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361. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
     January 01, 2005 - The curriculum to teach the intervention group about PDA use was produced using a best-practice prototype … were used to prepare the practice-based, case- simulation curriculum and teach the intervention subjects … Impact of PDAs on Medication Safety 251 Because they had the option of reverting back to the traditional … Statistical methods for rates and proportions. 2nd ed. … Qualitative research methods for health professionals. 2nd ed.

362. 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

363. Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
     January 22, 2008 - Methods: Between October 2005 and February 2006, and again between October 2006 and February 2007, residents … Additional studies are also needed to identify how to best teach and evaluate a physician’s ability … Methods Scope and Study Population The Institutional Review Board of the University of Virginia approved … night shift meet with other members of the team to review what happened overnight and to hand-off care back … system **CareCast = computerized results and document repository 21 Abstract Introduction Methods

364. 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

365. ChartBook On Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
     March 04, 2016 - Introduction and Methods contains information about methods used in the chartbook. …  Procedure-related events. … Procedure-Related Events  More than 40 million operative procedures are performed in the United States … The home health team should regularly change wound dressing and teach the patient about wound care … The home health team can help teach a patient ways to organize drugs and take them properly.

366. Developing the Capacity to Implement Antimicrobial Stewardship: Opportunities for the Future | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article10.html
     August 01, 2018 - Antimicrobial Prophylaxis and Decrease Gram-Positive Surgical Site Infections for Cardiac and Orthopedic Procedures … Methods Participating Hospitals The six intervention sites, in four health care systems, are all … interventions to reduce the use of these antibiotics, most of which affected the entire hospital, with a back-end … sites had a long history of close relationships between pharmacy and ID—for example, they round and teach … going beyond prescribing may lead to pushback, though it may also spark thoughtful consideration of procedures

367. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
     March 01, 2020 - 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

368. Executive Briefing
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/leadership-brief/ts-leadershipbrief.pptx
     January 01, 2013 - But research has also shown that: Teams that communicate effectively and back each other up reduce the … organizations establish “interdisciplinary team training programs for providers that incorporate proven methods … Rigorous scientific methods were used to develop TeamSTEPPS. … Costs can be modified by obtaining materials and having trainers teach themselves Based on the National … presented in the previous slide can be modified or reduced by: Obtaining materials and having trainers teach

369. Chapter 2: Five Key Recommendations To Improve Patient Safety for LEP Patients | Agency for Healthcare Research and Quality
     www.ahrq.gov/health-literacy/professional-training/lepguide/chapter2.html
     September 01, 2020 - Training Appendix B: Bringing It To Life - Case Study Appendix C: Advisory Board Members Appendix D: Methods … Consider developing other methods of identifying errors outside of standard reporting, such as audio-recorded … Provide patients with written materials, such as informed consent forms or procedure instructions, in … Use "teach-back" to confirm patient understanding. … Using "teach-back" is an effective strategy to confirm patients' comprehension of care processes, particularly

370. Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
     January 01, 2024 - other resources.37,38) The clinical pharmacist reviewed materials with the patient/caregiver, using teach-back … Teach-back is a way to confirm that a healthcare provider has explained to patients what they need to … Each review followed a standardized procedure, searching for signals possibly indicating a clinically … Observation method of detecting medication errors. … Always Use Teach Back! http://www.ihi.org/resources/Pages/Tools/AlwaysUseTeachBack!.aspx.

371. Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/wakefield2-report.pdf
     January 01, 2024 - Methods: A mixed-methods approach using document reviews and surveys was used to analyze VO policies … Finally, Wilson’s score method was used in conjunction with appropriate sampling weights and a finite … Nursing Policy/Procedure 4. Pharmacy Policy/Procedure 5. Hospital Policy/Procedure 6. … Physicians giving verbal orders do not like having the orders read back to them. 3.e. … Doing procedures. 5.c. Making patient rounds. 6.

