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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
    December 01, 2017 - ASK: Why do they have to rely on a temporary procedure to take care of a patient? … This is a robust method for determining how the defect happened. … For instance, if you want to mandate a followup antibiotic after specific procedures, place the order … This is a very strong educational method. … Your interdisciplinary team can identify methods for engaging their colleagues.
  2. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript-ad.pdf
    June 01, 2020 - that your computer freezes at any time during the presentations, you can try logging out and logging back … The ambulatory surgery center survey assesses communication in the surgery or procedure room. … include information on getting AHRQ started, selecting a sample or conducting a census, data collection methods … , establishing data collection procedures, conducting web and paper-based surveys, how to optimize your … I'm actually going to jump back to that slide again just one more time because it seems like we are
  3. www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
    July 01, 2021 - He stated that the National Advisory Council (NAC) is AHRQ’s primary method for obtaining feedback from … advance health equity within three areas: ensuring a culture of equity at AHRQ, creating policies and procedures … He encouraged AHRQ to support research that brings the idea of value back to the discussion of, for example
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
    January 01, 2017 - Percentage of Intensive Care Unit Delirium Screening Scale (ICDSC) negative, Confusion Assessment Method … Four Es Model Engage Win the hearts and minds of your teams Educate Teach your teams about … Methods that have proved useful include recruiting early mobility champions to meet with and educate … Other critical industries, like airlines and nuclear energy, teach us clear principles of safe system … To accomplish this, monitor and report back to your staff each month.
  5. Puh-Erepguide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.pdf
    February 10, 2014 - Ulcer Healing Electronic Reports This training will provide you with the information you need to teach … Ulcer Location Code Ulcer Location Description HEAD Back of head EAR Ear: R/L SCAP Scapula: R/L … This is the measurement of the ulcer length recorded using the facility’s method (i.e., either at … longest aspect or per clock method [12 to 6 o’clock]) as recorded in centimeters. … or per clock method [12 to 6 o’clock]) recorded in centimeters.
  6. www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
    January 01, 2025 - Methods: Working with a team of stakeholders, we conducted an FMEA of a process being piloted at Geisinger … to develop a draft assessment tool that can be used to identify whether a healthcare entity has the procedures … , we summarize the methods we used to achieve the specific aims of our study. … We included both empirical studies that evaluated a method to improve the quality of transitional care … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back
  7. www.ahrq.gov/research/shuttered/acfselection/appendixa.html
    July 01, 2018 - Methods Chapter 4. Results Appendix A: References and Available Abstracts Appendix B. … Both quantitative and qualitative methods were utilized for data collection and analysis. … METHODS: Surge capacity was measured as the percentage and total number of hospital beds that are not … METHODS: This was a cross-sectional study of Level I and II trauma centers. … housed at the county health care agency or other mutually acceptable organization, with copies sent back
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0129-fullreport.pdf
    December 31, 2015 - Readmissions for planned procedures (as measured by our planned procedures algorithm, described in Section … PCS) procedure codes are used for the primary procedure. 1.K. … Explain your rationale for selecting the methods you have chosen, show how you used the methods chosen … evaluate readmissions (although the NACHRI Casemix data only allow identification of readmissions back … Explain your rationale for selecting the methods you have chosen, show how you used the methods chosen
  9. www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
    August 01, 2022 - Medical liability and accountability for safe care: Looking back, moving forward. Regis J. … Several methods were used to explore these issues. … A train-the-trainer experiential learning method was used with the goal that 100 percent of members within … Implementing an induction scheduling procedure and consent form to improve quality of care. … The practices implemented the Model for Improvement, including the Plan, Do, Study, Act method.
  10. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
    May 01, 2017 - Then we will discuss these methods to improve teamwork and communication: Briefings Debriefings … This is of great importance in procedures that are side specific. … labeling by reading back the patient’s name to ensure specimens are properly processed. … Finally, specimen labeling is important for procedures where specimens are obtained. … Here, closed loop is called by its other name – check-back.
