- 
                                        
www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
January 01, 2024 - Particularly under stress, human memory is imperfect 
and response to crises can be compromised by the … The 16-question post-implementation survey was given by 
email and had a low response rate, so it may … administered electronically and on paper; 645 individuals responded to the 
survey, yielding a 19% response … to checklist 
development through rapid-cycle testing, and 16 cases were collected following rapid-cycle … Emergency and abnormal checklist design factors influencing flight crew response: A
case study.
                                     
                                                                    - 
                                        
www.ahrq.gov/research/findings/final-reports/index.html?page=11
January 01, 2024 - Publication Date:  September 2011 
 
 
 
 An Evaluation of the Effectiveness and Process Evaluation of a Rapid … Response System   ( application/pdf   912687 ) Principal Investigators:  Lord, et al.
                                     
                                                                    - 
                                        
www.ahrq.gov/teamstepps-program/welcome-guides/preprofessional-students.html
June 01, 2023 - TeamSTEPPS can help your trainees more effectively manage challenges arising from rapid changes in teams … other resources directly relevant to specific clinical settings (long-term care, office practices, rapid … response systems, etc.) and to diverse types of team participants (patients, support staff, administrators
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cpcq-scoring.pdf
May 01, 2017 - To reduce response burden 
2. … Capability Question- 
naire (CPCQ) of Solberg et al to assess practices’ use of techniques such 
as rapid-cycle … and non-response patterns. … Given the factors, response levels (agree to 
disagree) and non-response are conditionally independent … variances in response than questions with lower non-response 
with indications that non-response was
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - response teams, 
ambulatory care, ICUs, and other areas. … • Immediate response to questions. 
• Streamlined resolution of issues or concerns. … • Timely response to issues or concerns. 
• Efficient dissemination of information. … The Rapid Response form served both as a guide for identifying a patient’s condition that could 
trigger … a Rapid Response call and as a communication tool for physicians to convey their 
assessment and plan
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - Response for Perinatal Safety 
Obstetrical Rapid Response 
• Slide Presentation & Facilitator Notes … • Tool: Rapid Response Systems
L&D Unit Safety 
• Slide Presentation & Facilitator Notes
• Tool: Safe … This event demonstrated the need 
for a more coordinated and rapid response to obstetric 
patients arriving … Under the protocol change, the bedside nurse notifies 
the rapid response nurse and attending physician … The 
rapid response nurse then alerts the charge nurse in the 
operating room.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - Response for Perinatal Safety 
Obstetrical Rapid Response 
• Slide Presentation & Facilitator Notes … • Tool: Rapid Response Systems
L&D Unit Safety 
• Slide Presentation & Facilitator Notes
• Tool: Safe … This event demonstrated the need 
for a more coordinated and rapid response to obstetric 
patients arriving … Under the protocol change, the bedside nurse notifies 
the rapid response nurse and attending physician … The 
rapid response nurse then alerts the charge nurse in the 
operating room.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - complication during hospitalization  
∗ Restraints used  
∗ Return to surgery  
∗ Change in procedure 
∗ Rapid … response team activation  
∗ Cardiac arrest 
∗ Intubation/reintubation 
∗ DNR activated during hospitalization … complication during hospitalization  
∗ Restraints used 
∗ Return to surgery  
∗ Change in procedure 
∗ Rapid … response team activation  
∗ Cardiac arrest 
Toolkit for Using the AHRQ Quality Indicators 
How To
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-leveraging-data-enhance-cr-program.pdf
November 12, 2020 - In response to a polling question about the 
level of financial and operational uncertainties 
programs … In response they 
created some women’s-only sessions that worked 
well. … compared staff hours worked to the number of patient visits helped 
Matt’s administrative team make rapid … staffing adjustments in response to drastic changes in 
patient volume caused by the pandemic.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-facilitator-guide.pdf
November 01, 2019 - structural lung disease (not including 
asthma), or the patient did not have an adequate 
clinical response … It progresses 
quickly to respiratory failure followed by rapid 
improvement within 48 hours of the event … For patients initially started on antibiotics after an 
aspiration event with a favorable clinical response … : 
Rapid improvement in clinical status is anticipated 
within 48 hours of the aspiration event. … If rapid 
improvement occurs, antibiotics can be discontinued.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Is there a clear process for communication among staff in response to adverse events?
c. … Is there a process in place for rapid dissemination of critical process improvements?
3. … Is there a clear process for communication among 
staff in response to adverse events? … Is there a process in place for rapid dissemination 
of critical process improvements? … implementing 
processes that facilitate full disclosure of an adverse event, apology, and fair and rapid
                                     
