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

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

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

164. TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ) Manual | Agency for Healthcare Research and Quality
     pcmh.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

165. The Medical Home: What Do We Know, What Do We Need to Know? A Review of the Earliest Evidence on the Effectiveness of the Patient-Centered Medical Home Model | PCMH Resource Center
     pcmh.ahrq.gov/page/medical-home-what-do-we-know-what-do-we-need-know-review-earliest-evidence-effectiveness-of-the-patient-centered-medical-home-model
     March 01, 2013 - back to top Chapter 1. … back to top Chapter 2. … What lessons does the current evidence teach us? … back to top Chapter 6. … back to top Chapter 7.

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

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

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

169. Module 15: Preparing and Presenting Performance Data (pdf file)
     pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-15-presenting-data.pdf
     September 01, 2015 - at: http://www.lanetpbrn.net/wp-content/uploads/Performance-Report-Generator_1.xlsb ) or another method … Another method is to run frequencies using a statistical program. … A number of good online training programs teach basic skills for working with data using statistical … P Primary Care Practice Facilitation Curriculum MODULE 15 M15-4 Describing Your Methods When … For each performance metric, you should clearly describe the methods you used to obtain the data, the

170. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
     pcmh.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

171. TeamSTEPPS: Rapid Response Systems (pdf file)
     pcmh.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

172. AHRQ EvidenceNOW: Building State Capacity: Interim Evaluation Report II (pdf file)
     pcmh.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

173. Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality
     pcmh.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

174. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     pcmh.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.

175. Module 7: Professionalism for Practice Facilitators (pdf file)
     pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-7-professionalism.pdf
     September 01, 2015 -  Use a notebook or other methods to record names, information, and location of practice staff. … Then you can check with your supervisor and get back to them. … You can apply the PDSA cycles that you teach practices to the development of your own professional … In an ideal world, your own professional work mirrors what you then teach your practices to do. … opportunities reports for practices, you will want to assure use of a secure and HIPAA-compliant method

176. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
     pcmh.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

177. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
     pcmh.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.

178. Introducing the CAHPS Child Hospital Survey_Transcript (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/introducing-cahps-child-hospital-survey-transcript.pdf
     January 01, 2015 - And the reason is, I’m going to go back to remember when I said that implementation of the core measures … Schuster, Slide 22 And when we go to report these, we use what’s called a top-box score method which … Burke, Slide 39 So back on June 9, 2012, we had a pretty historic move for our hospital. … And so within my department of patient experience, we really wanted to be able to look back at where … and facilitates improvement workgroups using a variety of tools that include performance improvement methods

179. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     pcmh.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

180. TeamSTEPPS Fundamentals Course: Module 4. Leading Teams | Agency for Healthcare Research and Quality
     pcmh.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