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pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - Have a process in place to review—
Inductions outside of policy-defined indications. … Put process in place to review—
Use of magnesium sulfate outside of defined indications. … Comprehensively review the unit procedures each year to assess the need for updates. … A systematic review of implementing an elective labor induction policy. … Review. PMID: 19623003.
Clark S, Belfort M, Saade G, et al.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
March 01, 2024 - This manuscript describes how the
use of systematic approaches that account for poor health literacy … BCC measure will support the DHQP’s Hospital
Acquired Bacteremia measure, which is undergoing NQF review … HRSA • Medical Claims Review Panel
o Annual review of malpractice claims paid shows a similar pattern
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pbrn.ahrq.gov/sites/default/files/wysiwyg/cpi/about/health-equity/health-equity-factsheet.pdf
March 01, 2024 - AHRQ commissioned a systematic review
to summarize current research defining and
measuring respectful … AHRQ conducted a rapid review to evaluate the
effectiveness and unintended effects of healthcare
worker
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pbrn.ahrq.gov/data/ushik.html
July 01, 2022 - This portal could be used to research, review, and compare metadata between different SDOs.
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pbrn.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
April 01, 2023 - Key Elements
The referral agreements are meant to make the process more systematic and more responsive
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pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module3/ebcommunication.html
October 01, 2014 - A review of salient elements defining team collaboration in paediatric rehabilitation. … Know the plan, share the plan, review the risks: a method of structured communication for the emergency
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
November 20, 2014 - Skin Assessment Frequency
Not a one-time event
Repeated on a regular basis
Optimally done daily in a systematic … 16
Risk Assessment Scales
Only one part of risk assessment
Meant to be used in conjunction with a review
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pbrn.ahrq.gov/sites/default/files/publications/files/qipcfactsheet.pdf
June 01, 2014 - primary care, the patient-centered medical home
(PCMH), requires primary care practices to have a systematic … Systematic review and meta-analysis of
practice facilitation within primary care
settings. … Review and compare surveys and other
instruments to help you identify
measures that you can use to
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
January 01, 1995 - All hospitalized individuals at risk for pressure ulcers should have a systematic skin inspection at … All hospitalized individuals at risk for pressure ulcers should have a systematic skin inspection at
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
January 01, 2011 - Tool
Failure Modes
and Effects
Analysis Tool
Failure Modes and Effects Analysis (FMEA) is a
systematic … FMEA includes review of the following:
• Steps in the process
• Failure modes (What could go wrong … of the Available
Instruments
Review of the quantitative instruments available to
health service … Local opinion
leaders: Effects
on Professional
Practice and
Health Care
Outcomes
Summary of a systematic … care
organizations can assess their organizational capacity
to collect information and implement a systematic
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_fall-prevention.docx
January 01, 2013 - Purposeful rounding is a proactive and systematic approach that helps anticipate and address patient … Slide 13
Fall prevention can be viewed as a 3-step process based on a review of the evidence-based … Let’s take a few minutes to review your hospital’s care plan for fall prevention. … ASK: Do you have a post-fall clinical review process or post-fall huddle protocol at your hospital? … The post-fall clinical review focuses on immediate risk of injury or complications.
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pbrn.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.html
January 01, 2014 - Conduct summative evaluation: Systematic process of collecting and analyzing data on impacts, outputs … Document review.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - Debrief and analyze near misses and adverse events related to oxytocin use
Have a process in place to review … Admin.
30
Unit Next Steps
Review key safety elements of tool with implementation team, consider any … A systematic review of implementing an elective labor induction policy. … Review. PMID: 23853046.
34
AHRQ Safety Program for Perinatal Care
Safe Med. Admin. … Review. PMID: 19623003.
Clark S, Belfort M, Saade G, et al.
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pbrn.ahrq.gov/sites/default/files/docs/page/Meta-Larc.pdf
February 01, 2016 - Engaging Patients and Practice (INSTTEPP), and development of expertise in working with
Institutional Review … Processes for ceding review to a lead IRB, serving
as the IRB of record, and participating in Ohio’s … Reliant IRB review
were described and presenters gave examples of how PBRNs have
successfully implemented … EXACKTE2: A Systematic Process for
Recruiting Physician Patient Dyads In
Practice-Based Research networks … This study tested a systematic process for
recruiting dyads of family physicians and
their patients
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pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
February 01, 2019 - Quality
improvement (QI) is a systematic, data-driven process for managing that change. … step is to
choose QI measures that provide information to guide implementation, and to collect and review … changes
Attempts to implement new evidence can be inefficient and ineffective unless practices use a
systematic … QI teams can review results with clinicians and teams
privately to ascertain their comfort with the … of evidence-based care, it is essential that leaders review measures of
whether the practice has in
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pbrn.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process … The Rural Physician Peer Review Model: A Virtual Solution ( PDF , 422 KB ) Josie Williams, et al.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - How to use this tool: Review the key perinatal safety elements with L&D leadership and relevant unit … placement of forceps or vacuum
Use cognitive aids such as checklists, algorithms, or protocols to guide a systematic … risk assessment
· Causal tree worksheet
· Interdisciplinary case reviews
Have a process in place to review … This might include an existing medical peer-review process or review by a perinatal safety or quality … A sample process and forms for a committee review are available at the Council on Patient Safety in Women
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pbrn.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
May 01, 2016 - , CPE, FAAP, Group Health Physicians Jed Weissberg, M.D., FACP, Institute for Clinical and Economic Review … The EPCs continued to produce systematic reviews, methods reports, and technical briefs. … require that health care organizations monitor the diagnostic process, identify errors, and provide systematic
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
September 01, 2017 - Tool 3N: Post-Fall Assessment, Clinical Review. … Analysis of post-fall procedures, including a clinical review. … Purposeful rounding is a proactive and systematic approach that helps anticipate and address patient … Let’s take a few minutes to review your hospital’s care plan for fall prevention. … The post-fall clinical review focuses on immediate risk of injury or complications.
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
September 01, 2017 - Slide 5
Say: Three systematic reviews of multicomponent in-facility Fall Prevention Programs … They gave a brief review of strategies that have made a difference so far (such as proactive purposeful