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221. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - were seeking input from others (65%), establishing the patient role in decisionmaking (53%), using teach-back … A-8 | P a g e Exploring Resolution Methods The third category, Exploring Resolution Methods, … As the final step, researchers pilot tested a customized TeamSTEPPS® training designed to teach patients … and would be easy to use, they would be comfortable using the tools, and it would be beneficial to teach … were seeking input from others (65%), establishing the patient role in decisionmaking (53%), using teach-back

222. Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
     March 07, 2008 - to fax the results as soon as they are completed to reduce the overall time it takes to communicate back … In the process of designing the CAT Clinic processes and procedures, it became clear that a software … Repeat INR determinations would be made until the patient was back in therapeutic range. … The use of SPC differs from the current method used by many providers because with SPC, the nurse practitioner … Implementing Six Sigma: Smarter solutions using statistical methods, 2nd ed.

223. Primary Care Practice Facilitation Curriculum Module 2: Practice Facilitation as a Resource for Practice Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-2-pf-as-a-resource.pdf
     September 01, 2015 - For example, let’s say you are supporting implementation of advanced access (a method of shortening … skills for running effective QI meetings • Teach skills for encouraging culture of continuous QI in … how to collect, analyze, and display data; how to train practices to run effective meetings; how to teach … facilitation is a relatively new approach to supporting practice improvement, its origins can be traced back … The evidence base demonstrating the effectiveness of practice facilitation as a method for improving

224. Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
     December 01, 2017 - At that time, instructions will be given as the procedure to follow if you would like to ask a question … know where we end, because that's really the only way that we can gauge the effectiveness that our methods … During the procedure, were sterile gloves, mask, and a sterile gown used? … Did all of the personnel that assisted with the procedure follow the above precautions? … make our policies, and procedures, and practices.

225. Paul Tedrick (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
     June 03, 2014 - At that time, instructions will be given as the procedure to follow if you would like to ask a question … know where we end, because that’s really the only way that we can gauge the effectiveness that our methods … During the procedure, were sterile gloves, mask, and a sterile gown used? … Did all of the personnel that assisted with the procedure follow the above precautions? … make our policies, and procedures, and practices.

226. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
     January 01, 2024 - METHODS We executed an individual, randomized controlled trial. … sources of measurement error and guiding subsequent modifications of the performance tasks, training procedures … The injury severity score: a method for describing patients with multiple injuries and evaluating emergency … Quality assurance methods for performance-based assessments. … Teach. May 2005;27(3):200-206. 55.

227. Integrating Primary Care Practices and Community-based Resources to Manage Obesity (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdf
     May 01, 2014 - ; 3) automated export procedures for seamless data downloads to common statistical packages; and 4) … procedures for importing data from external sources. … electronic bar code admission card and a method of reporting back to insurers the utilization of those … Similarly, staff at Clinics Three and Five work with, teach, and have participated in the Living Well … There is also a back-up scale for larger patients located in the procedure room.

228. Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
     January 01, 2003 - They also felt that it was the most practical method for ongoing quality assessment.4 Another study … Methods Development of ADE monitors have been described in various studies,4, 7, 11 and rules from … The second detection method also uses the patient’s medication list, but uses an algorithm to identify … program first identified visit notes in the EMR, then examined the patients’ medication list, looking back … Computerized monitoring provides a reproducible method of detecting ADEs.

229. Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/arora-report.pdf
     January 01, 2024 - Methods: Trained personnel observed hospitalist and resident handoffs at University of Chicago and … tool is informed from other evaluative instruments, such as the Mini-CEX, as well as from hand-off procedures … receivers of the handoff performance remained constant, demonstrated by their attentive listening, read-back … We hope that the Handoff CEX can arm educators with an innovative, necessary, valid and feasible method … Understanding communication during hospitalist service changes: A mixed methods study.

230. Session 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
     October 01, 2014 - causing decreased urine production, people can retain urine and their bladder can fill and stretch and back … A link to the SBAR tool is in the Additional Tools and Resources section at the back of this Workbook … Not being able to talk about how things did or could go wrong holds back our own learning. … Clarifying confusion: The confusion assessment method. A new method for detection of delirium.

