescribing, Adverse Events, and Costs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/French.pdf
      April 27, 2004 - The Clinical Classification Software (CCS) of the Agency for Healthcare Research and Quality (AHRQ) … A report of the Committee on Quality of Health Care in America, Institute of Medicine. … Using prescribing indicators to measure the quality of prescribing to elderly medical in-patients. … Comorbidity measures for use with administrative data. Med Care 1998 Jan;36(1):8–27. … 30 >> /JPEG2000ColorImageDict << /TileWidth 256 /TileHeight 256 /Quality 30 >> /