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981. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/crane.html
     August 01, 2017 - a “charter” outlining the problem to be addressed, expected outcomes, and a timeframe for reporting back … https://www.ahrq.gov/patient-safety/reports/liability/crane.html   Back

982. Improving-Facnotes (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
     May 01, 2017 - the procedure is recorded as it was actually done, and confirmation of specimen labeling by reading back … Here, closed loop is called by its other name – check-back.

983. Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
     March 01, 2017 - Consider engaging the staff by assigning a section to each person and having them teach their peers. … www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html   Back

984. Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
     July 01, 2023 - perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html   Back

985. TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ) Manual | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.html
     April 01, 2017 - www.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.html   Back

986. Using Patient Complaints to Promote 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/vol2/Advances-Pichert_51.pdf
     March 22, 2008 - need to elicit patients’ stories, capture information relevant to safety, and feed that information back

987. Section 5, Figure 1 and Tables 1-5 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-figure-1-tables-1-5.pdf
     January 01, 2011 - 200159 Guideline Children with traumatic brain injury Provide recommendation for transitioning back

988. Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/pharmlit.pdf
     October 01, 2007 - continually check that they have understood the information we give them by asking them to repeat back … key points (i.e., “teach-back”). 16. … Please hand it back to me when you are finished. Okay, let’s begin! V. … Think back to the first time you went to the pharmacy. How easy or hard was it to find? i. … Has a pharmacist ever asked you to repeat back what she or he told you? ii.

989. Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pharmhealthlit/pharmlit/pharmlit.pdf
     October 01, 2007 - continually check that they have understood the information we give them by asking them to repeat back … key points (i.e., “teach-back”). 16. … Please hand it back to me when you are finished. Okay, let’s begin! V. … Think back to the first time you went to the pharmacy. How easy or hard was it to find? i. … Has a pharmacist ever asked you to repeat back what she or he told you? ii.

990. Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
     January 01, 2014 - He arranged for General Electric (GE) to teach 45 employees the methods of Lean and Six Sigma. … Since the WOWs were not in place until February 2010, progress was held back during the early phases … Finally, data can be used to feed information back to staff, so that they can see the impact of their … as a “flavor of the month,” where operations would be modified for a while but would slowly revert back … transferred to the ASU, as well as the procedure for transferring existing ED patients in the ASU back

991. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/Final_Using_the_CAHPS_Database_Webcast_Transcript.pdf
     January 01, 2014 - You can also try logging out and logging back in to the Webcast. … survey every year, and they only submitted data in 2013, and then the last time they submitted data was back … You would have to go back and run the two-way frequency again or do the particular items again. … And I believe we are at the point in the Webcast-- we will come back to as many of these questions as … easy it was to get hold of a practice, how easy it was to get an appointment, and how well they got back

992. Biosketches | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
     September 01, 2016 - on patient safety and quality, including a recent co-edited textbook on using patient narrative to teach … news/events/ahrq-research-summit-diagnostic-safety-biosketches.html   Back

993. Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/tools/workforce-financing/case-example-8.html
     July 01, 2019 - www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-8.html   Back

994. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
     December 01, 2017 - /surgery/modules/implementation/learn-from-defects-fac-notes.html   Back

995. Puh-Electronic-Reports (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-electronic-reports.pdf
     February 10, 2014 - Table 2: Ulcer Locations and Codes Ulcer Location Code Ulcer Location Description HEAD Back of head

996. Appendix B. Decisionmaking and Readiness for Implementation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apb.html
     September 01, 2013 - www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apb.html   Back

997. Appendix B. Decisionmaking and Readiness for Implementation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apb.html
     September 01, 2013 - www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apb.html   Back

998. Appendix E: Resources and Tools To Address Language and Cultural Barriers and Improve Patient Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/lepguide/app-e.html
     September 01, 2020 - www.ahrq.gov/health-literacy/professional-training/lepguide/app-e.html   Back

999. Presentation: Program Overview
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
     December 01, 2017 - Program will teach you to embed adaptive work (CUSP) in your technical work (surgical care) Unlike other … give lip service to patient safety and culture changes, but we do not always provide the resources to back … Take these steps back to your team and complete the premortem exercise during your first surgical safety

1000. Perspectives on Implementing Quality Improvement Collaboratives Effectively: Qualitative Findings from the CHIPRA Quality Demonstration Grant Program (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/perspectives-quality-improvement-collaboratives.pdf
      January 01, 2018 - We end up whispering back and forth while the next presenter comes up.”