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401. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
     January 01, 2024 - Unintended mechanical overdistension of the atria when blood is re-infused from the bypass machine back … • For this reason, the clinicians in this case were trying to rapidly cardiovert the patient back … – As soon as electrocautery is no longer needed, the setting on the pacing box should be changed back … restored rapidly, the right atrial appendage should be re-cannulated so the patient can be placed back … in VF, the team would have had to re-cannulate the right atrium, re-heparinize the patient and go back

402. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
     June 01, 2023 - If you teach this content or want additional insights on how the material can be more fully learned, … Enabling team members to back up and fill in for each other.  … If someone holds back information or is ignored by other team members, patient care can be compromised

403. Spotlight (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
     November 01, 2018 - The medical student remained for the 2-hour scan and helped transport the patient back upstairs. … Med Teach. 2007;29:2-19. https://www.ncbi.nlm.nih.gov/pubmed/17538823 * The Entrustment Decision

404. NASS Description of Data Elements
     hcup-us.ahrq.gov/db/nation/nass/nassdde.jsp
     February 01, 2025 - Privacy Notice , Viewers & Players Last modified 2/19/25 Back to Top

405. The critical incident technique. | PSNet
     psnet.ahrq.gov/issue/critical-incident-technique
     January 07, 2015 - describes the development of the "critical incident technique," the history of its evolution dating back

406. Creating a Learning Health Care System: The Role of Practice Facilitators in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/webinar_summary.pdf
     August 02, 2017 - That critical information can then be brought back to clinicians at the point of care. … PFs can teach models and techniques that encourage learning, like the Model for Improvement. … Webinar Summary 8 AHRQ | EvidenceNOW Overall, practice facilitation is best when it’s a “teach

407. Mod03-Gap-Analysis-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
     April 01, 2016 - Do patients “teach back” key information about treatment and procedures? b. … Informed Consent Do patients “teach back” key information about treatment and procedures?

408. Sources of NIS Data and State-Specific Restrictions 2005
     hcup-us.ahrq.gov/db/nation/nis/nis_2005_stspecific_restr.jsp
     January 01, 2005 - Privacy Notice , Viewers & Players Last modified 7/23/07 Back to Top

409. Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
     July 01, 2023 - tools as resources to better support your clinical team Calling-out critical information and checking-back … The SPPC-II Teamwork Toolkit is comprehensive in its ability to teach language, skills, tools, and strategies … We will help you organize frontline participation and teach you how to lead the facilitation sessions … The Hgb result is called back to the room at 7.1 g/dl, and no additional active bleeding is noted. … charge nurse Allison, L&D nurse Hospital AIM Team Leads SPPC-II SCRIPT The Hgb result is called back

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33688/psn-pdf
     October 01, 2009 - But if you try to lie about it, it will come back to you. … So, going back to King/Drew Medical Center, one of the things that we thought was really important was … important for reporters is not just to say when a particularly bad case happens, but also to take a step back … Garthwaite, who is the former head of the Los Angeles County health system, said was that you can teach … right thing is, you can make sure that they have the skills, but the bottom line is you cannot always teach

411. Best Practices: How Successful Units Engaged Their Senior Executive Leaders (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
     April 01, 2013 - You know, this all got started way back for us in September of 2009 when we had identified through our … One thing I want to kind of get back into as far as challenges in senior leadership: we were very fortunate … While we started our project way back when, and it seems like decades ago when, in fact, that wasn’t … And all of that information is pressed down and also shared back up again to a senior admin and board … You talk about you teach the process to new graduate nurses during their orientation so they start out

412. HCUP Sample Design: National Databases - Accessible Version
     hcup-us.ahrq.gov/tech_assist/sampledesign/508_compliance/index508_2018.jsp
     January 01, 2018 - Privacy Notice , Viewers & Players Last modified 11/5/18 Back to Top

413. Prologue: Laying the Foundation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
     June 02, 2025 - disappear into data graveyards, and that useful information for system improvement is faithfully reported back

414. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_3_Get_to_Know_508.docx
     June 02, 2025 - If they don’t have the answers, they will find out and get back to you.

415. Strategy 2: Communicating to Improve Quality (Tool 3) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_3_Get_to_Know_508.pdf
     June 02, 2025 - If they don’t have the answers, they will find out and get back to you.

416. The Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp.html
     October 01, 2024 - In this section, we take a step back and observe the impact of medical errors and preventable harm and

417. Patient Family Engagement PowerPoint Content and Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/patient-family-engagement/alt-text-tab.html
     September 01, 2013 - Assess how well doctors and nurses explain the diagnosis, condition, and next steps in their care — use teach-back

418. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
     July 01, 2013 - Use a “teach back” or “show me” technique to check for understanding. … “I want to be sure I explained everything clearly about your catheter, so can you please explain it back

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33644/psn-pdf
     December 01, 2006 - Health Policy, Management, and BehaviorSchool of Public Health, University of Albany, SUNY References Back … Table Back to Top Incremental Change Leading to Permanent Culture Change: An Example Using the Residents

420. Supplemental Resources on Self-Management Support (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_smsresources.pdf
     July 01, 2014 - . • I asked my patient to teach back what was discussed. • My patient demonstrated an understanding of