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

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

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

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

105. Questions and Answers: AHRQ National Webinar on Shared Decisionmaking Tools for Lung Cancer Screening | Agency for Healthcare Research and Quality
     talkingquality.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

106. Meeting Minutes, November 2015 | Agency for Healthcare Research and Quality
     talkingquality.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

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

108. Agency for Healthcare Research and Quality
     talkingquality.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

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

110. Agency for Healthcare Research and Quality
     talkingquality.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

111. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
     talkingquality.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

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

113. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization (doc file)
     talkingquality.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

114. Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality
     talkingquality.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

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

116. Biosketches | Agency for Healthcare Research and Quality
     talkingquality.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

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

118. The SHARE Approach—Putting Shared Decisionmaking Into Practice: A User’s Guide for Clinical Teams | Agency for Healthcare Research and Quality
     talkingquality.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

119. EvidenceNow Key Drivers and Change Strategies | Agency for Healthcare Research and Quality
     talkingquality.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

120. AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/final-impact-synthesis-report.pdf
     July 22, 2015 - ................................................................................................2 Methods … their partner States. 2 http://www.ahrq.gov/professionals/systems/primary-care/tpc/index.html Methods … the Pennsylvania Chronic Care Commission and efforts to improve diabetes care in the State dating back … AHRQ IMPaCT Initiative Methods Model State Enhancement Efforts Summary of Model State Program Components