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101. Section 3: Are You Ready To Improve? | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
     February 01, 2020 - Most are accustomed to following standard operating procedures even when the policies and procedures … What method will the team use to make decisions and achieve consensus on improvement strategies and actions … Teaching Concepts and Methods "Nothing about medical school prepares a physician to take a leadership … It is important to note that physicians are unlikely to be familiar with QI methods. … /quality-improvement/improvement-guide/3-are-you-ready/index.html   Back

102. Improving Your Laboratory Testing Process Toolkit (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
     December 01, 2017 - o A process for updating and informing staff of changes in office procedures. … Everyone in this office has read and follows the testing procedures. 8. … After a patient has a test ordered or performed, but before the results are back. 2. … • The teach-back method in which a patient repeats what they have been told has been shown to enhance … Route back to ordering provider. Closed-loop communication.

103. With TeamSTEPPS 3.0, AHRQ Refreshes a Landmark Patient Safety Training Curriculum | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/blog/ahrqviews/teamstepps-30.html
     September 01, 2023 - The curriculum also offers new engagement methods, such as patient videos , simulation training , and … https://www.ahrq.gov/news/blog/ahrqviews/teamstepps-30.html   Back to

104. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
     December 01, 2022 - AHRQ funding has enabled me to teach my team this way of thinking and send them out into the real world … conducted on the sterile processing department—the area in the hospital where devices used in surgical procedures … Catchpole found that adopting graphical methods, such as icons, may be an effective way to convey information … //www.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html   Back

105. Universal ICU Decolonization Protocol Overview | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/universal-icu-decolonization/universal-icu-overvw.html
     September 01, 2013 - Healthcare-Associated Infections Program Combating Antibiotic-Resistant Bacteria About the CUSP Method … www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-overvw.html   Back

106. Compendium of U.S. Health Systems, 2022, Hospital Linkage File, Technical Documentation (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-hospital-linkage-techdoc-021224.pdf
     January 01, 2022 - An overview of the data collection methods for the OneKey and AHA data can be found in the Compendium … When using the linkage file, users should bear in mind a few caveats and limitations to the current methods … characterization of hospitals and their linkages to systems (for example, they use different data collection methods … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

107. Ambulatory Care | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/ambulatory/tools.html
     February 01, 2018 - The toolkit includes four instructional modules that a facilitator can use to teach dialysis center team … ASCs can use the toolkit to apply the principles and methods of AHRQ's Comprehensive Unit-based Safety … https://www.ahrq.gov/patient-safety/settings/ambulatory/tools.html   Back

108. ChristianaCare Used AHRQ Resources to Reduce Blood Infections, Expedite Stroke Care | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsroom/case-studies/202004.html
     July 01, 2020 - For example, our nurses are now empowered to stop a procedure they observe that might pose potential … "We keep our caregivers (employees) and leadership informed of survey results using different methods … https://www.ahrq.gov/news/newsroom/case-studies/202004.html   Back to

109. Major Study Shows Significant Drop in In-Hospital Adverse Event Rates Pre-COVID | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/newsletters/e-newsletter/822.html
     July 01, 2022 - central line-associated bloodstream infections and catheter-associated urinary tract infections, and post-procedure … perceptions of healthcare culture, services and systems, and developing and testing measures, tools and methods … The method, outlined in Health Services Research , uses market share and discharge data to identify … 4 percent reduction in average bed capacity in non-Hispanic Black population regions compared with methods … https://www.ahrq.gov/news/newsletters/e-newsletter/822.html   Back to

110. TeamSTEPPS Rapid Response Systems Module | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/rrs/rrs_slides/rrsslides.html
     July 01, 2018 - The organization selects a suitable method that enables health care staff members to directly request … could include: Transferring the patient to another critical care unit (e.g., ICU or CCU) A handoff back … Devise contingencies for a handoff back to the general care area (i.e., keeping the patient in current … Return to Top Let's look back at our example Let's Look Back at Our Example (8 min., 23 sec.) … https://www.ahrq.gov/teamstepps/rrs/rrs_slides/rrsslides.html   Back

