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4801. Experiences From the Frontline: Case Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
      May 01, 2015 - staff have learned the same EFM nomenclature and are now able to more clearly communicate with and report … This change also automated data outputs and reports. … For example, the team conducts each shift report in front of the patient and concludes the report … Hospital Survey on Patient Safety Culture 2014 Comparative Database Report, Appendixes, Parts II and … new behaviors by initiating huddles and debriefs during and after a cesarean section and requesting reports

4802. Implementation Quick Start Guide: Teach-back (Half-page) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back_quickstart_brochure.pdf
      September 15, 2016 - Skilled teach- back users report that it adds about 1 minute to the office visit, but the gain in patient … References Implementation Notes Implementation Notes Acrobat Accessibility Report … Accessibility Report Filename: TB-QSG-E-B-0.pdf Report created by: PFE Guide, PFEGuide@medstar.net … manual check: 2 Passed manually: 0 Failed manually: 0 Skipped: 0 Passed: 30 Failed: 0 Detailed Report

4803. Session 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
      October 01, 2014 - But even if you think a mistake may have happened, you must report the change. … Residents are most protected from harm or injury when providers openly report anything that might affect … events) or look as if they are about to (near-misses), we may feel embarrassed and worry that if we report

4804. Cost Effectiveness of a Multifaceted Program for Safe Patient Handling (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
      January 10, 2005 - Advances in Patient Safety: Vol. 3 348 with upper extremity nerve damage were most likely to report

4805. CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
      January 01, 2017 - hospital-acquired infections, and medication administration errors, among others.1-8 Check out this final report … Your team can identify defects from incident reports, liability claims, or sentinel events. … To encourage staff to report safety concerns, it works well to make the tool available at all times, … What the CUSP Team Needs To Do Take a defect identified in your clinical area—an incident report, sentinel

4806. Presentation: Engaging Senior Executives
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
      December 01, 2017 - work WITH engaged clinicians, instead of TO reluctant staff Executive will be able to QUANTIFY and REPORT … your Safety Culture Survey (HSOPS) scores Show the composite scores graphs provided in HSOPS aggregate reports … important points or culture score results 19 Question: Do you know how to access your HSOPS aggregate report … Culture assessment composite scores Share your Safety Culture Survey (HSOPS) scores HSOPS aggregate report … ASK: Do you know how to access your HSOPS aggregate report?

4807. Development of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Slide Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/smith2slides.pdf
      June 02, 2025 - patients 58% 26 26 Open-Ended Comments Communication About Patient Information Hand off report … between RNs has improved with face to face report given. … that could harm the patient, but does not, how often is it documented in an incident or occurrence report

4808. 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
      January 01, 2024 - The authors of this report are responsible for its content. … Statements in the report should not be construed as endorsement by the Agency for Healthcare Research … grants or patents received or pending, or royalties) that conflict with material presented in this report … Safety Supplemental Item Set Results iii Table of Contents Section Page Purpose and Use of This Report … This report provides results from a total of 102 U.S. medical offices and 760 respondents.

4809. Intramuscular Injections – Best Practices for Safe Vaccine Administration in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/intramuscular-injections.pdf
      June 01, 2021 - More information about when, what, and how to report can be found at: https://vaers.hhs.gov.

4810. Module 4: Observation and Integration - Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-fac-notes.html
      June 01, 2017 - Second— Can an observer report on an observation in a daily huddle? … In the surgical safety checklist context, can the observer report on the results of surgical safety checklist … Can an observer observe at least two procedures each week for four weeks and report the results in daily

4811. Use of Copper-Infused Surfaces Reduces Clostridioides difficile Spores | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/948.html
      March 01, 2025 - A unified approach to health data exchange: a report from the US DHHS.

4812. Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/takeheart-hybrid-workgroup-evaluation.pdf
      August 01, 2023 - Rehabilitation through Automatic Referral with Care Coordination Hybrid CR Workgroup Evaluation Report … Rehabilitation Through Automatic Referral With Care Coordination Hybrid CR Workgroup Evaluation Report … Methods This report and evaluation of the Hybrid Workgroup component leveraged qualitative, self- reported … WG participant feedback and Abt implementation team discussion were summarized and included in this report … and the TAKEheart Final Report.

4813. 105-What-Are-The-4-Es-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
      April 01, 2025 - Engaged individuals are more likely to identify safety hazards, report incidents, and contribute to developing … organizations may be able to leverage their electronic health records to even provide near real-time reports

4814. 2023 National Healthcare Quality and Disparities Report - Appendix B. Quality Trends and Disparities Tables: Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-7.pdf
      January 01, 2023 - 2023 National Healthcare Quality and Disparities Report - Appendix B. … AHRQ Publication No. 23(24)-0091-EF December 2023 2023 National Healthcare Quality and Disparities Report … what the patient’s discharge healthcare would be. 2023 National Healthcare Quality and Disparities Report … available at https://datatools.ahrq.gov/nhqdr. 2023 National Healthcare Quality and Disparities Report

4815. 2023 National Healthcare Quality and Disparities Report - Appendix B. Quality Trends and Disparities Tables: Affordable Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-3.pdf
      January 01, 2023 - 2023 National Healthcare Quality and Disparities Report - Appendix B. … AHRQ Publication No. 23(24)-0091-EF December 2023 2023 National Healthcare Quality and Disparities Report … available at https://datatools.ahrq.gov/nhqdr. 2023 National Healthcare Quality and Disparities Report

4816. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
      October 01, 2024 - Mixed electronic/manual process: EHR generates a daily report of patients with devices. … A Sample Adherence Report is available in the Toolkit. … Download a Sample Adherence Report template here … Decolonization is documented in EHR to generate regular adherence reports. … Download this Sample Adherence Report template.

4817. Generic Dashboard Data 2024 (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
      January 01, 2024 - Year Event Type Report Frequency Report Percent 2010 Blood or Blood Product 602 1.0% 2010 Device/HIT … Gen_2 Report Type by Year Report Year Report Type Report Frequency Report Percent 2010 Incident 33,197 … Gen_4 Location of Event/Unsafe Condition by Report Type Report Type Location of event/unsafe condition … Report Frequency Report Percent Incident Emergency department 139,148 10.3% Incident Inpatient general … Gen_6 Contributing Factors by Report Type Report Type Report Frequency Report Percent Incident Communication

4818. Tk3 T5 Minimum Criteria Nursing Staff Training (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK3_T5_Minimum_Criteria_Nursing_Staff_Training.docx
      October 01, 2016 - the prescribing clinician, you will need to mention that the UTI SBAR form guides you to this box and report … And, if calling in the report, read what the box tells you to say to the prescribing clinician. … Discuss the following two questions for about 10 minutes, and then we will report back. 1. … Report back: Allow 2–3 minutes per group per question. Reinforce and support meeting the criteria.

4819. Diabetes | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/diabetes.html
      June 01, 2018 - Musculoskeletal Diseases Respiratory Diseases National Healthcare Quality and Disparities Report … 2011-2013, Hispanics of all races, Mexicans, and Central Americans were less likely than Whites to report … adults who did not speak English well or at all were less likely than adults who spoke only English to report

4820. Cusp Patient Family Engagement Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
      June 02, 2025 - are invited to partner with their health care team throughout their stay · Conducting change-of-shift report … Caring for the patient’s physical needs after an event is the first step a provider must take. · Report … Providers report the incident to the unit manager and the risk management department according to the