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401. Environmental Scan of Patient Safety Education and Training Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
     June 01, 2013 - programs by salient factors (e.g., sponsor, targeted/eligible audience, program objectives, delivery method … Followup Components What followup methods are used to sustain change? … Safety Reduce Medical Error Reducing Medical Error Reducing Patient Injuries Safer Patients Teach … Information not available Content Evidence-Based: Yes Content Areas: Communication improvement; read-back … 4 630 Communication Improvement 179 631 -- Communication between Providers 30 632 ---- Read Back

402. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
     January 01, 2025 - Methods: This study was conducted at ambulatory healthcare facilities associated with a large academic … Methods A. … Although the most common step was imaging procedure (54% of reports), potential harm occurred more in … Methods IV. Results V. … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

403. Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
     January 01, 2025 - Methods: A committee of experts in EMS, emergency medicine, and health policy guided agenda development … Develop methods for turning EMS research into practice by incorporating perspectives and concerns of … This body of research began with investigations into specific clinical issues involving procedure effectiveness … They recommended the development of continuing education programs that teach the basics of conducting … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

404. Final Progress Report: AUA 2022 Quality Improvement Summit: Opportunities to Improve Care in Urology (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/gore-report.pdf
     January 01, 2024 - He proposed that interventional pain management procedures may be underutilized. … Delivering bad news is like performing an invasive procedure; both are life-changing events for the … Moreover, there are economic incentives to perform more procedures and a fear of litigation if one chooses … The third strategy is to establish a method of screening patients to identify those who would benefit … Back A, Arnold R, and Tulsky J: Mastering communication with seriously ill patients, 1st ed: Cambridge

405. PowerPoint Presentation: Learn From Defects Through Sensemaking
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
     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.

406. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
     January 01, 2024 - Procedures and Measures Aim 1 – Conduct a prospective, observational pilot study of NICU and OR teams … performances and provide constructive feedback A nurse monitors a doctor’s performance during a procedure … that spans time (preoperative to postoperative) and crosses clinical settings (NICU to OR and back … Method agreement analysis: a review of correct methodology. Theriogenology. … Procedures and Measures A trained RA measured CM in the interdisciplinary teams after two different

407. Compendium of U.S. Health Systems, 2016, Hospital Linkage File, Technical Documentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp_linkage_file_tech_doc.pdf
     October 01, 2018 - An overview of the data collection methods for HCOS, SK&A, and AHA can be found in the Compendium of … When using the list, users should bear in mind a few caveats and limitations to the current methods … The sources use different data collection methods; also, AHA data were from 2015, whereas those from … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

408. Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
     January 01, 2024 - Before the start of each study, volunteers received a detailed explanation of the special procedures … study in order to minimize the possible effect of uncertainty about the experimental procedures on … NPs and PAs rotated back and forth from 7c to 7d every couple of weeks, with time off occurring between … errors and adverse events: 1) Direct Observation: Direct observation on morning rounds was the first method … The methods for evaluating medical errors and adverse events will be modeled on the methods employed

409. Compendium of U.S. Health Systems, 2020, Hospital Linkage File, Technical Documentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/2020-hospital-linkage-techdoc.pdf
     January 01, 2020 - 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 … development of the hospital linkage file vary in ways (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?

410. Implementation Guide for Enhancing Care Coordination for Cardiac Rehabilitation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-implementation-guide.pdf
     March 01, 2023 - patient who has been referred, including: name of patient’s clinician; CR qualifying diagnosis or procedure … o Ask patients to teach-back what they learned. … o Use a variety of communication methods with patients, including visual and written materials.

