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441. CUSP: A Framework for Success (Transcript) | Agency for Healthcare Research and Quality
     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."

442. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
     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

443. Appendix 3: Golisano Children's Hospital and Family-Centered Rounds | Agency for Healthcare Research and Quality
     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   Back to Top

444. Chapter-2 - Failure-To-Rescue (pdf file)
     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.

445. Project RED: The ReEngineered Discharge (Text Version) | Agency for Healthcare Research and Quality
     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   Back

446. Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community (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-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.

447. Module 5: Resident and Family Engagement | Agency for Healthcare Research and Quality
     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   Back

448. Healthcare Research and Quality Act of 1999 (continued 2) | Agency for Healthcare Research and Quality
     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   Back to Top

449. Improving Patient Safety Systems for Limited-English-Proficient (LEP) Patients: A Guide for Hospitals | Agency for Healthcare Research and Quality
     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   Back

450. Labor and Delivery Unit Safety: Obstetric Hemorrhage | Agency for Healthcare Research and Quality
     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   Back

451. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time (pdf file)
     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.

452. Puh-Factraining-Guide (pdf file)
     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.

453. Experiences From the Frontline: Case Studies (pdf file)
     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

454. Communication: Obstetric Hemorrhage (pdf file)
     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

455. Communication: Obstetric Hemorrhage - PowerPoint Presentation
     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

456. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
     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   Back

457. Patient-Family-Centered-Care-Transcript (doc file)
     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

458. Meeting Minutes, April 2016 | Agency for Healthcare Research and Quality
     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   Back

459. Model State Enhancement Efforts | Agency for Healthcare Research and Quality
     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   Back

460. Model State Enhancement Efforts | Agency for Healthcare Research and Quality
     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   Back