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121. Health Care Simulation to Advance Safety | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
     August 01, 2018 - A further feature is that difficult elements of a procedure or protocol can be selectively practiced … settings, a high performance standard might entail performing a complex procedure without a significant … to vary before learners meet the performance standard (e.g., one learner may be able to perform the procedure … Comparison of two standard-setting methods for advanced life support training. … research/findings/factsheets/errors-safety/simulproj15/index.html   Back

122. I-PASS: Integrating High Quality Handoffs into TeamSTEPPS and Hospital Care
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-may2015.pptx
     January 01, 2015 - interns to 16 consecutive hours of work and requires programs to: Ensure and monitor structured handoffs Teach … Cross monitoring / Feedback Improve performance Assertive statement Identify potential errors Check-back … and Assertion TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› 36 Check-Back … of Effective Handoff TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› Study methods … 63 Study Design TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› 64 Methods

123. Readiness Assessment Survey (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.pdf
     September 01, 2012 - Say to the nurse, “Let me check back with you. … Chin, let me check back with you. … or improper use of medications or serious medication errors; improper preparation for tests and procedures … The teaching methods and aids were used effectively 1 2 3 4 5 3. … Chin, let me check back with you.

124. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
     December 01, 2014 - Staff may choose to go back to the medical record to confirm that data on the report are consistent. … develops a plan to incorporate implementation strategies for report use into facility policies and procedures … patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html   Back

125. Improving Patient Safety Systems for Limited English Proficiency Patients: A Guide for Hospitals (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pdf
     January 01, 2011 - readmission due to LEP patients’ greater difficulty understanding instructions, such as:  Preparing for a procedure … or improper use of medications or serious medication errors  Improper preparation for tests and procedures … constitutes a patient safety event (including near misses) and how to report them  Consider other methods … interpreters, or both  Provide patients with written materials, such as informed consent forms or procedure … Require presence of qualified interpreters  Provide translated materials in preferred language  Use “teach-back

126. Improving Patient Safety Systems for Limited English Proficiency Patients
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pptx
     January 01, 2011 - readmission due to LEP patients’ greater difficulty understanding instructions, such as: Preparing for a procedure … Ineffective or improper use of medications or serious medication errors Improper preparation for tests and procedures … what constitutes a patient safety event (including near misses) and how to report them Consider other methods … medical interpreters, or both Provide patients with written materials, such as informed consent forms or procedure … Require presence of qualified interpreters Provide translated materials in preferred language Use “teach-back

127. Healthcare Research and Quality Act of 1999 (continued 2) | Agency for Healthcare Research and Quality
     healthcare411.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

128. Improving Patient Safety Systems for Limited-English-Proficient (LEP) Patients: A Guide for Hospitals | Agency for Healthcare Research and Quality
     healthcare411.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

129. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
     healthcare411.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
     April 07, 2008 - • Recognition by potential back-up providers that there is a workload distribution problem in … For example, shared mental models were viewed as an outcome of using monitoring and back-up behaviors … At the end of the session, participants are provided an opportunity to practice teach a module of the … Application of cognitive, skill-based, and affective theories of learning to new methods of training … At the end of the session, participants are provided an opportunity to practice teach a module of the

130. Meeting Minutes, November 2016 | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/events/nac/2016-11-nac/nacmtg1116-minutes.html
     August 01, 2017 - It creates materials to teach and train health care systems and professionals to catalyze improvements … It can seek to determine how collected information can be fed back into a system to improve care. … How might those data be funneled back to health care? Dr. … Many methods are reusable. … We need mixed methods and respect for the context. Dr.

131. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
     May 01, 2017 - · Nonstandardized, informal, visual estimation methods typically underestimate blood loss, resulting … 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 … management, · being aware of what is going on and what is likely to happen next, · verifying and checking back

132. Module 5: Resident and Family Engagement: Facilitator Notes | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-facguide.html
     March 01, 2017 - Use teach-back methods to confirm understanding. … that a resident and family adviser is a partner and team member when developing facility policies, procedures … Advisers can effectively collaborate with staff to develop resident- and family-centered policies and procedures … Staff may use active listening and repeat back to validate that the information the adviser is trying … modules/implementation/long-term-modules/module5/mod5-facguide.html   Back

133. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
     May 01, 2017 - 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 … uterine rupture during labor, unplanned maternal admission to ICU, birth trauma, unanticipated operative procedure … The L&D local facilitator is coaching leaders on other units to teach TeamSTEPPS and run their own localized

134. Module 2: How To Manage Change—Training Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
     September 01, 2017 - Links to quality improvement expertise—someone with expertise in systematic process improvement methods … Instructor’s Note: The specific type of quality improvement method/framework/tool used is not important … You can use colored sticky notes, as in this example, or some other method, and work with the unit staff … problems are specific to each unit, because of differences in patient population, medications, and methods … patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html   Back

135. Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
     July 28, 2016 - identified opportunities that your hospital team can address (e.g., bedside delivery of medication, teach-back … planning  Use clinical pharmacists to enhance medication optimization, education, reconciliation  Use “teach-back … care] • [peer support programs] • [customized patient information] • [social support services] • [teach‐back … Provide customized education to patients and their caregivers;  Provide oral instructions using the teach-back … This can also be a useful supplemental method of research for resources you may not have thought of.

136. TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ) Manual | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.html
     April 01, 2017 - Return to Contents Cognitive Interviews Method . … Return to Contents Small Group Trial Method . … Return to Contents Field Test Method. … This is the preferred method for performing data analyses. … www.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.html   Back

137. Meeting Minutes, November 2015 | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
     May 01, 2016 - Creating materials that teach and train health care systems and professionals to catalyze improvements … The CAHPS team is developing a rigorous scientific method to elicit narrative information from patients … The EPCs continued to produce systematic reviews, methods reports, and technical briefs. … One new effort is the Electronic Data Methods Forum, which supports a learning network of researchers … /www.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html   Back

138. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
     July 01, 2023 - Identify ways to apply key safety elements to your unit policies, procedures, and practices related to … that uses formal tools or analysis for learning from defects and sensemaking, including some of the methods … Support implementation of Key Safety Elements through— Unit policies and procedures. … Test any new procedures on a limited scale to work out any bugs or problems. … /perinatal-care/modules/strategies/safe-electronic-fac-guide.html   Back

139. Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/studies/index.html?page=2
     January 01, 2024 - Antimicrobial Stewardship (157) Anxiety (48) Arthritis (130) Asthma (122) Autism (31) Back … This mixed-methods study was conducted from April 2018 through November 2019 using quantitative surveys … This case study described a 42-year-old male presenting at the clinic with low back pain that had been … The role of hospital-based vascular access teams and implications for patient safety: a multi-methods … Last » Related Content Research Findings & Reports Back

140. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
     August 01, 2010 - tri-fold checklist provides information about how to fold the brochure by indicating the front and back … As needed, identify alternative methods or outlets for nurses to talk with one another. … To help clarify these situations for staff nurses, your hospital may want to establish procedures for … Often, if bedside shift report is not consistently monitored, nurses may revert back to familiar habits … In March 2009, the three nurse champions attended a course focusing on quality improvement methods and