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341. Meeting Minutes, November 2016 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2016-11-nac/nacmtg1116-minutes.html
     August 01, 2017 - It creates materials to teach and train health care systems and professionals to catalyze improvements … It can seek to determine how collected information can be fed back into a system to improve care. … How might those data be funneled back to health care? Dr.

342. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
     January 01, 2024 - occurs and fails Q:0.28 Event593 Read back does not occur Q:0.2 Gate483 Read back occurs and fails … occurs and fails Q:0.28 Event593 Read back does not occur Q:0.2 Gate483 Read back occurs and fails … In this case, the read back fails when either the read back does not occur (the at-risk behavior) or … the read back occurs but an error in the read prevents the initiating error from being caught. … Q:0.001 G t 392 Read back ... Q:0.951 E t776 Read back ... Q:0.95 G t 515 Read back ...

343. Final Progress Report: Patient Advocacy Summit: Patients at the Center of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/earp-report.pdf
     January 01, 2024 - For example, we must consider changing the way we teach medical education, the way we write prescriptions … I enjoy the discussion, the readings, and the back and forth commentary.

344. Improving Patient Safety in Long-Term Care Facilities, Module 2 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcmodule2.pdf
     June 01, 2012 - resident is safe. 5 6 NOTES Not being able to talk about how things did or could go wrong holds back … Think about how to give information back to that person in a give-and-take until you are both sure that … Think about how to give information back to that person in a give-and-take until you are both sure that

345. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
     January 01, 2017 - They adopt the attitude that defects have something to teach us about how care can be improved. … No matter what intervention we put in place, it is very important to go back and make sure—through observation

346. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
     February 01, 2017 - They adopt the attitude that defects have something to teach us about how care can be improved. … No matter what intervention we put in place, it is very important to go back and make sure—through observation

347. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
     June 02, 2025 - The team may need some support and guidance to reengage and get back on track.

348. Appendix I. Measure Mapping Strategy | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/appendix1.html
     June 01, 2014 - Quality Indicators)] Within teams of health care professionals It is often necessary for me to go back … Measure #9b, item 6 (CTM-15)] In the past 3 months, how often did someone on your diabetes care team teach

349. Improving Communication and Teamwork in the Surgical Environment Module | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
     October 01, 2020 - sponge, and needle counts are correct Name of the procedure performed Specimen labeling Read back … Teach people closed-loop communication.

350. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
     December 01, 2017 - Yes _X_ No ___ *A comprehensive skin assessment is defined as a full head to toe and front and back … Ischium: Yes ___ No ___ Trochanters: Yes ___ No ___ Heels: Yes ___ No ___ Elbows: Yes ___ No ___ Back … Facilitator: Good morning, team, and welcome back to the On-Time training. … For example, if you had the On-Time reports, you could look back prior to the date that the resident's … Yes _X_ No ___ *A comprehensive skin assessment is defined as a full head to toe and front and back

351. Session 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
     October 01, 2014 - causing decreased urine production, people can retain urine and their bladder can fill and stretch and back … A link to the SBAR tool is in the Additional Tools and Resources section at the back of this Workbook … Not being able to talk about how things did or could go wrong holds back our own learning.

352. Connecting the Dots: Improving Unit Safety Culture to Stop HAI | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
     December 01, 2017 - us to make sense of environment Reflects common language… is heard and observed Leaders create/teach … TeamSTEPPS Tools to Structure Communication: SBAR, Check Back, Call Out, I PASS the BATON Image: Bar

353. Final Progress Report: A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
     January 01, 2024 - Modeling what we teach: an instrumental case study of interprofessional facilitation in simulation-based … Med Teach 2014;36(10):853-857. 28. Lindqvist SM, Reeves S. … Med Teach 2007;29(4):403-405. 29. Van Schaik SM, Plant J, Diane S, Tsang L, O'Sullivan P. … Med Teach 2020;42(9):980-986. 16 Appendix A Pre- and Debriefing Guide Benioff Children’s Hospital … scenario flow and outcome  Ask participants to share one thing they will take away from this session back

354. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
     September 26, 2019 - After adoption of strict infection control measures, CRE frequency fell back in 2011 and remained

355. Improving Customer Service and Access in a Surgical Practice (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/Case_Study_Specialty_Practice_Updated.pdf
     October 01, 2011 - • If performance does not improve, go back to the drawing board and gather more information about … • Instituted a new minimum requirement for LVN licensure for back-office staff positions and hired … The courses were for both specialty practice managers and for front- and back-office staff in the 35 … All front- and back-office staff and any new employees were scheduled to attend the training. … But that RN did not oversee the back office staff; an LVN did that, and the LVN was inexperienced as

356. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
     August 01, 2025 - reduction in critical bleeding Core Tools of TeamSTEPPS Communication • SBAR • Callouts • Check-back … (Continued on back) 7. Severe Sepsis screen resu lt? + or - - On the bundle?

357. Situation Monitoring: Severe Hypertension (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
     July 01, 2023 - Always check‐back to verify information (Module 3). 4 SCRIPT Now that you have the concepts and … In this module we teach you about briefs, huddles, and debriefs. … Are we confirming the receipt of information and clarifying uncertainties with a check‐back? … Did team members check‐back on communications? … Did everyone check‐back or close‐the‐loop to confirm messages were correctly understood?

358. Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
     February 21, 2008 - reliably from the primary-care physician (PCP), to the hospital team, among hospital team members, and back … as they are empty works as a disincentive to give nurses and doctors the time needed to create and teach … However, about 1 hour of nursing time is needed to create and teach the discharge plan.

359. Webinar Transcript - The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve Health Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/events/webinar-2014-qdr-working-together-to-improve-health-care.html
     November 01, 2016 - strategy, it's really a nationwide galvanizing effort to come together; and it was designed through a back … And I'm going to jump back and give you a little bit of background about the Quality and Disparities … Ernest Moy: I think I'll tie it back to my previous answer, which is that I think organizations should … I was just thinking about the, teach back, what I used to call in survey research, you know the cognitive … And you tell me back what you think that I said.

360. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
     January 01, 2025 - One patient with back pain was initially dismissed, labeled as an ED “frequent flyer.” … However, not only is back pain an extremely common and nonspecific symptom, but also our review of literature … surprisingly rare, perhaps <1/50,000 ED visits for chest pain and likely an equally rare cause for back … Developing a national action agenda for the National Health Information Infrastructure: Report back