372. Making Healthcare Safer Practices: 14. Delirium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
     March 01, 2020 - General methods for this report are described in the Methods section of the full report. … General methods for this report are described in the Methods section of the full report. … ICDSC and better staff preparation for how to properly screen and manage patients.10 In an effort to teach … General methods for this report are described in the Methods section of the full report. … room, reduction of multiple sensory experiences; cluster care to avoid night hours; provision of back

373. Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
     July 23, 2008 - Focus groups have been shown to be an effective method for identification of systemic patient safety … Someone taking charge in a conflict 2 Coordination regarding medical equipment needed for surgical procedures … admitting a patient had every clinic note, every discharge summary on the computer, every radiologic procedure … I think it is good, because it gets us out of trying to go back and forth and be mediating something … Rounds—a time-honored method of clinical communication—were described as effective because this method

374. Appendix F. Hospital Practice Insights: Challenges and Solutions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-f.html
     September 01, 2017 - In addition, the team uses Lean quality improvement (QI) methods. … Nurse managers monitor compliance and conduct focused rounding (including teach-back) with patients who … quality improvement activities: Participating in a comprehensive review of the fall policy and procedures … Address these problems using quality improvement methods, such as PDSA and Lean QI methods. … This procedure has improved accountability and sustainability.

375. 2016 Hospital Survey on Patient Safety Culture Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
     January 01, 2016 - used a paper-only survey, others used Web- only surveys, and others used a combination of these two methods … , but this method would give greater weight to respondents from larger hospitals (i.e., 300 beds or … Frequent assessments of culture are likely to find temporary shifts or improvements that may come back … Percentiles Percentiles were computed using the SAS® software default method. … The first step in this procedure is to rank order the percent positive scores from all the participating

376. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-compendium-techdoc.pdf
     January 01, 2018 - Data Collection Methods ............................................................................. … Appendix A contains a brief overview of the data collection methods for OneKey and AHA. … The data collection methods used by each source to count the number of physicians in a health system … Data Collection Methods D. … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

377. Formative Evaluation: Fostering Real-Time Adaptations and Refinements to Improve the Effectiveness of Patient-Centered Medical Home Interventions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/formative-evaluation.pdf
     March 01, 2013 - of Patient-Centered Medical Home Interventions This brief focuses on using formative evaluation methods … The series is designed to expand the toolbox of methods used to evaluate and refine PCMH models. … a formative evaluation focuses attention on ongoing, midstream assessments that feed information back … Unlike summative evaluations, formative evaluations use these components to deliver information back … J Teach Soc Work 2010 Jan;30(1):64-74. Schoster B, Altpeter M, Meier A, et al.

378. TeamSTEPPS Specialty Scenarios: Ancillary Services (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ancillary.pdf
     March 19, 2014 - for: All Specialties Setting: Hospital A patient presents to Triage complaining of severe upper back … The resident, hearing the check-back, replied, “No, that’s incorrect. Give 5 mg Norcuron.” … Instructor Comments  The pharmacist’s use of a check-back before administering the medication, and … Potential Tools  Check-back, Advocacy/assertion, Collaboration, Task assistance Specialty … Instructor Comments  Lacking mutual support and a method for Conflict resolution, a teamwork failure

379. 2023-Compendium-Techdoc (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2023-compendium-techdoc.pdf
     January 01, 2023 - Insurance Product Data and Methods Introduction This appendix describes the data and methods used … Nursing Home Data and Methods Introduction This appendix describes the data and methods used to construct … Home Health Care Organization Data and Methods This appendix describes the data and methods used to … Data Collection Methods D. Potential Misalignment of System Definitions E. … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

380. Final Progress Report: Safety Culture Research: Ways to improve existing methods (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
     January 01, 2024 - o Debriefings must occur and focus on getting results of a survey back to frontline staff, help them … o They could potentially use psychologists to help develop tools to teach HR. … include how to choose appropriate measures, how to create profiles, how to analyze data, how to get it back … For example, an RCA after a fall discovered that policies often developed with the “spray and pray method … o What are the detection methods of events?