111. Executive Briefing
     monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/leadership-brief/ts-leadershipbrief.pptx
     January 01, 2013 - But research has also shown that: Teams that communicate effectively and back each other up reduce the … organizations establish “interdisciplinary team training programs for providers that incorporate proven methods … Rigorous scientific methods were used to develop TeamSTEPPS. … Costs can be modified by obtaining materials and having trainers teach themselves Based on the National … presented in the previous slide can be modified or reduced by: Obtaining materials and having trainers teach

112. TeamSTEPPS Specialty Scenarios: Ancillary Services (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ancillary.pdf
     March 19, 2014 - for: All Specialties Setting: Hospital A patient presents to Triage complaining of severe upper back … The resident, hearing the check-back, replied, “No, that’s incorrect. Give 5 mg Norcuron.” … Instructor Comments  The pharmacist’s use of a check-back before administering the medication, and … Potential Tools  Check-back, Advocacy/assertion, Collaboration, Task assistance Specialty … Instructor Comments  Lacking mutual support and a method for Conflict resolution, a teamwork failure

113. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/instructor/scenarios/ancillarysvcs.html
     October 01, 2014 - The resident, hearing the check-back, replied, "No, that's incorrect. Give 5 mg Norcuron." … Potential Tools Check-back, Advocacy/assertion, Collaboration, Task assistance. … Instructor Comments Lacking mutual support and a method for Conflict resolution, a teamwork failure … Potential Tools Check-back, Task assistance, Collaboration. … Potential Tools Two-Challenge rule, Advocacy/Assertion, Collaboration, Check-back.

114. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
     monahrq.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
     January 01, 2024 - We used statistical process control methods to assess for changes from baseline rates. … We used a similar “all teach, all learn” approach, with increased dependence upon virtual learning supplemented … For “all teach all learn,” we convened monthly teleconference calls/webinars among all hospital stakeholder … Patients were newly identified if placed back on IV aminoglycoside for >3 days or >3 NTMx simultaneously … Our procedures and systems are good at preventing errors from happening 1-5 4.11 2.74 AVAILABILITY

115. Hospital Resources | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/hospital/resource/about.html
     December 01, 2017 - This report presents the purpose, methods, and results of an environmental scan on existing literature … AHRQ has developed two interactive training modules that teach clear, comprehensive, engaging communication … www.ahrq.gov/patient-safety/settings/hospital/resource/about.html   Back

116. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
     December 01, 2017 - Healthcare-Associated Infections Program Combating Antibiotic-Resistant Bacteria About the CUSP Method … action practices, (3) formal and informal leader actions and expectations, (4) teamwork processes (e.g., back-up … Nurse Med calls back to the ED 20 minutes later and asks for Nurse ED. … Slide 25 Back to the Surgeon Why is the surgeon opposed to the new protocol? … cauti-tools/archived-webinars/leveraging-cultural-change-slides.html   Back

117. TeamSTEPPS® 2.0 Leadership Briefing | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
     April 01, 2017 - organizations establish "interdisciplinary team training programs for providers that incorporate proven methods … Rigorous scientific methods were used to develop TeamSTEPPS. … Check-back. … Costs can be modified by obtaining materials and having trainers teach themselves. … presented in the previous slide can be modified or reduced by: Obtaining materials and having trainers teach

118. Readiness Assessment Survey (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.docx
     September 01, 2012 - Chin, let me check back with you. … ineffective or improper use of medications or serious medication errors; improper preparation for tests and procedures … List various methods. Note contingency plans. … The teaching methods and aids were used effectively 1 2 3 4 5 3. … Chin, let me check back with you.

119. Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-slides.html
     December 01, 2017 - Healthcare-Associated Infections Program Combating Antibiotic-Resistant Bacteria About the CUSP Method … hai/cauti-tools/archived-webinars/navigating-hierarchy-slides.html   Back

120. Evaluation Metrics (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/evalguide/lepevalguide.pdf
     September 01, 2012 - The teaching methods and aids were used effectively 1 2 3 4 5 3. … Say to the nurse, “Let me check back with you. … Chin, let me check back with you. Do you understand how to take your medicine?” … Chin, let me check back with you. … Say to the nurse, “Let me check back with you. Do you think Mr.