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441. Primary Care Practice Facilitation Curriculum Module 5: Special Considerations When Working With Safety Net Practices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-5-working-with-safety-net-practices.pdf
     September 01, 2015 - receive an appointment within 2 weeks, or if patients request a later appointment they are asked to call back … If patients want appointments in, for example, 2 months, they are told to call back the week they want … the electronic medical record goes with each team member rather than having care team personnel go back … No one at Clinica would ever imagine going back to paper charts; the EMR has been a key contributor … clinics and practices whose improvement journey began later than that of Clinica, Clinica has much to teach

442. The Compendium of U.S. Health Systems: Data Structure Overview (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/webinars/chsp-webinar-slides-071223.pdf
     July 12, 2023 - of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

443. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
     January 01, 2007 - If all identified issues had not been sufficiently addressed, the QI director could send the cases back … They found that results of tests pending at discharge from hospitals often do not make it back to primary

444. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
     May 01, 2016 - were seeking input from others (65%), establishing the patient role in decisionmaking (53%), using teach-back … As the final step, researchers pilot tested a customized TeamSTEPPS® training designed to teach patients … and would be easy to use, they would be comfortable using the tools, and it would be beneficial to teach … were seeking input from others (65%), establishing the patient role in decisionmaking (53%), using teach-back

445. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - were seeking input from others (65%), establishing the patient role in decisionmaking (53%), using teach-back … As the final step, researchers pilot tested a customized TeamSTEPPS® training designed to teach patients … and would be easy to use, they would be comfortable using the tools, and it would be beneficial to teach … were seeking input from others (65%), establishing the patient role in decisionmaking (53%), using teach-back

446. Improving Patient Safety by Engaging Patients and Families (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
     April 30, 2025 - The final interventions were “Be Prepared To Be Engaged,” “Create a Safe Medicine List Together,” “Teach-Back … Key Findings/Impact: The researchers designed a simulation-based intervention to teach physicians and … patient seeking input from trusted others (65%), establishing a patient’s role in DM (53%), using teach-back … significantly more likely to include asking the family or healthcare team for questions and reading back

447. TeamSTEPPS for Improving Diagnosis Facilitator's Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
     February 04, 2022 - After working in small groups, bring teams back together. … “If you experience X or Y new symptoms, please come back in or call the office.” … “If you experience X or Y new symptoms, please come back in or call the office.” … Med Teach. 2018 Aug;40(8):803-808. https:// doi.org/10.1080/0142159X.2018.1484898. … Godfrey, 58 years old and a former construction worker, has a long history of intermittent back pain

448. Making Healthcare Safer Practices: 14. Delirium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
     March 01, 2020 - ICDSC and better staff preparation for how to properly screen and manage patients.10 In an effort to teach … room, reduction of multiple sensory experiences; cluster care to avoid night hours; provision of back

449. Eliminating CLABSI, A National Patient Safety Imperative: Final Report (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
     October 01, 2012 - Looking back, do you think there were things you would have done differently to increase recruitment

450. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
     January 01, 2005 - The curriculum to teach the intervention group about PDA use was produced using a best-practice prototype … Instructional design methods were used to prepare the practice-based, case- simulation curriculum and teach … Impact of PDAs on Medication Safety 251 Because they had the option of reverting back to the traditional

451. Final Progress Report: Workshop on Consumer Engagement in Selected Patient Safety Topics (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/hatlie-report.pdf
     January 01, 2024 - Use a classification system as the back end that allows consumer reports to be analyzed in the same way … sent to the place of care, and it becomes the responsibility of the healthcare facility to report back … continuum of care. • Patients are invited to use care partners/advocates. • Clinicians and patient use teach-back

452. Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
     January 01, 2024 - must accompany patients as they transition from home to clinical office setting to nursing home and back … had determined that, in order to implement an intervention program, we first needed to take a step back … . (3) Information must flow easily from the PCP to the hospital team, among the hospital team, and back … discharge; wrong medications taken by patient upon discharge; delay in discharge process Med Teach

453. Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
     January 01, 2024 - 26(27) 40(20) 66 Disposition Transfer to ICU 42(43) 89 (44) 131 Immediate treatment given trigger/s back

454. Pillars of a Smart, Safe Operating Room (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
     April 07, 2008 - statements: the MVP can understand the user’s questions and statements and also decide what to communicate back

455. Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
     March 07, 2008 - to fax the results as soon as they are completed to reduce the overall time it takes to communicate back … Repeat INR determinations would be made until the patient was back in therapeutic range.

456. Department of Veterans Affairs Emergency Airway Management Initiative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
     February 23, 2008 - conditions that often are quite trying.2 One respiratory care department published their experience as back-up

457. Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/arora-report.pdf
     January 01, 2024 - receivers of the handoff performance remained constant, demonstrated by their attentive listening, read-back

458. Final Progress Report: Developing a Risk Index of Healthcare Provider Alertness To Improve Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/landrigan3-report.pdf
     January 01, 2024 - version one but does not give the interns as much time to adjust to night work and makes them shift back

459. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/match.pdf
     August 01, 2012 - – This verification step also provides an educational opportunity to teach patients about the medications … the easiest ways to close the gap of communication between clinician and patient is to employ the “teach … - back” method, also known as the “show-me” method or “closing the loop.”18 58 “Teach-back” is a … Patient understanding is confirmed when they explain it back to you. … These methods include the use of plain language, communication tools (e.g., multimedia), and “teach-back

460. SOPS™ 101 Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.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