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301. CAHPS Moving Forward: Innovations in Tools and Research (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-webcast.pdf
     October 01, 2017 - We generate measures and data used by providers and policy-makers, and we create materials to teach … Dale, I'm going to turn this back to you. … some recent updates to the CAHPS survey suite and research that is related to survey administration methods … It relates to the look-back period or the timeframe in which the respondent is asked to think back about … in our demonstration projects with the more time-intensive, labor-intensive, qualitative research methods

302. Barriers Associated with Medication Information Handoffs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
     January 01, 2004 - charts because of technical constraints, equipment maldistribution, and multiple clinician access procedures … detailed care process maps that documented the flow of information from ambulatory to acute care and back … Our method for rating failure-effect combinations therefore results in somewhat lower frequency scores … Efforts are underway to teach patients how to keep themselves safe and to be reliable conduits for medication … Probabilistic risk analysis, foundations and methods.

303. AHRQ EvidenceNOW: Building State Capacity: Interim Evaluation Report II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-2.pdf
     July 01, 2024 - This is the second interim report of the mixed-method evaluation of EvidenceNOW: Building State Capacity … Methods 2.1. … felt that faxing potential practices about joining the QI intervention was an “innovative” outreach method … • Use teach-back methods. • Link patients with community resources. … ACC asked PFs to document each visit within 24 hours using a Time Tracker log (date, time, contact method

304. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
     January 01, 2024 - Failure to consistently apply established procedures contributed to 20% of these errors. … SC adopted this method as well. … The same learning modules and methods of support were employed at each site. … incomplete adoption of the process, although we are unable to trace the improvement in ADEs directly back … the competing demands that are present in a large organization resulted in the project team scaling back

305. Puh-Factraining-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
     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.

306. Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
     December 27, 2021 - As a practice facilitator (PF), you will want to help your practices take a step back from their data … Organizational causes include processes, procedures, and policies that are contributing to the problem … Organizational causes: The empanelment procedures do not include training and monitoring the appointment … You should be able to teach the process to practice members so they can use it on their own, and also … Have the categories of causes already pre-filled with people, environment, materials, methods, equipment

307. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
     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 and

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

309. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
     January 01, 2004 - This involves being able to step back from the immediate pull of the situation to momentarily reflect … Heighten metacognition Train for a reflective approach to problem-solving: stepping back from the immediate … Cognitive aids and debiasing methods: can cognitive pills cure cognitive ills?

310. Sexual Activity Status Among Adolescents (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-0087-fullreport.pdf
     October 01, 2016 - • Use of non-hormone-based methods of birth control (e.g., rhythm method; barrier methods such as … encounters for acute care, health maintenance visits, or sports physicals all provide opportunities to teach … The eligibility criteria and look-back period were altered slightly to allow for alignment with measure … The results of the measure can also be fed back to the provider via the EHR system to support quality … Use of non-pharmaceutical methods of birth control (e.g., rhythm method, condoms) for birth control

311. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
     September 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.

312. Final Progress Report: Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
     January 01, 2025 - METHODS (Study Design, Data Sources/Collection, Interventions, Measures, Limitations) The study methods … Illness Self-Management survey and the Newest Vital Sign health literacy survey.29,30 Home visit procedures … This method utilizes swim lane process mapping. … endocrine clinic physicians or diabetes educators and parents of children with type 1 diabetes to teach … MD/APRN responds and RN calls family back with their recommendations.

313. Improving Customer Service and Access in a Surgical Practice (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/Case_Study_Specialty_Practice_Updated.pdf
     October 01, 2011 - referral to a doctor outside the specialty practice or authorization from an insurance company for a procedure … • Establish procedures for consistency in managing staff; consistency often is central to achieving … An employee and some administrative staff throughout the FPG who have been trained on the tool and procedure … A total of 55 (out of 70 total) practices are surveyed using this method. … another doctor outside the specialty practice, or to get authorization from an insurance company for a procedure

314. Final Progress Report: Workshop on Consumer Engagement in Selected Patient Safety Topics (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/hatlie-report.pdf
     January 01, 2024 - Methods: The workshop adapted a group process methodology known as Appreciative Inquiry. … Methods (Study Design, Data/Sources/Collection, Interventions, Measures, Limitations) A. … Allowed access to advocates (interns, relatives); and Communicated with especially about medications and procedures … access to advocates (interns, relatives); and • Communicated with especially about medications and procedures … continuum of care. • Patients are invited to use care partners/advocates. • Clinicians and patient use teach-back

315. Final Progress Report: Validation of an Innovative Approach to Error Reduction (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
     January 01, 2024 - Methods: Staff perceptions were assessed with a validated survey, and errors were assessed through chart … This study responds to the need for error reduction methods, with a focus on the correction of failures … 90 years No dislocated joint of interest Acromioclavicular shoulder dislocation No joint relocation procedure … We therefore have some data on charts in which no relocation procedure occurred or no sedative or anesthetic … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

316. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
     April 01, 2018 - In this chapter, we begin with an overview of ST-PRA followed by the methods involved in collecting information … and quantitative decision-support models. 1-3 PRA involves a detailed "deductive" process analysis method … that important work related to the estimates of risk dictating current clinical practices dates as far back … The purpose of this meeting was to review the results of the ST-PRA modeling effort; to discuss the methods … It was also a useful method for incorporating the data gathered from the site visits, because contamination

317. Introducing the CAHPS Child Hospital Survey_Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/introducing-cahps-child-hospital-survey-transcript.pdf
     January 01, 2015 - And the reason is, I’m going to go back to remember when I said that implementation of the core measures … Schuster, Slide 22 And when we go to report these, we use what’s called a top-box score method which … Burke, Slide 39 So back on June 9, 2012, we had a pretty historic move for our hospital. … And so within my department of patient experience, we really wanted to be able to look back at where … and facilitates improvement workgroups using a variety of tools that include performance improvement methods

318. Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
     January 01, 2003 - Pediatric sedation (i.e., the acute treatment of procedure-related pain and stress with medications … Methods Test domain Pediatric sedation for the acute treatment of procedure-related pain and stress … Several settings were selected to test the method. … Laryngoscope 1 1 ETT 1 1 stylet 1 1 Reversal drugs Narcan 1 1 Flumazenil 1 0 Call for Help Back-up … This methodological study investigates the use of provocative testing in the sedation care domain as

319. 7.  Appendix C: Additional Tables by Topic Area | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.html
     May 01, 2024 - Appendix A: Approach and Methods 6.  … Internal Medicine Refines and evaluates a simulated intervention, which uses actors playing patients, to teach … recommending watchful waiting to patients who request low-value and potentially harmful imaging for low back … Identify, Teach and Treat (IT2): Automating Clinical Decision Pathways for the Care of Women (U18) PIs … Identify, Teach and Treat (IT2): Automating Clinical Decision Pathways  for the Care of Women (U18) PIs

320. 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/factraining.html
     December 01, 2014 - After that, the facility should be able to make this program part of their policies and procedures and … The team may need some nudging to get back on track.