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141. Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
     January 01, 2024 - Methods: Various methods were employed in the conduct of the research. … The situation did not immediately affect or cause cancellations of any scheduled operating room procedures … The patients were moved back in after about 10 days of the facility being closed. … Finally, in the evening, all systems were back in service. … 2010) and WHO’s ICPS (WHO, 2009) are two initiatives within the health industry to create a common method

142. Final Progress Report: Patient Advocacy Summit: Patients at the Center of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/earp-report.pdf
     January 01, 2024 - Methods: Patient advocates come from a wide range of academic disciplines, professional roles, and personal … For example, we must consider changing the way we teach medical education, the way we write prescriptions … Methods: As we seek to study patient advocacy from an academic perspective, we recognize both the … Respondents were asked to define patient advocacy and to identify important roles, aims, and methods … I enjoy the discussion, the readings, and the back and forth commentary.

143. Breaking Down Barriers to Aseptic Catheter Insertion (May 12, 2015) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-transcript.html
     December 01, 2017 - This was done early last year for the first 6 months, basically, of 24 teams, and the method that they … They forget that the gloves are on, and they don't take the gloves off to wash in between procedures. … Medicine, too, has to look out and prevent infection when they do their procedures. … When we don't teach our health care providers to insert catheters in the same environment in which they … lot of education, and then evaluation through the method of audits for what we were looking for.

144. Breaking-Down-Barriers-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-transcript.docx
     May 12, 2015 - This was done early last year for the first 6 months, basically, of 24 teams, and the method that they … They forget that the gloves are on, and they don't take the gloves off to wash in between procedures. … Medicine, too, has to look out and prevent infection when they do their procedures. … When we don't teach our health care providers to insert catheters in the same environment in which they … lot of education, and then evaluation through the method of audits for what we were looking for.

145. Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
     January 01, 2025 - Methods: The study’s cognitive systems engineering approach included six methods. … Flow analysis methods were used to create process maps. d. … Figure 1 illustrates the result of an emergency department study using the focus group method that was … No single method or type of method is adequate to research complex, real-world work settings. … In Xiao, Y (panel chair), User- Created Cognitive Artifacts: What Can They Teach Us About Design of Information

146. AHRQ Safety Program for MRSA Prevention: Targeting SSI
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/014-ss-cleaning.pptx
     April 01, 2025 - Cleaning 10 Monitoring Quality of Cleaning The OR is a complex environment, and the setup can vary by procedure … Anesthesia machine 2 0 percent Villacis et al., 2019 Instrumentation table 4 94 percent Green et al., 2017 Back … table 2 100 percent Simmons et al., 2018 Back table 136 91 percent Villacis et al., 2019 Table 4 95 … bacteria and viruses on surfaces Safe to use Positive opinions of technology held by patients23 Easy to teach … Peracetic acid‐based disinfectant is the most appropriate solution for a biological decontamination procedure

147. Final Progress Report: Reducing Risks by Engineering Resilience Into HIT for EDs (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
     January 01, 2024 - Scope: Methods: Review of technical standards and documents related to safety-critical computing in … Development methods. … notified anytime a page is modified and the wiki software records all change so that they can be rolled back … organizations would not be willing to commit the time and effort required to fully implement these procedures … Scope 3 Methods 5. Results 6. List of Publications and Products Journal Articles.

148. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
     January 01, 2025 - Methods: The LEARN method consists of a meta-analysis of existing risk assessment. … METHODS D.1. … Surgical and non-surgical procedures (preparation, performance of the procedure, and post-procedural … Bibliography 1 Alpern ER, Chamberlain J, Dean JM, Gorelick MH, Goepp J, Singh T, Stanley R, Teach S … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

149. Methods (continued, 3) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3b.html
     July 01, 2018 - Guide to Patient and Family Engagement Methods (continued, 3) Previous Page Next Page … patient understanding (e.g., assessing patients' understanding of discharge instructions through the "Teach-Back … " method). 203 Many of the tools in this arena seemed to discuss the need to improve communication as … information at a time; 231 , 233,234 repeating information; 79 , 231,232 and using active listening and "teach-back … before entering the hospital or during their hospital stay about their specific condition, treatment, or procedure