                                                                    - 
                                        
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave1.html
July 01, 2025 - a message to his doctor through the patient portal, and the physician replies with an AI-generated response … The rapid integration of AI-enabled technologies is often misaligned with the understanding of their
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2024-01/schade-willis-report.pdf
January 01, 2024 - conference, 70% of 
respondents indicated use of the learning or tools in their organizations (49% response … respective 
organizations as a result of the conference learning, and 69% reported increased networking (37% response … conference, 70% of respondents 
indicated use of the learning or tools in their organizations (49% of response … respective 
organizations as a result of the conference learning, and 69% reported increased networking (37% response … Below are two survey comments from participants on the 7-month post-conference survey in response 
to
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
January 01, 2025 - In response, we conducted an analysis that leveraged EHR data from our ED data 
repository and outpatient … We undertook a cohort analysis to 
evaluate the impact of targeted rapid molecular testing for SARS-CoV … Rapid molecular testing was implemented in the ED alongside standard platform testing, with rapid 
tests … Moreover, rapid changes in 
healthcare practices, especially evident during the COVID-19 pandemic, may … Targeted rapid testing for 
SARS-CoV-2 in the emergency department is associated with large reductions
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
July 14, 2023 - Improving Diagnostic Safety and Quality in Healthcare 
March Meeting Summary
Workgroup Goal: Established in response … launched MakeMyTestCount.org last December (news 
coverage: https://www.verywellhealth.com/how-to-report-rapid-test … nih-launches-home-test-treat-pilot-covid-19-telehealth-program
https://www.verywellhealth.com/how-to-report-rapid-test-results … -6951432
https://www.verywellhealth.com/how-to-report-rapid-test-results-6951432
https://www.fda.gov/
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - and provider notification
timely use of standing orders for managing
tachysystole 
communication with rapid … Staff alertness for early signs of nonreassuring fetal or maternal status
Knowing the plan for a timely response … standard parameters at regular intervals
Unit-established process for timely provider notification and response … help quickly
timely use of standing orders for managing magnesium sulfate toxicity
communication with rapid … Adjust the standing orders for nursing response to tachysystole, seizure, or magnesium toxicity.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072221.pdf
November 19, 2021 - meeting were to: (1) Provide agency updates related to diagnostic improvement 
research and COVID-19 response … Rapid antigen tests perform on par with lab tests when 
used every 3 days.
                                     
                                                                    - 
                                        
www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - Its "Code Sepsis" project has helped ensure rapid response to sepsis cases, and its antimicrobial stewardship
                                     
                                                                    - 
                                        
www.ahrq.gov/teamstepps-program/curriculum/communication/tools/sbar.html
November 01, 2019 - and Requests  states an initial recommendation, what is needed and when, and repeats back the stated response … SBAR: 
	After watching the video, consider:
	 
 Why is SBAR particularly helpful in situations where rapid
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - Using lessons learned from the pilot site, a deployment plan was developed that 
allowed for the rapid … related to medication errors, PEERs data also have been used to add 
urgency to the implementation of rapid … response teams. … The deployment of rapid response teams, 
one of the key safety recommendations of the Institute for Healthcare … Deploy rapid response teams. Cambridge, MA: Institute 
for Healthcare Improvement; 2005.