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341. Strategies for Improving Patient Experience with Ambulatory Care: Group Visits (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6m.pdf
     October 01, 2017 - This model dates back to at least 1990 when John Scott, M.D., of Kaiser Permanente Denver created the

342. Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
     December 01, 2017 - And what this says is if you think back to the slides that we just previously saw, I don't know if you … And there's a URL here at the bottom of this slide that will refer you back to the CUSP toolkit on the … And then when your transaction was done, the machine would release your card and push it back out of … So it was kind of one of those (0:28:07 indiscernible) one step forward, two steps back. … Janine Reisinger: I'll go back, sorry. Lisa Lubomski: That's okay.

343. Paul Tedrick (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
     June 03, 2014 - And what this says is if you think back to the slides that we just previously saw, I don’t know if you … And there’s a URL here at the bottom of this slide that will refer you back to the CUSP toolkit on the … And then when your transaction was done, the machine would release your card and push it back out of … So it was kind of one of those (0:28:07 indiscernible) one step forward, two steps back. … Janine Reisinger: I’ll go back, sorry. Lisa Lubomski: That’s okay.

344. Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
     December 27, 2021 - As a practice facilitator (PF), you will want to help your practices take a step back from their data … You should be able to teach the process to practice members so they can use it on their own, and also … assessment, the practice began discussing the idea of implementing a patient education program to teach

345. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
     December 01, 2017 - But by this time she was quite debilitated, so she had to go back to— she couldn't go home. … She actually survived this episode and went back to the skilled nursing facility. … Back in 2001 to 2003 it was 3.5 percent, and how it's dropped to an average of 1.1 percent. … I do think that that's definitely a culture change that goes back to what Dr. … Hopefully it was very fruitful and you have some lessons to take back to your own organization.

346. Paul Tedrick (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-transcript.doc
     May 13, 2014 - But by this time she was quite debilitated, so she had to go back to— she couldn’t go home. … She actually survived this episode and went back to the skilled nursing facility. … Back in 2001 to 2003 it was 3.5 percent, and how it’s dropped to an average of 1.1 percent. … I do think that that’s definitely a culture change that goes back to what Dr. … Hopefully it was very fruitful and you have some lessons to take back to your own organization.

347. Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
     April 01, 2008 - any time, patients had the opportunity to receive time-sensitive therapy before an emergent transfer back … to the PICU during the same hospital admission.9 Readmitted patients were more likely to be brought back … deteriorating, a less experienced provider might feel more comfortable transferring those patients back … Going back for more: An evaluation of clinical outcomes and characteristics of readmissions to a pediatric

348. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
     January 01, 2013 - lack of knowledge, lack of skills Management has ability to implement new policies and procedures; teach … Allows us to make sense of environment Reflects common language… is heard and observed Leaders create/teach … flatter professional structure, where control passes to task experts on the spot, and then reverts back … TeamSTEPPS Tools to Structure Communication: SBAR, Check Back, Call Out, I PASS the BATON * Action … flatter professional structure, where control passes to task experts on the spot, and then reverts back

349. The History of Patient Roles | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role2.html
     September 01, 2024 - wishes of the patient, a state of affairs reinforced by court decisions on informed consent reaching back … Patients’ possible range of responsibilities has proliferated “from having a seat in the back of the

350. Situation Monitoring: Severe Hypertension - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
     July 01, 2023 - It’s possible for us to come back another time and see something different, if we are more attuned to … 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?

351. Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
     July 01, 2023 - It’s possible for us to come back another time and see something different, if we are more attuned to … 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?

352. Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
     November 01, 2016 - With that I'll turn it back to Ann. … To speak about how we're moving from principles to practice, I'll turn the podium back to Dr. … To continue our discussion of our lessons learned, I'll turn it back over to Dr. Backman. Dr. … With that in mind, I'll turn the conversation back over to Dr. … Getting into the final stages of the presentation, I want to hand it back over to Dr.

353. Rafael Borja (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
     September 09, 2014 - I went back to some of their work to look to see exactly what they had been hearing about. … Feeding back the data seems to be very important, feeding it back to the frontlines. … It’s not just feeding back all of the data. … They used one measurement that they consistently fed back to the unit each unit in the hospital. … We’ll give you four minutes back of your day. Dr. Mohamad Fakih: Thank you.

354. Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
     November 01, 2015 - I went back to some of their work to look to see exactly what they had been hearing about. … Feeding back the data seems to be very important, feeding it back to the frontlines. … It's not just feeding back all of the data. … They used one measurement that they consistently fed back to the unit each unit in the hospital. … We'll give you four minutes back of your day. Dr. Mohamad Fakih: Thank you.

355. Experiences From the Frontline: Case Studies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
     May 01, 2015 - continue efforts toward standardized practices, nurse educators developed online educational modules to teach … …It’s just going to cycle back around again.” … html AHRQ Safety Program for Perinatal Care Case Studies 20 coaching leaders on other units to teach … after beginning the Program, they determined that in order to be successful, they would need to scale back

356. Final Progress Report: Health Journalism 2010, national conference on healthcare journalism (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/bruzzese2-report.pdf
     January 01, 2024 - infections: How Portland hospitals compare OregonLive.com (The Oregonian) Joe Rojas‐Burke Can dummies teach … Newsmaker briefings Back-to-back Newsmaker Briefings on April 22: • Thomas Frieden, M.D., M.P.H., director … Using data to depict the health of your local population Catch two important back‐to‐back Newsmaker … Her department pushed back, Sebelius said, and “within 24 hours” talk of such a loophole evaporated

357. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
     January 01, 2024 - Scope: We designed a simulation-based intervention to teach physicians and nurses about team-based error … around-the- clock access to disclosure coaches.(4) However, little has been written to guide efforts to teach … Med RN: “It’s helpful to have other people there that have your back but also can see the situation … Patients prefer the method of "tell back-collaborative inquiry" to assess understanding of medical information

358. Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
     December 01, 2017 - Reinsertion and UTI 18.8% 6.0% <0.001 Slide 41 Outcomes of Collection Fed data back … Data back to faculty to relieve some concerns regarding POUR (overwhelming sense was that POUR was >75%

359. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
     May 01, 2017 - management, · being aware of what is going on and what is likely to happen next, · verifying and checking back … Procedures for Shoulder Dystocia Management Primary Procedures McRoberts maneuver: Mother’s legs hyperflexed back

360. Patient and Family-Centered Care (April 9, 2013) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
     December 01, 2017 - my clinical background, it's a ittle daunting to me that after 30 years in my profession we're going back … So, we know, thinking back to some of the early work of Ron Hypites and others that we've talked about … So, for individuals that have already reviewed the science of safety, go back and challenge them with … It's a way to give back and to say "Thank you," because I really hold people in the medical field in … What would she suggest that we use information-wise to teach a patient about the safety behind maybe