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401. Development and Implementation of The University of Texas Close Call Reporting System (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
     March 01, 2004 - One method discussed in the IOM reports and other recent publications is a reporting system that focuses … To address this issue, a method of feedback was developed for both the individual (i.e., reporter) and … Other treatment Surgery Therapeutic procedures Other The work team struggled to identify … Policy / Procedure Clinical Procedure Issues Patient Assessment Process Issues Patient / Family … Reports inconsistent with the definition are communicated back immediately to a quality liaison from

402. Findings | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
     August 01, 2022 - were seeking input from others (65%), establishing the patient role in decisionmaking (53%), using teach-back … Using a variety of methods, the health system was able to ensure it met requirements in these 10 areas … Exploring Resolution Methods The third category, Exploring Resolution Methods, includes four projects … MACRMI renamed the approach Communication, Apology, and Resolution (CARe); developed clear policies, procedures … patient-safety/reports/candor-demo-program/plan-grants/findings.html   Back

403. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
     September 01, 2015 - Use audits and observations of practice and ensure that collected data are reported back to staff doing … this procedure. … Use case scenarios to teach best use of the nurse-driven protocol for removal of catheters. … Reducing CAUTI in Hospitals Implementation Guide 21 Teach … The RAND/UCLA Appropriateness Method User’s Manual. Santa Monica, CA: RAND; 2001. 18.

404. Patient Safety Tools | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
     June 01, 2022 - well as across geographic areas, including inpatient mortality for medical conditions and surgical procedures … The toolkit is a general guide to using improvement methods and focuses on the 17 Patient Safety Indicators … video excerpts of 50 actual chest tube insertions to illustrate problems that can occur during the procedure … Medical Association to explain the questions patients should ask their doctors about medicines, tests, procedures … www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html   Back

405. References | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-ref.html
     September 01, 2023 - psychological safety in healthcare teams: developing an observational measure to complement survey methods … Med Teach 2023 Jun 12:1-7. https://doi.org/10.1080/0142159X.2023.2221809 . … Examining health care champions: a mixed-methods study exploring self and peer perspectives of champions … diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-ref.html   Back

406. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
     January 01, 2024 - METHODS We executed an individual, randomized controlled trial. … sources of measurement error and guiding subsequent modifications of the performance tasks, training procedures … The injury severity score: a method for describing patients with multiple injuries and evaluating emergency … Quality assurance methods for performance-based assessments. … Teach. May 2005;27(3):200-206. 55.

407. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     ce.effectivehealthcare.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 … A-8 | P a g e Exploring Resolution Methods The third category, Exploring Resolution Methods, … 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

408. Section 4: Ways To Approach the Quality Improvement Process (Page 2 of 2) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
     January 01, 2020 - As you work with any QI method, the key is to carefully choose strategies that have the best chance to … The goal of this project was to apply innovative systems change methods to strengthen FQHC operations … It uses a set of quality management methods and creates a special infrastructure of people within the … Training clinicians and staff in quality improvement methods. Team building. … quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html   Back

409. Preventing-Cauti-Icu-Setting-Facilitators-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
     September 01, 2015 - the learner be a teacher · Whenever possible, let the learner rephrase what he or she has seen and teach … the indications for an indwelling urinary catheter · Identify causes of CAUTI in the ICU · Describe methods … Slide 6 Narration: In the perioperative setting, catheters are used for selected procedures: · Urologic … catheter-associated urinary tract infections or CAUTI in the intensive care unit or ICU, as well as methods … catheter-associated urinary tract infections, or CAUTI, in the intensive care unit, or ICU, as well as methods

410. Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
     January 01, 2024 - METHODS and 6. RESULTS and LIMITATIONS (grouped by each specific aim) Study Methods Overview. … METHODS Study Design. … Methods of measurement. … A 26-item survey instrument was developed using accepted procedures, including review of the literature … The database was stored on a highly secure hospital network, which had an automatic back-up system ..

