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901. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
     September 01, 2015 - A month later, the patient was readmitted because of several days of back pain and inability to get … Endocarditis • Epidural abscess • Paraplegia (inability to walk) Ultimately, the patient underwent back … The RP can— • Use the check-back method to verify and validate information is exchanged in the way … Med Teach. 2010;32(3):198-218. Dudeck MA, Edwards JR, Allen-Bridson K, et al. … Check-Back: Closed-loop communication strategy to verify and validate information exchanged.

902. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
     September 01, 2015 - A month later, the patient was readmitted because of several days of back pain and inability to get … Endocarditis • Epidural abscess • Paraplegia (inability to walk) Ultimately, the patient underwent back … The RP can— • Use the check-back method to verify and validate information is exchanged in the way … Med Teach. 2010;32(3):198-218. Dudeck MA, Edwards JR, Allen-Bridson K, et al. … Check-Back: Closed-loop communication strategy to verify and validate information exchanged.

903. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
     December 01, 2003 - Her findings were fed back at a pilot site workshop in December 2003. … protocols are either ineffective or routinely violated, and suspension of an individual is used to teach

904. Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14289-Jack-draft-1.pdf
     January 19, 2005 - 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

905. 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

906. 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

907. Patient-Centered Outcomes Research and the Use of Decision Aids to Facilitate Shared Decision Making (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/webinars/sharewebinar518-slides.pdf
     May 18, 2015 - precautions • Working with medical interpreters • Cultural competency strategies • Health numeracy • Teach-back

908. Implementation Guide for Enhancing Care Coordination for Cardiac Rehabilitation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-implementation-guide.pdf
     March 01, 2023 - o Ask patients to teach-back what they learned.

909. Connecting the Dots: Improving Unit Safety Culture to Stop HAI (October 8, 2013) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-transcript.html
     December 01, 2017 - What's important to understand is that it is leaders that create and teach culture, based on how they … reward behavior, what behaviors they provide feedback about, and most importantly, leaders create and teach … report, excuse me, you can do it on the front end by making it easy to report, and you can do it on the back

910. Paul Tedrick (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-transcript.doc
     October 08, 2013 - What's important to understand is that it is leaders that create and teach culture, based on how they … reward behavior, what behaviors they provide feedback about, and most importantly, leaders create and teach … report, excuse me, you can do it on the front end by making it easy to report, and you can do it on the back

911. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
     January 01, 2024 - We used a similar “all teach, all learn” approach, with increased dependence upon virtual learning supplemented … For “all teach all learn,” we convened monthly teleconference calls/webinars among all hospital stakeholder … Patients were newly identified if placed back on IV aminoglycoside for >3 days or >3 NTMx simultaneously

912. Development of the Learning Health System Researcher Core Competencies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/lhs-corecompetencies.pdf
     January 01, 2017 - This requires near-real-time data aggregation, analysis, and evaluation to prompt changes that feed back

913. Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
     September 01, 2008 - adoption is “an organic and often rather messy model of assimilation in which the organization moves back

914. Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
     March 26, 2008 - Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse…

915. Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
     October 01, 2017 - prevention and evolving as needed with the process changes we have gained, but definitely not going back

916. Module 1: Preventing Pressure Injuries in Hospitals (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
     July 12, 2017 - prevention and evolving as needed with the process changes we have gained, but definitely not going back

917. Meeting Minutes, March 2021 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
     July 01, 2021 - He encouraged AHRQ to support research that brings the idea of value back to the discussion of, for example

918. Improving the Emergency Department Discharge Process: Environmental Scan Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
     December 01, 2014 - could not get a PCP appointment.46 Compared with patients referred to PCP clinics, those referred back … Unplanned returns to the accident and emergency department—why do they come back?

919. Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
     January 01, 2024 - diuretics; the real-time asynchronous CDS notified clinicians when abnormal potassium results came back

920. An Organizational Guide to Building Health Services Research Capacity (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/hsrguide/hsrguide.pdf
     October 01, 2011 - You might consider going back to your goals or your funded proposal to help guide your decision.