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141. Improving Patient Safety Systems for Limited English Proficiency Patients: A Guide for Hospitals (pdf file)
     pbrn.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

142. Module 2: How To Manage Change—Training Guide | Agency for Healthcare Research and Quality
     pbrn.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

143. Module 5: Resident and Family Engagement: Facilitator Notes | Agency for Healthcare Research and Quality
     pbrn.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

144. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide | Agency for Healthcare Research and Quality
     pbrn.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

145. Questions and Answers: AHRQ National Webinar on Shared Decisionmaking Tools for Lung Cancer Screening | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/health-literacy/professional-training/shared-decision/webinars/q-a-lung.html
     September 01, 2020 - So it's important for clinicians to use some of the strategies in the checklist—especially teach-back—to … When we look back at some of the other cancer screening questions, it's kind of a mixed bag. … Only a very small number go on to have invasive procedures. … Description of data management and data quality review methods, including validation. … health-literacy/professional-training/shared-decision/webinars/q-a-lung.html   Back

146. Meeting Minutes, November 2015 | Agency for Healthcare Research and Quality
     pbrn.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

147. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
     pbrn.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

148. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
     pbrn.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

149. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage (doc file)
     pbrn.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

150. TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ) Manual | Agency for Healthcare Research and Quality
     pbrn.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. … Application of cognitive, skill-based, and affective theories of learning to new methods of training … www.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.html   Back

151. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     pbrn.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

152. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.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

153. Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox (pdf file)
     pbrn.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.

154. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
     pbrn.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

155. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
     pbrn.ahrq.gov/sites/default/files/docs/AHRQPBRNFinalRapidCycleResearchGuidanceDocument_0.pdf
     June 01, 2015 - research methods. … Rating method b. … How would the procedure ideally be delivered? … One should take a few minutes to sit back and think about the study: the interventions, the subjects … For most audiences, data is better used as a way to back up a claim demonstrated by an anecdote.

156. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
     pbrn.ahrq.gov/sites/default/files/docs/page/AHRQPBRNFinalRapidCycleResearchGuidanceDocument_1.pdf
     June 01, 2015 - research methods. … Rating method b. … How would the procedure ideally be delivered? … One should take a few minutes to sit back and think about the study: the interventions, the subjects … For most audiences, data is better used as a way to back up a claim demonstrated by an anecdote.

157. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
     pbrn.ahrq.gov/sites/default/files/docs/page/AHRQPBRNFinalRapidCycleResearchGuidanceDocument.pdf
     June 01, 2015 - research methods. … Rating method b. … How would the procedure ideally be delivered? … One should take a few minutes to sit back and think about the study: the interventions, the subjects … For most audiences, data is better used as a way to back up a claim demonstrated by an anecdote.

158. SITUATION MONITORING (ppt file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
     January 01, 2008 - The organization selects a suitable method that enables health care staff members to directly request … Think back to our example in the first video we watched. … A handoff back to the primary nurse or primary physician. … Let’s think back to the RRS we saw in action earlier. … What procedures could be put into place to avoid the confusion of what room the response team should

159. TeamSTEPPS: Rapid Response Systems (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
     January 01, 2008 - The organization selects a suitable method that enables health care staff members to directly request … Think back to our example in the first video we watched. … •A handoff back to the primary nurse or primary physician. … Let’s think back to the RRS we saw in action earlier. … • What procedures could be put into place to avoid the confusion of what room the response team

160. AHRQ EvidenceNOW: Building State Capacity: Interim Evaluation Report II (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-2.pdf
     January 31, 2024 - This is the second interim report of the mixed-method evaluation of EvidenceNOW: Building State Capacity … Methods 2.1. … felt that faxing potential practices about joining the QI intervention was an “innovative” outreach method … • Use teach-back methods. • Link patients with community resources. … ACC asked PFs to document each visit within 24 hours using a Time Tracker log (date, time, contact method