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ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
April 01, 2013 - Instructions will be given as to the procedure to follow if you’d like to ask a question. … in 2008 that allows you to drive down at a very specific level to understand the method for translating … We create policies and processes and procedures. … A commitment to rigorous measurement, to standardization, to scientifically sound methods of improvement … We have to teach people to do perineal cleansing before they put catheters in."
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
April 21, 2008 - • A method for implementing organizational changes. … The main method used to report incidents consists of a paper incident report, which is completed by the … patient’s anticoagulation flow sheet and noted the
discrepancy between the patient’s status as being back … These changes included the complexity of the procedure itself and staff
adjustment to the changes. … These redundancies in reporting interfered with staff compliance with our fall policy and
procedures
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ce.effectivehealthcare.ahrq.gov/innovations/will-work/appendix3.html
February 01, 2021 - The rounds include read-back and confirmation of orders entered via a wireless laptop brought into the … I was armed with their [residents] push to get back to the bedside and then I began to reflect on my … However, the steering committee’s knowledge of the methods used at Cincinnati and those excellent results … https://www.ahrq.gov/innovations/will-work/appendix3.html
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ce.effectivehealthcare.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 … General methods for this report are described in the Methods section of the full report. … A PMS will improve outcomes only if accompanied by comprehensive
procedures for escalation, RRT activation … assesses patient disposition, which can result in transfer of the patient to the ICU, return of care
back … General methods for this report are described in the Methods section of the full report.
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ce.effectivehealthcare.ahrq.gov/news/events/conference/2011/jack/index.html
October 01, 2014 - Slide 9
Methods—Randomized Controlled Trial Image: A flowchart: Enrollment N=750 → Randomization … Teach RED. Determine Competency. Can drill down. Maps of CHCs. High Risk Meds: Lovenox. Insulin. … https://www.ahrq.gov/news/events/conference/2011/jack/index.html
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ce.effectivehealthcare.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 … In the process of designing the CAT Clinic processes and
procedures, it became clear that a software … Repeat INR determinations would be made until the patient was back in therapeutic range. … The use of SPC differs from the current method used by many providers because with SPC, the
nurse practitioner … Implementing Six Sigma: Smarter
solutions using statistical methods, 2nd ed.
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-slides.html
March 01, 2017 - Describe different methods to engage residents and family members in safety initiatives, especially in … Care to Person-Centered Care 1
Traditional Care
Person-Centered Care
Decisions about policies, procedures … Use teach back to confirm understanding. … Resident and Family Advisers in Nursing Homes 7
Are partners on teams developing or revising policies, procedures … modules/implementation/long-term-modules/module5/mod5-slides.html
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ce.effectivehealthcare.ahrq.gov/policymakers/hrqa99c.html
October 01, 2014 - assistance whose direct costs will not exceed $100,000, the Director may make appropriate adjustments in the procedures … or for the Agency for the purpose described in section 901(b), the Director shall establish standard methods … improvement of health care delivery and the general public, and undertake programs to develop new or improved methods … https://www.ahrq.gov/policymakers/hrqa99c.html
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ce.effectivehealthcare.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
December 01, 2012 - Improper preparation for tests and procedures.
Poor or inadequate informed consent. … Consider other methods of identifying errors outside of standard reporting. … Provide patients with written materials, such as informed consent forms or procedure preparation instructions … Use "teach-back" to confirm patient understanding. … //www.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
July 01, 2023 - Nonstandardized, informal, visual estimation methods typically underestimate blood loss, resulting in … delayed recognition and management of obstetric hemorrhage. 19,20
The routine use of quantitative methods … intervention, though few studies have formally evaluated whether this approach improves outcomes. 10,21-23
Methods … Verifying and checking back on information.
Providing ongoing updates. … perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
November 06, 2017 - After that, the facility should be able to make
this program part of their policies and procedures and … The team may need some support and
guidance to reengage and get back on track.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
December 15, 2016 - After that, the facility should be able to make this
program part of their policies and procedures and … The team may need some support and
guidance to re-engage and get back on track.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - continue efforts toward standardized practices, nurse educators developed online
educational modules to teach … …It’s just going to cycle back
around again.” … One component of this index, the
Unanticipated Operative Procedure measure, decreased by 51 percent. … html
AHRQ Safety Program for Perinatal Care Case Studies 20
coaching leaders on other units to teach … after beginning the Program, they
determined that in order to be successful, they would need to scale back
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
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, … exact structure of the tool (e.g., SBAR or I PASS the
BATON) as it is in having a unit‐recognized procedure … Check‐Back Video Discussion
Check‐Back Discussion Answers
Application to the 4 Rs of Obstetric
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_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 … that was just relayed, Tanya uses a check-back to confirm the information. … the exact structure of the tool (e.g., SBAR or I PASS the BATON) as it is in having a unit-recognized procedure
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
April 01, 2018 - and quantitative decision-support models. 1-3 PRA involves a detailed "deductive" process analysis method … that important work related to the estimates of risk dictating current clinical practices dates as far back … The purpose of this meeting was to review the results of the ST-PRA modeling effort; to discuss the methods … It was also a useful method for incorporating the data gathered from the site visits, because contamination … ://www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-transcript.doc
April 09, 2013 - So, if you look at slide number six, you see lots of different methods, and we've talked about these. … We use many of these, but you see lots of different methods for how to help teams improve. … patients and families and health care leaders and practitioners begin to collaborate in policy and procedure … I've had many procedures done, tests done, in many different areas in the hospital. … What would she suggest that we use information-wise to teach a patient about the safety behind maybe
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ce.effectivehealthcare.ahrq.gov/news/events/nac/2016-04-nac/nacmtg0416-minutes.html
August 01, 2016 - Data and Methods
A new AHRQ Stat Brief on mastectomies indicates that breast cancer rates have remained … Single and double mastectomies are performed increasingly as outpatient procedures. … However, there are complications and alternative payment methods that may or may not indicate fee for … /www.ahrq.gov/news/events/nac/2016-04-nac/nacmtg0416-minutes.html
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ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/model.html
October 01, 2015 - Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods … in the Pennsylvania Chronic Care Commission and efforts to improve diabetes care in the State dating back … research-transform-primary-care/transform/final-impact/model.html
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ce.effectivehealthcare.ahrq.gov/ncepcr/reports/grants-impact/model-state.html
February 01, 2017 - Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods … in the Pennsylvania Chronic Care Commission and efforts to improve diabetes care in the State dating back … https://www.ahrq.gov/ncepcr/reports/grants-impact/model-state.html
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