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861. Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
     January 01, 2024 - The database was stored on a highly secure hospital network, which had an automatic back-up system every … The database was stored on a highly secure hospital network, which had an automatic back-up system ..

862. Chapter-2 - Failure-To-Rescue (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
     March 01, 2020 - then transfer to a higher level of care (i.e., intensive care unit), have their care returned care back … assesses patient disposition, which can result in transfer of the patient to the ICU, return of care back

863. TeamSTEPPS, Module 11 (Instructor Guide) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module11/igimplement.pdf
     March 04, 2014 - Importantly, allow time for the participants to work on their Implementation Plan and report back to … for each audience, including: – Who will attend the training sessions; – What skills you will teach

864. Implementation (Instructor Guide) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module11/ts2-0ltc_module11_ig_implementation.pdf
     June 26, 2017 - Importantly, allow time for the participants to work on their Implementation Plan and report back to … plan for each audience, including: – Who will attend the training sessions; – What skills you will teach

865. 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

866. SOPS™ Value and Efficiency Supplemental Items for Hospitals and Medical Offices Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcasttranscript.pdf
     January 09, 2018 - You can also try logging out and logging back into the Webcast. … little bit of background about our agency and our agency's interest in this issue before we turn it back … Before I turn this back to Joann, I just wanted to thank those of you who registered and answered the … Joann, back to you. Joann Sorra Sorra, Slide 11 Thank you, Caren. … One of the major dissatisfiers for several years, as I began to look back at data, was noise.

867. Action Planning for the SOPS Surveys Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/action-planning-webcast-transcript.pdf
     June 01, 2019 - your computer freezes at any point during today's presentation, you can try logging out and logging back … With that, I'll turn it back over to Laura. … I really am just saying let's get us halfway back there. … If you get push back here maybe you say, "Okay, we're going to pilot it. … Of course, going back to our goal, our goal is increasing Handoffs and Transitions by five percentage

868. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
     January 01, 2020 - your computer freezes at any point during the presentation, you can try logging out and then logging back … At one or more points in this process, we want to make sure that we get feedback communicated back to … We ask that the local committee or the departmental leadership make sure that that feedback gets back … So I'm going to turn it back over to Stephenie to close out our last couple of slides. … The system has the ability to do an incomplete file where you can walk away and walk back.

869. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
     January 01, 2024 - of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

870. Discussion of Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/findings.html
     March 01, 2017 - strategies such as group visits and engaging the extended health care team to provide coaching and conduct teach-back

871. EvidenceNOW Presentations | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/research-results/results/presentations.html
     March 01, 2019 - the cooperatives used different approaches to engage practices in data collection (a decentralized “teach … https://www.ahrq.gov/evidencenow/research-results/results/presentations.html   Back to Top

872. Improving Patient Safety in Long-Term Care Facilities, Module 1 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
     June 01, 2012 - resident seems to have changed, you should always observe and document the following things: › Look back … 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.

873. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
     August 01, 2010 - tri-fold checklist provides information about how to fold the brochure by indicating the front and back … Often, if bedside shift report is not consistently monitored, nurses may revert back to familiar habits

874. Improving Patient Safety by Engaging Patients and Families (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-highlights-pfe-updated-aug24.pdf
     March 13, 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

875. 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.

876. 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

877. Final Progress Report: Medication Reconciliation: A Team Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17520-Greenwald-draft-1.pdf
     August 01, 2009 - uniform medication list with standard elements written in plain language and application of the teach … - back technique at all points in the medication reconciliation to verify patient understanding.

878. Final Progress Report: Medication Reconciliation: A Team Approach (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
     January 01, 2024 - uniform medication list with standard elements written in plain language and application of the teach … - back technique at all points in the medication reconciliation to verify patient understanding.

879. Module 15: Preparing and Presenting Performance Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-15-presenting-data.pdf
     September 01, 2015 - A number of good online training programs teach basic skills for working with data using statistical … hematuria, frequency, urgency, dysuria, discharge, impotence, incontinence Musculoskeletal: denies back … denies abdominal pain, dysphagia, nausea, vomiting, diarrhea, constipation Musculoskeletal: denies back … hematuria, frequency, urgency, dysuria, discharge, impotence, incontinence Musculoskeletal: denies back … hematuria, frequency, urgency, dysuria, discharge, impotence, incontinence Musculoskeletal: denies back

880. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
     April 01, 2025 - Part B provides all-inclusive, ready-to-teach, topic-based patient safety courses that can be used as … It includes a fax Cover Sheet, Falls Assessment Report, and Fax Back Orders for the primary care provider