411. Communication: Severe Hypertension - PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
     July 01, 2023 - communication is a process whereby information is clearly and accurately conveyed to another person using a method … practice guidelines], directing department/services, integration of services, inadequate policies and procedures … , non-compliance with policies and procedures, performance improvement, medical staff organization, nursing … signs are correctly communicated to team members As part of education standards, use check-backs as a method … the exact structure of the tool (e.g., SBAR or I PASS the BATON) as it is in having a unit-recognized procedure

412. Simulation-Based Education Improves Patient Safety in Ambulatory Care (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
     March 12, 2008 - Methods Originally designed to facilitate staff education, this project evolved into a quality assurance … • Emergency management procedures using standard template. • Emergency management record. … crowded with staff responders • Bring patients with chest pain or allergic reactions to larger procedure … Using clinical simulation to teach patient safety in an acute/critical care nursing course. … Med Teach 2005; 27: 10-28. 16. Taekman JM, Wright MC. Commentary on time of death.

413. CLABSI Investigation Process: Walk the Process (Transcript) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
     April 01, 2013 - Nurses did not feel they had leadership support to stop the procedure. … A new policy and procedure or you gave the supply clerk a list of the inventory with the number that … The percent of the time the IV administration set was replaced per policy: I teach in the school of nursing … They had people that weren’t washing their hands before the procedure. … But what’s important, regardless of how you do it, the “Z” method or around, is to make that friction

414. Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
     April 01, 2008 - Methods: The Rover Team expands the PRRT to include a proactive assessment of patients at risk for clinical … Methods Pediatric Rapid Response Team Our PICU is part of a 153-bed children’s hospital within the … to the PICU during the same hospital admission.9 Readmitted patients were more likely to be brought back … deteriorating, a less experienced provider might feel more comfortable transferring those patients back … identifier=3012001 Abstract Introduction Methods Pediatric Rapid Response Team The Rover Team

415. 19-Perioperative-Teams (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
     June 01, 2023 - Ensuring Access The information in this document is based on results from a Delphi panel (i.e., a method … Have a structured approach to learning Plan forward, reflect back, and act on the learning. … summary, through building a structured approach to learning, you will have a systematic way to reflect back

416. TeamSTEPPS 2.0: Module 8. Change Management | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module8/igchangemgmt.html
     March 01, 2019 - Strategy Say: An organization fosters a "culture of safety" with its practices, processes, and procedures … Think of the method you use to integrate lessons learned into your own process modification. … Will that method apply here? … New approaches and methods become part of a culture when they are effective. … www.ahrq.gov/teamstepps/instructor/fundamentals/module8/igchangemgmt.html   Back

417. SOPS Bibliography | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/es/sops/bibliography/index.html?page=2
     January 01, 2024 - Hospital Survey on Patient Safety Culture (HSOPSC): A multi-method approach for target-language instrument … Nurses' perceptions of patient safety culture: A mixed-methods study. … Patient safety in chiropractic teaching programs: A mixed methods study. … 6 7 8 9 next › ›› last » Last » Back

418. SOPS Bibliography | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/sops/bibliography/index.html?page=2
     January 01, 2024 - Hospital Survey on Patient Safety Culture (HSOPSC): A multi-method approach for target-language instrument … Nurses' perceptions of patient safety culture: A mixed-methods study. … Patient safety in chiropractic teaching programs: A mixed methods study. … 6 7 8 9 next › ›› last » Last » Back

419. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     ce.effectivehealthcare.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 … A-8 | P a g e Exploring Resolution Methods The third category, Exploring Resolution Methods, … 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

420. AHRQ Resources and Activities Highlight Support for Patient Safety Awareness Week 2022 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/805.html
     March 01, 2022 - the Professional Literature Understanding diagnostic processes in emergency departments: a mixed methods … https://www.ahrq.gov/news/newsletters/e-newsletter/805.html   Back to