231. Labor and Delivery Unit Safety: Obstetric Hemorrhage | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
     July 01, 2023 - Nonstandardized, informal, visual estimation methods typically underestimate blood loss, resulting in … 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 … Verifying and checking back on information. Providing ongoing updates.

232. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
     November 01, 2017 - After that, the facility should be able to make this program part of their policies and procedures and … The team may need some support and guidance to reengage and get back on track. … The team may need some support and guidance to reengage and get back on track.

233. TeamSTEPPS for Improving Diagnosis Participant Workbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
     February 04, 2022 - Team members appropriately use all available methods of diagnostic communication (e.g., electronic health … How might those methods become common practice? 4. … “If you experience X or Y new symptoms, please come back in or call the office.” … “If you experience X or Y new symptoms, please come back in or call the office.” … Med Teach. 2018 Aug 40(8):803-8. https:// doi.org/10.1080/0142159X.2018.1484898.

234. Patient-Family-Centered-Care-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-transcript.doc
     April 09, 2013 - So, if you look at slide number six, you see lots of different methods, and we've talked about these. … We use many of these, but you see lots of different methods for how to help teams improve. … patients and families and health care leaders and practitioners begin to collaborate in policy and procedure … I've had many procedures done, tests done, in many different areas in the hospital. … What would she suggest that we use information-wise to teach a patient about the safety behind maybe

235. Patient and Family-Centered Care (April 9, 2013) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
     December 01, 2017 - So, if you look at slide number six, you see lots of different methods, and we've talked about these. … We use many of these, but you see lots of different methods for how to help teams improve. … patients and families and health care leaders and practitioners begin to collaborate in policy and procedure … I've had many procedures done, tests done, in many different areas in the hospital. … What would she suggest that we use information-wise to teach a patient about the safety behind maybe

236. Compendium of U.S. Health Systems, 2020, Technical Documentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-Compendium-TechDoc-rev.pdf
     January 01, 2020 - Insurance Product Data and Methods Introduction This appendix describes the data and methods used to … Nursing Home Data and Methods Introduction This appendix describes the data and methods used to construct … Insurance Product Data and Methods Appendix D. Nursing Home Data and Methods Appendix E. … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back … Distinguishable Links Passed Is this link distinguished by a method other than color?

237. Compendium of U.S. Health Systems, 2021, Technical Documentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-Compendium-TechDoc-rev.pdf
     January 01, 2021 - Insurance Product Data and Methods Introduction This appendix describes the data and methods used to … Nursing Home Data and Methods Introduction This appendix describes the data and methods used to construct … Insurance Product Data and Methods Appendix D. Nursing Home Data and Methods Appendix E. … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back … Distinguishable Links Passed Is this link distinguished by a method other than color?

238. Improving Patient Safety by Engaging Patients and Families (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
     April 30, 2025 - Participants identified questions, arts projects, protocols, and evaluation procedures that could be … The research involved developing an agreement through a Delphi method with 37 stakeholders, followed … The final interventions were “Be Prepared To Be Engaged,” “Create a Safe Medicine List Together,” “Teach-Back … Key Findings/Impact: The researchers designed a simulation-based intervention to teach physicians and … patient seeking input from trusted others (65%), establishing a patient’s role in DM (53%), using teach-back

239. Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
     January 01, 2024 - METHODS and 6. RESULTS and LIMITATIONS (grouped by each specific aim) Study Methods Overview. … METHODS Study Design. … Methods of measurement. … A 26-item survey instrument was developed using accepted procedures, including review of the literature … The database was stored on a highly secure hospital network, which had an automatic back-up system ..

240. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
     April 21, 2008 - • A method for implementing organizational changes. … The main method used to report incidents consists of a paper incident report, which is completed by the … patient’s anticoagulation flow sheet and noted the discrepancy between the patient’s status as being back … These changes included the complexity of the procedure itself and staff adjustment to the changes. … These redundancies in reporting interfered with staff compliance with our fall policy and procedures