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421. Appendix 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/vision/visfigapp1.html
     October 01, 2002 - Appendix 1 Vision Rehabilitation: Care and Benefit Plan Models: Literature Review Vision Rehabilitation … : Care and Benefit Plan Models: Literature Review Appendix Figure 1.

422. Welcome Guide for Experienced Trainers | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/welcome-guides/experienced-trainers.html
     July 01, 2023 - If you are less experienced, you may want to review the Welcome Guide for New Trainers . … teaching is to preprofessional students (e.g., medical students, nursing students), you may want to review … If you are reviewing materials on your own, take time to review all the learning options. … It can help identify information of particular interest or provide a quick review of available tools. … Provides a deeper review of the concepts and tools included in the module.

423. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
     November 01, 2017 - We’re here to review the Self-Assessment and think, as a team, about ways we can prevent falls for our … Facilitator: Before we go on, I want to review the Menu of Implementation Strategies. … I also think it will be great to review this report during our root cause discussions. … X X   Rehab Department Internal Review Department team weekly review of rehab patients or … X     X Weekly Behavior Review Meeting Multidisciplinary team review of residents with

424. Acute Care ASP Development
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-slides.pptx
     November 01, 2019 - Safety Program for Improving Antibiotic Use – Acute care 13 Establishing an AS Committee: Activities Review … Review guidelines and practices developed to optimize antibiotic prescribing in the facility. … Review materials for patient and health care worker education regarding optimal antibiotic prescribing … Review ASP responses to antibiotic shortages. … Review approaches employed by the microbiology lab for reporting culture and susceptibility data.

425. Appendix III (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiii.html
     June 01, 2010 - with intellectual disabilities (MRDD) Developer: Human Services Research Institute Use history: Review … coordination, and clinical service providers and conducts consumer interviews and an organizational review … the survey tools to provide a comprehensive quality assurance and quality improvement (QA/QI) program review … Records tool, the Individual Enrollee Home Visit tool, and the Individual Enrollee Clinical Record Review … Set: Indicators for Vermont's HCBS Waiver Services Data Source: Multiple: consumer survey, record review

426. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-slides.pptx
     January 01, 2017 - Review both individual cases and system level issues Develop a form to help analyze individual cases … VAE Surveillance ‹#› AHRQ Safety Program for Mechanically Ventilated Patients Review All VAC Cases–Case … Review 1 Patient develops a VAC Chronic ventilator dependency Ambulation protocols were not implemented … VAE Surveillance ‹#› AHRQ Safety Program for Mechanically Ventilated Patients Case Review 3 In an … suctioning VAE Surveillance ‹#› AHRQ Safety Program for Mechanically Ventilated Patients Case Review

427. 2. Description of the Intervention (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen2a.html
     April 01, 2018 - An initial review is conducted to identify patients of participating practices who appear to be eligible … Patients deemed ineligible after the initial record review are excluded from receiving the intervention … Patients deemed eligible after this initial review are entered into a master patient database used to … As previously described, we collected the required electronic data for the record review from LVPHO, … This ambiguity required a manual review of the record and chart notes to resolve.

428. Final Progress Report: Medication Safety in Primary Care Practice Translating Research Into Practice (MS-TRIP) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/ornstein-report.pdf
     January 01, 2024 - intervention included EHR- generated audit and feedback; annual practice-site visits for performance review … audit and feedback on the MS-TRIP measures; annual practice site visits, consisting of performance review … The purpose of the first meeting was to introduce the final MS-TRIP measure set, review initial audit … Integrate Medication Safety EHR Decision Support Features into Routine Practice • Review alerts and … • Empower staff to review EHR monitoring prompts and implement standing orders.

429. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
     September 10, 2015 - Review all records. Notify liability insurance carrier(s), if any.   … As the Event Investigation and Analysis continues, the Event Review Core Team institutes a process for … In-depth Review Identify Core-review Team members. Develop timeline. … Finalize event review documents. Solutions Meeting Develop targeted solutions. … This guide can be used to conduct an in-depth review of an event, manage a confirmation and consensus

430. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
     June 01, 2023 - Defining and measuring diagnostic uncertainty in medicine: a systematic review. … Hospitalist handoffs: a systematic review and task force recommendations. … Cognitive errors detected in anaesthesiology: a literature review and pilot study. … Transitions of care in the perioperative period - a review. Clin Med. 2019;19(6):446-449. … Cognitive interventions to reduce diagnostic error: a narrative review.

431. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
     January 01, 2024 - Updated Review: Diagnostic Errors in the Emergency Department: A Systematic Review. … Diagnostic errors in pediatric critical care: a systematic review. … Diagnostic error in the pediatric hospital: a narrative review. … The application of the Global Trigger Tool: a systematic review. … Strategies to reduce diagnostic errors: a systematic review.

432. Improving Patient Experience in Large Organizations webcast - Skootsky (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ipe-large-org-webcast-skootsky.pdf
     March 01, 2021 - Interventions & Strategies to Improve the Patient Experience Newer Initiatives Focused Quality Improvement Review … Focused Quality Improvement Work 31 Agenda for Discussion • Review objectives of improvement project … • Provide an overview of the survey background • Review of practice site CG-CAHPS Survey results • Share … clinical department survey data results • Review “Top Five” items that drive patient loyalty Action … Drivers of Success • Engagement of Clinical Directors and Practice Managers • Weekly Meetings • Weekly Review

433. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
     January 01, 2007 - Reviewers filled out a peer review sheet to indicate their opinion as to whether standard of care had … After each incident had been analyzed and peer review completed, the QI director assigned a primary … Each unit or division made local modifications to the reporting format and initial review process to … When a case was closed, it was cross-referenced in the peer review database of involved providers. … Additional physician and staff time are needed for coordination and department-level review.

434. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/references.html
     September 01, 2018 - Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled … Self-management education programs in chronic disease: a systematic review and methodological critique … Self-management education and regular practitioner review for adults with asthma. … Technical review. Diabetes self-management education core outcomes measures. … Systematic literature review. Int J Technol Assess Health Care 2006;22(1):47-57. 64. Lewis A.

435. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
     March 11, 2022 - report Diagnostic Errors in the Emergency Department was submitted in October for AHRQ’s internal review … Peer review began in November and the public comment period will begin around the end of the year/ … Reporting - Diagnostic Safety, National Academy of Medicine Definitions Paper (submitted to peer review … VA • The External Peer Review Program is being used to determine the quality of test results communication

436. Briefing and Debriefing Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
     December 01, 2017 - Procedure Opening temperature ______(in operating room) Anticipated critical events: Surgeon review … operative duration, anticipated blood loss Separation of clean and dirty instruments Anesthesia review … : Patient-specific concerns Circulating review: Equipment availability, malfunctions … Count correct Specimens labeled correctly Clean/dirty instrument separation Equipment issues/review

437. Tool: Briefing and Debriefing Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/briefing_debriefing.docx
     December 01, 2017 - · Procedure · Opening temperature ______(in operating room) · Anticipated critical events · Surgeon review … operative duration, anticipated blood loss · Separation of clean and dirty instruments · Anesthesia review … · Patient-specific concerns · Circulating review · Equipment availability, malfunctions, or concerns … Count correct · Specimens labeled correctly · Clean/dirty instrument separation · Equipment issues/review

438. Supplemental Items for the CAHPS Clinician & Group Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/index.html
     April 01, 2016 - Patient was informed about length of wait time at provider’s office after checking in for appointment Review … Someone from provider’s office talked about worrying/stressful aspects of patient’s life Review the … Respondent was informed about length of wait time at provider’s office after checking in for appointment Review … Respondent and provider talked about how child gets along with others Review the full item wording

439. Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
     June 03, 2008 - Methods: A Mortality Review Task Force selects cases for presentation at the monthly MM&I. … The MM&I is part of our formal peer review and quality improvement processes sponsored by the offices … The resident coordinators also spend an additional 2 to 3 hours preparing a brief literature review … For example, pediatric radiologists are asked to review the appropriate imaging studies related to the … As part of the institution’s peer review and quality improvement processes, the MM&I discussion is

440. Making Healthcare Safer Practices: 16. Venous Thromboembolism (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
     March 01, 2020 - This current review provides an update on the state of the evidence specifically for the use of aspirin … A systematic review on the use of aspirin in the prevention of deep vein thrombosis in major elective … Of those, 33 were selected for inclusion in this review. … Articles were excluded if the outcomes were not relevant to this review, the article was out of scope … to this review included limiting articles to patients undergoing major orthopedic surgery.