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921. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
     September 01, 2015 - A month later, the patient was readmitted because of several days of back pain and inability to get … Endocarditis • Epidural abscess • Paraplegia (inability to walk) Ultimately, the patient underwent back … The RP can— • Use the check-back method to verify and validate information is exchanged in the way … Med Teach. 2010;32(3):198-218. Dudeck MA, Edwards JR, Allen-Bridson K, et al. … Check-Back: Closed-loop communication strategy to verify and validate information exchanged.

922. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
     September 01, 2015 - A month later, the patient was readmitted because of several days of back pain and inability to get … Endocarditis • Epidural abscess • Paraplegia (inability to walk) Ultimately, the patient underwent back … The RP can— • Use the check-back method to verify and validate information is exchanged in the way … Med Teach. 2010;32(3):198-218. Dudeck MA, Edwards JR, Allen-Bridson K, et al. … Check-Back: Closed-loop communication strategy to verify and validate information exchanged.

923. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
     December 01, 2003 - Her findings were fed back at a pilot site workshop in December 2003. … protocols are either ineffective or routinely violated, and suspension of an individual is used to teach

924. Patient-Centered Outcomes Research and the Use of Decision Aids to Facilitate Shared Decision Making (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/webinars/sharewebinar518-slides.pdf
     May 18, 2015 - precautions • Working with medical interpreters • Cultural competency strategies • Health numeracy • Teach-back

925. Implementation Guide for Enhancing Care Coordination for Cardiac Rehabilitation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-implementation-guide.pdf
     March 01, 2023 - o Ask patients to teach-back what they learned.

926. Paul Tedrick (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-transcript.doc
     October 08, 2013 - What's important to understand is that it is leaders that create and teach culture, based on how they … reward behavior, what behaviors they provide feedback about, and most importantly, leaders create and teach … report, excuse me, you can do it on the front end by making it easy to report, and you can do it on the back

927. References | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
     January 01, 2024 - Med Teach 2019;41(5):517-524. https://pubmed.ncbi.nlm.nih.gov/30244625/ . … diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html   Back

928. Development of the Learning Health System Researcher Core Competencies (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/lhs-corecompetencies.pdf
     January 01, 2017 - This requires near-real-time data aggregation, analysis, and evaluation to prompt changes that feed back

929. Appendix: State Overviews (continued) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap2.html
     October 01, 2014 - Nurses encourage members to visit their primary care provider, teach members to recognize signs of disease … patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap2.html   Back

930. Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
     September 01, 2008 - adoption is “an organic and often rather messy model of assimilation in which the organization moves back

931. Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
     March 26, 2008 - Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse…

932. Meeting Minutes (Draft), November 2023 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
     January 01, 2024 - endorsed the Accreditation Council for Graduate Medical Education to inform students of these issues and teach … Robinson proposed that the SNAC come back later with a crisp, clear charge that the NAC can consider … www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html   Back

933. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
     January 01, 2024 - We used a similar “all teach, all learn” approach, with increased dependence upon virtual learning supplemented … For “all teach all learn,” we convened monthly teleconference calls/webinars among all hospital stakeholder … Patients were newly identified if placed back on IV aminoglycoside for >3 days or >3 NTMx simultaneously

934. Quality Improvement Strategies | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html
     July 01, 2021 - Project TEACH . … Care Gap Reports Use care gap reports to feed information back to providers (e.g., primary care physicians … www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html   Back

935. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
     July 01, 2022 - www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html   Back

936. Module 1: Preventing Pressure Injuries in Hospitals (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
     July 12, 2017 - prevention and evolving as needed with the process changes we have gained, but definitely not going back

937. Improving the Emergency Department Discharge Process: Environmental Scan Report (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
     December 01, 2014 - could not get a PCP appointment.46 Compared with patients referred to PCP clinics, those referred back … Unplanned returns to the accident and emergency department—why do they come back?

938. SOPS™ 101 Webcast Transcript (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript-ad.pdf
     June 01, 2020 - that your computer freezes at any time during the presentations, you can try logging out and logging back … [Speaker navigated back to previous Slide 37] However, because we expect that the Hospital 2.0 Survey … I'm actually going to jump back to that slide again just one more time because it seems like we are … [Speaker navigated back to previous Slide 52] Then we also provide a percentile distribution, well not

939. Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
     May 01, 2018 - One or more ambulatory visits with asthma as the primary diagnosis in the look-back period AND an ED … It uses the previous year as a look-back year to enhance our sensitivity to identify children appropriate … with our specifications (see Supporting Documents): 1 year is the reporting year and 1 is the look back … eligible for the numerator if identifiable asthma criteria have been satisfied (combining the look-back … Using New York State Medicaid data for reporting year 2011 and look back year 2010, we found that the

940. Universal ICU Decolonization: An Enhanced Protocol (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
     September 01, 2013 -  Cloth 6: Back of neck, back and then buttocks. 9. …  Open bundle by using notch on back of package. … • Cloth 6: Back of neck, back, and then buttocks. … Y N Cleans armpit and back of knee well. Y N Cleans in between toes and fingers.