  11. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
    August 01, 2025 - Few differences in downstream testing or procedures were noted between physician office and hospital … who transition from the nursing home setting to an acute care setting, and who are then discharged back … determined that adverse events occurred in 37.3% of discharges of LTC residents from the hospital back … Clinical Laboratory Testing Process To Reduce Diagnostic Error 2011–2013 $515,664 Purpose: Improve procedures … Conference on Hospital Errors: Discovering Causes and Developing Solutions 2012–2013 $50,000 Purpose: Teach
  12. www.ahrq.gov/sites/default/files/2024-12/bailit-aron-love-report.pdf
    January 01, 2024 - Methods The inclusion and exclusion of race, ethnicity, splines, and interaction terms were explored … Bootstrapping provides a method to estimate measures of statistical precision when no formula is otherwise … anticipated (and observed) largely comparable results between the bootstrap and split- sample validation procedures … assigned each hospital to a risk-adjusted group of above, within, or below expected rates, we added back … Accuracy of obstetric diagnoses and procedures in hospital discharge data.
  13. Putoolssect7 (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
    February 16, 2011 - Background: Before beginning a quality improvement initiative, you need to understand your current methods … The correct procedure for checking an air mattress every shift is A. … The correct procedure for checking an air mattress every shift is A. … Skin Temperature Most clinicians use the back rather than the palm of their hand to assess the temperature … Does the education include staff training on documentation methods related to pressure ulcers (e.g.,
  14. www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
    March 01, 2025 - Elective surgeries and other procedures generate more revenue and higher margins than other kinds of … And the vast majority of patients coming through the ED are not high-procedure patients. … procedure are transferred elsewhere for that procedure and then transferred back to the rural hospital … Hospital Strategies for Reducing Emergency Department Crowding: A Mixed-Methods Study. … BREAK (Escort Back to Great Hall) 3:50 p.m. – 4:20 p.m.
  15. www.ahrq.gov/patient-safety/reports/engage/findings.html
    March 01, 2017 - Introduction Limitations of the Environmental Scan Model of Patient Safety in Primary Care Methods … strategies such as group visits and engaging the extended health care team to provide coaching and conduct teach-back
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-fullreport.pdf
    January 01, 2019 - Explain your rationale for selecting the methods you have chosen, show how you used the methods chosen … Low IRR may be a sign of poorly executed abstraction procedures, such as ambiguous wording in the data … Explain your rationale for selecting the methods you have chosen, show how you used the methods chosen … illness, will be available through applications (apps) or personal health records that then communicate back … generate triggers to providers to provide this guidance (again) based on events that suggest a need to re‐teach
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
    March 01, 2019 - nurse demonstrating MDI-spacer technique, but only 54 percent said the provider asked them to show back … Explain your rationale for selecting the methods you have chosen, show how you used the methods chosen … Low IRR may be a sign of poorly executed abstraction procedures, such as ambiguous wording in the data … The method for establishing the validity of a measure will depend on the type of measure, data source … Explain your rationale for selecting the methods you have chosen, show how you used the methods chosen
  18. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
    March 01, 2020 - General methods for this report are described in the Methods section of the full report. … Practices Sepsis Recognition 3-6 due to the time it takes to run lab tests and receive results back … General methods for this report are described in the Methods section of the full report. … Unlike hospital-based Early Goal-Directed Therapy, no complex procedures, such as central-line placement … All procedures initiated are used frequently by EMS providers to treat hypoperfusion and shock.
  19. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-27-ehr-and-pcmh.pdf
    January 15, 2025 -  Lack of training  Lack of time  Lack of documented procedure  Lack of staff  Lack of quality … that are often customized include care gap reports that can be used by care teams to call patients back … conducted to determine why patients did not receive recommended services and is this information fed back … against the practice as a whole and compared to other providers, it can motivate them to improve their method … Benchmarking: A Method for Continuous Quality Improvement in Health.
  20. www.ahrq.gov/patient-safety/reports/liability/corbett.html
    August 01, 2017 - Methods : A qualitative descriptive study, guided by the Sensemaking Conceptual Framework, was completed … Methods The study was guided by the “Sensemaking Conceptual Framework” described by Weick. 22 Sensemaking … A health plan administrator stated “Hospitalists aren’t getting information back to the PCPs,” and a 

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