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281. 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_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

282. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
     June 02, 2025 - 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.

283. An Organizational Guide to Building Health Services Research Capacity (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/hsrguide/hsrguide.pdf
     October 01, 2011 - If not, what is necessary to develop and implement such procedures? d. … Clarify deadlines, submission method, and submission details. … • Data protections and security policies and procedures must be in place for managing data. … One method we observed had individual investigators meet with the PI, another senior advisor, or an … You might consider going back to your goals or your funded proposal to help guide your decision.

284. An Organizational Guide to Building Health Services Research Capacity (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/hsrguide.pdf
     October 01, 2011 - If not, what is necessary to develop and implement such procedures? d. … Clarify deadlines, submission method, and submission details. … • Data protections and security policies and procedures must be in place for managing data. … One method we observed had individual investigators meet with the PI, another senior advisor, or an … You might consider going back to your goals or your funded proposal to help guide your decision.

285. Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
     October 01, 2024 - Prevent Device and Procedure-Related Infections Treatment with medical devices or procedures is often … A Gap Analysis is a systematic method to identify “gaps” between your current and desired state. … Once an area for improvement has been addressed, go back to your priority list, and move onto the next … Premortem Project Assessment The CUSP Premortem Project Assessment is a proactive method to identify … of environmental cleaning monitoring, and feeds data back to the organization to drive improvement efforts

286. From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
     May 05, 2008 - Here we summarize the Commission’s methods for transforming diverse public input into a consensus-based … Methods Context and Overview The Commission’s choice of methods served its public policy purpose. … safety standards are established across the continuum of care so that years from now, Michigan can look back … Mixed methods research: A research paradigm whose time has come. … Qualitative evaluation and research methods, 2nd ed.

287. Module 15: Preparing and Presenting Performance Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-15-presenting-data.pdf
     September 01, 2015 - ............................................................................... 3 Describing Your Methods … available 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 … For each performance metric, you should clearly describe the methods you used to obtain the data, the

288. Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
     September 01, 2008 - body of evidence regarding the risk of VTE associated with various medical illnesses and surgical procedures … July 1, 2007), giving providers and health care organizations a financial incentive to document these procedures … The outcomes described in the specific aims are the primary method of evaluating actual usage and the … The implementation of the On-line Provider Training Module on VTE Prophylaxis is an innovative method … adoption is “an organic and often rather messy model of assimilation in which the organization moves back

289. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
     May 05, 2008 - Methods: The existing handoff process was evaluated and improved using Six Sigma® methodology and medical … Often compared to the scientific method, this approach consists of the following five steps that are … In health care, for example, this may involve new methods to detect medication errors. … involved in a patient’s recent care did not consistently participate; (2) the handoff content and method … high-reliability organizations to utilize structured communication techniques, such as checklists and “read-back

290. Improving Patient Safety in Long-Term Care Facilities, Module 2 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcmodule2.pdf
     June 01, 2012 - resident is safe. 5 6 NOTES Not being able to talk about how things did or could go wrong holds back … Think about how to give information back to that person in a give-and-take until you are both sure that … Think about how to give information back to that person in a give-and-take until you are both sure that … It should be the main method used at shift-to-shift handoffs.

291. On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
     December 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 re-engage and get back on track.

292. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/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

293. 050-Dec-Implementation-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
     October 01, 2024 - However, this approach is constrained by the accuracy and effectiveness of the MRSA surveillance methods … Both methods will be discussed in this presentation. … (4) Right leg and foot (5) Left leg and foot. (6) Back of neck, back, then the buttocks. … This is a straightforward but effective method of accurately tracking adherence. … Working with Infection Prevention, they gather unit data going back 12 months and calculate estimates

294. Situation Monitoring: Severe Hypertension - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
     July 01, 2023 - In this module we teach you about briefs, huddles, and debriefs.  … Are we confirming the receipt of information and clarifying uncertainties with a check-back? … Did team members check-back on communications? … Did everyone check-back or close-the-loop to confirm messages were correctly understood? … independent thought, inclusion, and prompted discussion of both opportunities for improvement and viable methods

295. Compendium of U.S. Health Systems, 2021, Hospital Linkage File, Technical Documentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-hospital-linkage-techdoc-rev.pdf
     January 01, 2021 - An overview of the data collection methods for the OneKey and AHA data can be found in the Compendium … When using the linkage file, users should bear in mind a few caveats and limitations to the current methods … characterization of hospitals and their linkages to systems (for example, they use different data collection methods … 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?

296. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
     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 … Putting Socrates back in Socratic method: theory-based debriefing in the nursing classroom.

297. TeamSTEPPS for Improving Diagnosis Facilitator's Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
     February 04, 2022 - How might those methods become common practice? 4. … After working in small groups, bring teams back together. … How might those methods become common practice? 4. … Med Teach. 2018 Aug;40(8):803-808. https:// doi.org/10.1080/0142159X.2018.1484898. … timeliness, it is important to consider estimated timeframes for when the diagnosis will be ready and procedures

298. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
     June 02, 2025 - 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.

299. Puh-Factraining-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
     June 02, 2025 - 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 re-engage and get back on track.

300. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
     December 01, 2017 - Yes _X_ No ___ *A comprehensive skin assessment is defined as a full head to toe and front and back … Facilitator: Good morning, team, and welcome back to the On-Time training. … For example, if you had the On-Time reports, you could look back prior to the date that the resident's … Yes _X_ No ___ *A comprehensive skin assessment is defined as a full head to toe and front and back … Root cause analysis (RCA) is a structured method for investigating serious adverse events.