150. Final Progress Report: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL) (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
     January 01, 2025 - Methods Problem Analysis Methods Intervention Methods: Design Intervention Methods: Evaluation Chart … include a small sample size due to a relatively infrequent diagnosis and institutional policies and procedures … Methods Problem Analysis Methods Intervention Methods Intervention Methods: Evaluation Stakeholder meetings … Methods Problem Analysis Methods Intervention Methods Intervention Methods: Evaluation Observations … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

151. Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
     January 01, 2025 - Methods A one day conference was held on October 7th, 2012 in Denver, CO, in parallel with American … Methods To accomplish the goals outlined earlier, prior to the conference, the co-chairs invited leaders … Following the conference, materials were disseminated through several methods including the posting … Summarize and report back Specifically, they honed in on using a socio-technical systems model which … Research Priorities This workgroup worked to develop a research prior prioritization of topics and methods

152. Final Progress Report: Deaf People and Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/barnett-report.pdf
     January 01, 2024 - Research methods consisted of qualitative and quantitative methods, translation, back-translation, cognitive … Methods Mentored Career Development Methods (Goals 1 & 2): Dr. … Other research methods: Dr. … This study brings together skills related to translation, back-translation, health literacy, use of … Role-reversal exercise with Deaf Strong Hospital to teach communication competency and cultural awareness

153. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
     September 26, 2019 - with CRE.1,2 Maintaining appropriate contact precautions can be challenging for patients undergoing procedures … In addition to the contact precaution practices described above—particularly during invasive procedures—contact … General methods for this report are described in the Methods section of the full report. … Awareness about infection control policies is crucial to consistently and successfully implementing these procedures … After adoption of strict infection control measures, CRE frequency fell back in 2011 and remained

154. CLABSI Investigation Process: Walk the Process (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
     April 01, 2013 - Nurses did not feel they had leadership support to stop the procedure. … A new policy and procedure or you gave the supply clerk a list of the inventory with the number that … The percent of the time the IV administration set was replaced per policy: I teach in the school of nursing … They had people that weren’t washing their hands before the procedure. … But what’s important, regardless of how you do it, the “Z” method or around, is to make that friction

155. The SHARE Approach: Facilitator's Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/share-facilitator-guide.pdf
     October 01, 2024 - Guide the group to come back together and discuss what happened. … > Learn the teach-back method to facilitate understanding and communication.

156. Communication: Severe Hypertension - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
     July 01, 2023 - communication is a process whereby information is clearly and accurately conveyed to another person using a method … practice guidelines], directing department/services, integration of services, inadequate policies and procedures … , non-compliance with policies and procedures, performance improvement, medical staff organization, nursing … signs are correctly communicated to team members As part of education standards, use check-backs as a method … the exact structure of the tool (e.g., SBAR or I PASS the BATON) as it is in having a unit-recognized procedure

157. Facilitator-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/facilitator-notes.docx
     March 01, 2017 - SLIDE 28 SAY: A few method you can use to address communication challenges include— · Ask how the … and preferences · Plan to repeat information using multiple interactions and formats as needed. · Use teach-back … methods to confirm understanding. … that a resident and family adviser is a partner and team member when developing facility policies, procedures … Staff may use active listening and repeat back to validate that the information the adviser is trying

158. Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
     January 01, 2025 - healthcare that provides evidence of what constitutes an effective handoff, how to perform it, and how to teach … METHODS This study employed the methods of an expert work group panel, industrial engineering observations … As such, our team proposed that each element of the procedure drop-down menu be titled by the type of … procedure and then alphabetically arranged so that all types of procedures would now effectively be … Mayo Clinic Procedures. 1993;68(10):982-987. 17.

159. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
     September 03, 2014 - importance of using data in the Quality Assurance and Performance Improvement (QAPI) process Describe methods … DO: Make an action plan for at least one method to implement with your intervention.     13 Staff … on creating clean and aseptic fields and how to maintain them Watch supplemental videos with staff Teach … sessions on creating and maintaining clean and aseptic fields, watch supplemental videos with staff, and teach … Not all methods work for every site.

160. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
     October 01, 2014 - Skin Temperature Most clinicians use the back rather than the palm of their hand to assess the temperature … Teach or do frequent small shifts of body weight. … Activity Mobility Nutrition Friction/Shear Performs or supervises performance of care plan procedures … Does the education provided address risk assessment tools and procedures?         7. … Does the education include staff training on documentation methods related to pressure ulcers (e.g.,