411. Pediatric Lower Respiratory Infection Readmission Measure (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
     April 05, 2017 - Readmissions for planned procedures (as measured by our planned procedures algorithm, described in Section … , Procedure Coding System (ICD-10-PCS) procedure codes are used for the primary procedure. 3 … Explain your rationale for selecting the methods you have chosen, show how you used the methods chosen … evaluate readmissions (although the NACHRI case mix data only allow identification of readmissions back … Explain your rationale for selecting the methods you have chosen, show how you used the methods chosen

412. Final Progress Report: Cultural Competency and African Women’s Health Services (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/carroll-report.pdf
     January 01, 2024 - Methods We conducted individual interviews of 34 resettled Somali women in Rochester, NY. … Methods We conducted in-depth interviews with a community-based sample of resettled Somali women. … We have a good life here and we don’t have any problem and always [we] thinking about back in Africa … Many (n=13) did not recognize the word “Pap testing,” even when the procedure was described to them. … Mammography (either the word or the test procedure) was recognized by only six women. 12 One of

413. Case 1. Lakeview Healthcare | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case1.html
     November 01, 2014 - So we work from the operations [target] back[wards]." … As part of the training, management engineers and Six Sigma Black Belts teach a segment on the process … The Lean project teams met with the staff of each affected unit to describe the new procedure. … Communication About Lean Communicating about Lean requires staff to be flexible in both their method … Lean is a companion to other quality improvement methods; methods should be selected based on suitability

414. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/references.html
     May 01, 2023 - How family carers engage with technical health procedures in the home: a grounded theory study. … Teamwork methods for accountable care. … A review and consensus procedure by the LINNEAUS collaboration on patient safety in primary care. … The SHARE Approach: Using the Teach-Back Technique: A Reference Guide for Health Care Providers. … Tools for measuring patient safety in primary care settings using the RAND/UCLA appropriateness method

415. Perspectives on Implementing Quality Improvement Collaboratives Effectively: Qualitative Findings from the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/perspectives-quality-improvement-collaboratives.pdf
     January 01, 2018 - Methods: Some 223 interviews were conducted in these states near the end of their collaboratives. … METHODS Interviewees Our multiple-case study draws on 223 interviews con­ ducted fromMarch to July … We end up whispering back and forth while the next presenter comes up.” … Collaboratives Effectively: Qualitative Findings from the CHIPRA Quality Demonstration Grant Program Methods

416. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
     March 23, 2008 - Methods Study Setting and Population Forty-eight trainees (12 interns and 36 residents) in the EM … included: (a) “Doing harm without consideration of alternative medical therapies or inattention to procedure … “Doing harm without consideration of alternative medical therapies, or inattention to procedure/clinical … These strategies included “stop and stand back,” distancing technique, and self-talk. … Standards of care in emergency medicine: A practical guide to emergency procedures and legal liability

417. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
     July 01, 2022 - are made to Patient and Family Advisory Council members who commit to work with health system to teach … in understanding the meaning of data fields (i.e., the ability to link the data warehouse fields back … Feed lessons learned back to the provider and the system.30 Measure Dx | 22 What To Do Step 1 … Measurement methods and processes used. 3. … Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation.

418. Treating Tobacco Use and Dependence | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
     October 01, 2014 - Guideline (available at https://www.hhs.gov/surgeongeneral/priorities/tobacco/index.html ) for the methods … My patient wants to use a method of quitting not known to be effective such as acupuncture, hypnosis, … Ask the patient to consider increasing the success odds of his/her quit attempt by augmenting his/her method … but ask for an agreement that, should it not be successful, the patient will consider evidence-based methods … Roll with Resistance Back off and use reflection when the patient expresses resistance.

419. Appendix F. Interventions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appf.html
     March 01, 2017 - Introduction Limitations of the Environmental Scan Model of Patient Safety in Primary Care Methods … No Yes Strong Systematic review of assessment methods of physician's shared decisionmaking … The Patient and Family Engagement Trigger Tool Yes Yes Moderate Evaluation method … support effective communication; consider each tool separately The SHARE Approach: using the teach-back … Review of a Delphi procedure and pilot studies by the LINNEAUS collaboration on patient safety in primary

420. Case 3. Grand Hospital Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
     November 01, 2014 - The case study methods, including the criteria for selection of the projects for analysis, are described … The group collaborates to improve the performance of businesses and organizations applying Lean methods … responsible for followup appointments is out of the office, the scheduling process is put on hold or reverts back … namely department leaders and a senior executive, indicated that Lean was becoming a problem-solving method … staff usually support this analysis at the center, they reported it was difficult for them to pull back