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601. 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

602. 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

603. 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

604. 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

605. 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

606. 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

607. 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

608. 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

609. 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

610. 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

611. 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

612. 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

613. 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.

614. 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

615. 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

616. 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

617. Advancing Understanding of Health Care Delivery Using the AHRQ Compendium of U.S. Health Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/webinars/chsp-webinar-slides-011221.pdf
     January 12, 2021 - of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

618. Safe Medication Administration: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
     July 01, 2023 - particularly useful for communicating changes in maternal or fetal status to the care team, for checking back

619. Safemed Facguide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
     May 01, 2017 - particularly useful for communicating changes in maternal or fetal status to the care team, for checking back

620. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
     May 01, 2017 - management, · being aware of what is going on and what is likely to happen next, · verifying and checking back