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141. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
     July 01, 2022 - Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety … Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures … Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse Drug Events: Study Methods … www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html   Back

142. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     healthcare411.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
     January 01, 2024 - These data support our observations from the testing procedure, in which the layout, navigation, and … It was explicitly noted that there is an inconsistency in the placement of ‘next’ and ‘back’ buttons … Consistency in navigation elements, such as buttons for submission and going back, reduces errors due … Putting the technical back into socio-technical systems research. … Usability inspection methods.

143. Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/studies/index.html?page=1
     January 01, 2024 - data through literature review, observation, and coding of prerecorded videos of outpatient surgical procedures … This method would reduce significant workloads at a time of record-breaking ED patient volumes, staff … The study found that bronchiolitis cases decreased by 75% from 2019 to 2020 and rose back to prepandemic … This mixed-methods study was conducted from April 2018 through November 2019 using quantitative surveys … Last » Related Content Research Findings & Reports Back

144. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
     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

145. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
     December 29, 2022 - while interventions like these may work in the short term, they may be unsustainable as people resort back … A mixed method study. J Nurs Scholarsh 2014;46(5):340–348. 11. … Teach Learn Med 2007;19(1):30–34. 22.

146. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
     August 31, 2017 - Share a written plan to communicate pressure injury risk procedures with the new member. … ASK: How will you make sure temporary staff are trained in pressure risk procedures? … Slide 28 SAY: Close the information loop by having the Implementation Team report back to the Unit … First, adult learning theory suggests that adults learn best through methods that build on their own … Options include didactic methods, such as lectures, interactive presentations, online lessons, case study

147. Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
     July 01, 2023 - C/S procedure. Indications. Anticipated complications. Risk. Medical history. … Using standardized visual estimation methods. … Resources for training staff to learn quantification methods are available. 19 , 42,43 Slide 24: … Support implementation of unit procedure. Staff training/communication. Simulation. … perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html   Back

148. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/resources/learning-lab/index.html
     February 01, 2024 - Tools included process mapping, swim lane diagrams, functional resonance analysis method, failure modes … Develop a systematic method to study patient safety using a stepwise approach of problem analysis through … assess patients’ understanding of their diagnosis at optimal times so their feedback can be relayed back … neonatal resuscitation: (1) the design of the physical workspace; (2) decision making during this invasive procedure … factors such as religiosity and spirituality; and 2) design and implement educational interventions to teach

149. Universal ICU Decolonization: An Enhanced Protocol (pdf file)
     healthcare411.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
     September 01, 2013 - However, it is worth noting that the method of application may have appreciable effects on achieving …  Cloth 6: Back of neck, back and then buttocks. 9. … Standard skin preps prior to a surgical procedure or for a bedside procedure should be utilized on patients …  Open bundle by using notch on back of package. … • Cloth 6: Back of neck, back, and then buttocks.

150. Biosketches | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
     September 01, 2016 - She has developed human factors and systems engineering methods and the SEIPS model to improve patient … on patient safety and quality, including a recent co-edited textbook on using patient narrative to teach … He and his collaborators have developed innovative methods to diagnose stroke through careful bedside … She has been conducting quasi-experimental and mixed methods studies in delivery systems for nearly 30 … news/events/ahrq-research-summit-diagnostic-safety-biosketches.html   Back

151. TeamSTEPPS Fundamentals Course: Module 4. Leading Teams | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
     March 01, 2019 - Establishment of a method to formally change the existing plan to incorporate lessons learned. … Upton lead the Labor and Delivery Team debrief immediately following a procedure.     … www.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html   Back

152. The SHARE Approach—Putting Shared Decisionmaking Into Practice: A User’s Guide for Clinical Teams | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-8.html
     September 01, 2020 - Leaders (Tool 9) contains information about shared decisionmaking and how adopting this patient-centered method … Decide which clinical procedures and/or treatments your practice wants to focus on first, and gather … resources specific to those procedures. … ( http://www.ahrq.gov/ncepcr/tools/self-mgmt/pemat.html ), developed by AHRQ, provides a systematic method … health-literacy/professional-training/shared-decision/tool/resource-8.html   Back

153. EvidenceNow Key Drivers and Change Strategies | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/evidencenow/tools/keydrivers/description.html
     October 01, 2020 - Key Driver 2: Implement a data-driven quality improvement process to integrate evidence into practice procedures … is possible, and sometimes preferred, to gather data for QI using paper-based records, paper-based methods … Furthermore, documentation procedures developed by partnering with care teams are more likely to be followed … This does not mean that clinicians cannot use more traditional methods of engaging patients and families … https://www.ahrq.gov/evidencenow/tools/keydrivers/description.html   Back

154. Resource List - AHRQ Nursing Home Survey (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - Compliance With Procedures 1. … • Eliminating Wrong Site Surgery and Procedure Events. • MHS Leadership Engagement. … The curriculum covers 11 patient safety topics, each designed to feature a variety of ideas and methods … It includes a fax Cover Sheet, Falls Assessment Report, and Fax Back Orders for the primary care provider … Compliance With Procedures 1. Hand Hygiene in Healthcare Settings 2.

155. 3. Which fall prevention practices do you want to use? | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
     January 01, 2013 - Postfall procedures, including a clinical review and root cause analysis ( section 3.5 ). … Patients are frequently transported on and off the unit for tests and procedures. … Evaluation Bundle: Digit Span, Short Portable Mental Status Questionnaire, and Confusion Assessment Method … Patients who were admitted to the hospital for a procedure that directly affects their mobility (e.g. … Safe manual handling methods for patients with signs or symptoms of fracture or potential for spinal

156. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
     December 01, 2023 - HCUP Methods Series Report. U.S. … The look-back period of Medicare patients’ experience was changed from “last 12 months” to “last 6 months … as: maternal age, live-birth order, race and Hispanic origin, marital status, attendant at birth, method … These procedures were identified as colonoscopies and outpatient imaging procedures. … Venous Thromboembolism VTE/PE following listed procedure (no VTE prior to procedure) Venous Thromboembolism

157. Tobacco Use and Dependence, General References (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
     January 01, 2010 - Methods used to quit smoking in the United States. Do cessation programs help? … Use of cessation methods among smokers aged 16-24 years—United States, 2003. … Predicting relapse back to smoking: contrasting affective and physical models of dependence. … A sharper Bonferroni procedure for multiple tests of significance. … of medical charges after quitting smoking among those with and without arthritis, allergies, or back

158. 2022 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
     December 01, 2022 - HCUP Methods Series Report. U.S. … The look-back period of Medicare patients’ experience was changed from “last 12 months” to “last 6 months … such as maternal age, live-birth order, race and Hispanic origin, marital status, attendant at birth, method … These procedures were identified as colonoscopies and outpatient imaging procedures. … Venous Thromboembolism VTE/PE following listed procedure (no VTE prior to procedure) Venous Thromboembolism