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261. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
     September 01, 2015 - Use audits and observations of practice and ensure that collected data are reported back to staff doing … this procedure. … Use case scenarios to teach best use of the nurse-driven protocol for removal of catheters. … Reducing CAUTI in Hospitals Implementation Guide 21 Teach … The RAND/UCLA Appropriateness Method User’s Manual. Santa Monica, CA: RAND; 2001. 18.

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

263. Experiences From the Frontline: Case Studies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
     May 01, 2015 - 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. … html AHRQ Safety Program for Perinatal Care Case Studies 20 coaching leaders on other units to teach … after beginning the Program, they determined that in order to be successful, they would need to scale back

264. Final Progress Report: Chronic Care Technology Planning Project (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdf
     January 01, 2024 - Methods: Four project teams were identified: Leadership, Clinical, Technology, and Transformation ( … 1P20HS014949-01 Page 6 of 20 Any issues identified by any of the other teams were addressed and brought back … Additional Methods Project staff supported activities by providing leadership, research, project management … Method: The methodology is designed around an IHI collaborative model, which harnesses the collective … scenarios. 1P20HS014949-01 Page 18 of 20 Attachment 3, page 2 of 2 Reversibility of information back

265. Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
     January 01, 2024 - Assessment Program (SCOAP), a statewide clinical registry pertaining to a subset of inpatient surgical procedures … These study procedures received approval from the University of Washington IRB. … For several CSAEs, the counts were higher using the Milliman method. … PSI method. … compared with the AHRQ PSI method.

266. 4. Assessment of the Intervention (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen4a.html
     April 01, 2018 - Some practices used their own methods for tracking, but there were no practices that were able to share … these methods with us. … for patients randomized to receive the stool test kit directly and those randomized to receive a mail-back … times more likely to be screened by stool test (OR=3.16; CI=2.40-4.16) compared to those having to mail back

267. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
     January 01, 2024 - c) Methods: This developmental study uses four tools—process mapping, control system mapping, modified … Methods Design: This is a prospective, developmental study using process mapping, control system mapping … In this case, the read back fails when either the read back does not occur (the at-risk behavior) or … to detect error on physician order At-Risk Behavior An at-risk behavior is a knowing deviation from procedure … Q:0.001 G t 392 Read back ... Q:0.951 E t776 Read back ... Q:0.95 G t 515 Read back ...

268. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
     January 01, 2024 - Wrong surgical procedure performed on a patient 0.9 D. … Procedure or device events 3.4 A. … Methods. … Methods and Sample Design. … Methods. Results.

269. Final Progress Report: Caregiver innovations to reduce harm in Neonatal Intensive Care (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
     January 01, 2025 - Methods: (We describe the methods used for to answer each of the five research questions below) Team … collection (embedding) by (1) building from the Causal Loop Diagram (CLD) to the simulation and then back … Methods: Using an observational, mixed methods design of field observations, interviews, and surveys … Methods: The PSLL used an observational, mixed methods design of chart reviews, field observations, … of LI Headings Rule Name Status Description Appropriate nesting Failed Appropriate nesting Back

270. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
     October 01, 2024 - Review procedures for CHG and nasal decolonization. … of neck, back, then buttocks Massage CHG firmly onto skin. … Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Implementation of Decolonization 24 Procedure … Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Implementation of Decolonization 25 Procedure … There are various strategies and methods of decolonization, with advantages and disadvantages.

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

272. Department of Veterans Affairs Emergency Airway Management Initiative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
     February 23, 2008 - Methods The VA confirmed the need for this effort by reviewing the available literature and by capturing … conditions that often are quite trying.2 One respiratory care department published their experience as back-up … • Use of alternative methods of intubation that are in practice at each hospital with an actual patient … Learning manual skills in anesthesiology: Is there a recommended number of cases for anesthetic procedures … pub_ID=1292 Abstract Introduction Methods Results Survey of Facilities Discussion Personnel

273. Final Progress Report: Creation and validation of a training toolkit to ensure safe and proficient use of EHR by medical scribes (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/gold-report.pdf
     January 01, 2024 - Methods: This was a mixed method study, using a combination of EHR audit log data, ethnographic evaluation … Methods: The methods for this protocol are subcatagorized into three Specific Aims, each with their … own independent methods and findings. … Data were gathered using a mixed-method approach, utilizing purposefully created data collection guides … Member checking is accomplished by going back to key informants to confirm that the study findings are

274. Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
     November 01, 2016 - With that I'll turn it back to Ann. … At DHCS, you could think of that as developing and deploying new methods of care such as accountable … To speak about how we're moving from principles to practice, I'll turn the podium back to Dr. … With that in mind, I'll turn the conversation back over to Dr. … Getting into the final stages of the presentation, I want to hand it back over to Dr.

275. Meeting Minutes (Draft), November 2023 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
     January 01, 2024 - To collect patient input, it uses quantitative methods, qualitative methods, and patient partnerships … Survey methods research. Improving patient experience. … endorsed the Accreditation Council for Graduate Medical Education to inform students of these issues and teach … Savitz stated that CDS procedures lead to a problem of burden on the care team. … Robinson proposed that the SNAC come back later with a crisp, clear charge that the NAC can consider

276. Final Progress Report: Health Journalism 2011, national conference on healthcare journalism (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdf
     January 01, 2024 - detailed and authoritative sources of online databases and maps to build resources and skills to bring back … He will answer your questions and share his assessment as you see this teaching method in action. … A member of the Cardiac Center will share the details of the conditions and procedures you are seeing … Lemole's keynote speech (Excerpt: Lemole describes medical procedures performed on Giffords) • Stories … three busloads of attendees taking field trips to see hands-on research, cancer treatment, medical procedure

277. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/module-5-slides.pptx
     March 01, 2017 - (LTC) facilities Explain the importance of engaging residents and family members Describe different methods … Traditional Care to Person-Centered Care1 Traditional Care Person-Centered Care Decisions about policies, procedures … residents useful content Plan for repetition of the information in multiple interactions and formats Use teach … back to confirm understanding AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety … Resident and Family Advisers in Nursing Homes7 Are partners on teams developing or revising policies, procedures

278. Final Progress Report: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice (pdf file)
     www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
     January 01, 2025 - Overview: We will use a mixed methods approach to assess satisfaction with the performance feedback tool … The comments and suggestions we were given regarding the method of dissemination favored the use of … Methods (Study Design, Data Sources/Collection, Interventions, Measures, Limitations): Survey Questions … This was a required first step such that we could use the data and feed it back to frontline clinicians … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

279. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
     January 12, 2022 - Research has shown that teams that communicate effectively and back each other up reduce the potential … The ultimate diagnosis may not be effectively communicated back to the patient, with clear communication … Teach-Back. Briefs. Huddles.   … He did mention that some tests were done in pulmonary clinic that he never heard back about, which I … Putting Socrates back in Socratic method: theory-based debriefing in the nursing classroom.

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