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441. Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
     April 01, 2008 - Methods: The Rover Team expands the PRRT to include a proactive assessment of patients at risk for clinical … Methods Pediatric Rapid Response Team Our PICU is part of a 153-bed children’s hospital within the … to the PICU during the same hospital admission.9 Readmitted patients were more likely to be brought back … deteriorating, a less experienced provider might feel more comfortable transferring those patients back … identifier=3012001 Abstract Introduction Methods Pediatric Rapid Response Team The Rover Team

442. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
     November 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. … The team may need some support and guidance to reengage and get back on track.

443. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
     May 01, 2016 - were seeking input from others (65%), establishing the patient role in decisionmaking (53%), using teach-back … A-8 | P a g e Exploring Resolution Methods The third category, Exploring Resolution Methods, … As the final step, researchers pilot tested a customized TeamSTEPPS® training designed to teach patients … and would be easy to use, they would be comfortable using the tools, and it would be beneficial to teach … were seeking input from others (65%), establishing the patient role in decisionmaking (53%), using teach-back

444. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - were seeking input from others (65%), establishing the patient role in decisionmaking (53%), using teach-back … A-8 | P a g e Exploring Resolution Methods The third category, Exploring Resolution Methods, … As the final step, researchers pilot tested a customized TeamSTEPPS® training designed to teach patients … and would be easy to use, they would be comfortable using the tools, and it would be beneficial to teach … were seeking input from others (65%), establishing the patient role in decisionmaking (53%), using teach-back

445. 19-Perioperative-Teams (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
     June 01, 2023 - Ensuring Access The information in this document is based on results from a Delphi panel (i.e., a method … Have a structured approach to learning Plan forward, reflect back, and act on the learning. … summary, through building a structured approach to learning, you will have a systematic way to reflect back

446. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
     September 01, 2015 - Use audits and observations of practice and ensure that collected data are reported back to staff doing … this procedure. … Use case scenarios to teach best use of the nurse-driven protocol for removal of catheters. … Reducing CAUTI in Hospitals Implementation Guide 21 Teach … The RAND/UCLA Appropriateness Method User’s Manual. Santa Monica, CA: RAND; 2001. 18.

447. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
     September 01, 2015 - Use audits and observations of practice and ensure that collected data are reported back to staff doing … this procedure. … Use case scenarios to teach best use of the nurse-driven protocol for removal of catheters. … Reducing CAUTI in Hospitals Implementation Guide 21 Teach … The RAND/UCLA Appropriateness Method User’s Manual. Santa Monica, CA: RAND; 2001. 18.

448. Pillars of a Smart, Safe Operating Room (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
     April 07, 2008 - admission, airway management, or surgical crisis.4 Simulation practice has steadily gained credence as a method … statements: the MVP can understand the user’s questions and statements and also decide what to communicate back … and of coordinating multiple procedures. … to the surgical schedule can be communicated to the necessary parties through a timely and secure method … The scientific method is dead – long live the (new) scientific method.

449. Readiness Assessment Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.pdf
     September 01, 2012 - Say to the nurse, “Let me check back with you. … Chin, let me check back with you. … or improper use of medications or serious medication errors; improper preparation for tests and procedures … The teaching methods and aids were used effectively 1 2 3 4 5 3. … Chin, let me check back with you.

450. Communication: Severe Hypertension (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
     July 01, 2023 - communication is a process whereby information is clearly and accurately conveyed to another person using a method … practice guidelines], directing department/services, integration of services, inadequate policies and procedures … , non‐compliance with policies and procedures, performance improvement, medical staff organization, … are correctly communicated to team members • As part of education standards, use check‐backs as a method … exact structure of the tool (e.g., SBAR or I PASS the BATON) as it is in having a unit‐recognized procedure

451. I-PASS: Integrating High Quality Handoffs into TeamSTEPPS and Hospital Care
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-may2015.pptx
     January 01, 2015 - interns to 16 consecutive hours of work and requires programs to: Ensure and monitor structured handoffs Teach … Cross monitoring / Feedback Improve performance Assertive statement Identify potential errors Check-back … and Assertion TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› 36 Check-Back … of Effective Handoff TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› Study methods … 63 Study Design TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› 64 Methods

452. Sustaining Zero CLABSIs (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
     April 01, 2013 - I also reported back to the group who was missing data and for how much. … So it took us at that point back to the drawing board to say “Okay what's different now? … But that really was too easy, and so we needed to reeducate, ask for administrative assistance and back … have a NICU of course you want the parents in there, the grandparents want to come, so you need to teach … findings there as we work with hospitals within the Hospital Engagement Network, we will suggest CUSP as a method

453. VHA’s National Falls Collaborative and Prevention Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
     March 01, 2006 - for Healthcare Improvement (IHI) outlined a method to rapidly implement change in health care systems … .8, 9 This method relies on adaptation and dissemination of existing knowledge to multiple settings … The overall major injury rate decreased 62 percent (our method for calculating this change was described … At the end of the following month, NCPS sent reports back to facilities that compared the facility data … These data were analyzed and reported back to facilities each quarter.

454. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/capacity/candor/demo-program/plan-grants/findings.html
     May 01, 2016 - were seeking input from others (65%), establishing the patient role in decisionmaking (53%), using teach-back … Using a variety of methods, the health system was able to ensure it met requirements in these 10 areas … Exploring Resolution Methods The third category, Exploring Resolution Methods, includes four projects … MACRMI renamed the approach Communication, Apology, and Resolution (CARe); developed clear policies, procedures

455. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
     August 01, 2022 - were seeking input from others (65%), establishing the patient role in decisionmaking (53%), using teach-back … Using a variety of methods, the health system was able to ensure it met requirements in these 10 areas … Exploring Resolution Methods The third category, Exploring Resolution Methods, includes four projects … MACRMI renamed the approach Communication, Apology, and Resolution (CARe); developed clear policies, procedures

456. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
     January 01, 2024 - METHODS We executed an individual, randomized controlled trial. … sources of measurement error and guiding subsequent modifications of the performance tasks, training procedures … The injury severity score: a method for describing patients with multiple injuries and evaluating emergency … Quality assurance methods for performance-based assessments. … Teach. May 2005;27(3):200-206. 55.

457. CUSP: A Framework for Success (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
     April 01, 2013 - Instructions will be given as to the procedure to follow if you’d like to ask a question. … in 2008 that allows you to drive down at a very specific level to understand the method for translating … We create policies and processes and procedures. … A commitment to rigorous measurement, to standardization, to scientifically sound methods of improvement … We have to teach people to do perineal cleansing before they put catheters in."

458. AHRQ Individual Research Career Development (K) Award Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
     August 01, 2016 - The Atlas Team implemented a mixed-method evaluation design to answer these questions with respect to … Methods This evaluation employs a mixed-method design, including literature review, analysis of administrative … The resulting list of publications was matched back to the names, and only the articles published one … This procedure resulted in no lower outliers for either group. … Summary and Conclusions We used a mixed-method design to characterize return on investment for the AHRQ

459. 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?

460. Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
     January 01, 2003 - They also felt that it was the most practical method for ongoing quality assessment.4 Another study … Methods Development of ADE monitors have been described in various studies,4, 7, 11 and rules from … The second detection method also uses the patient’s medication list, but uses an algorithm to identify … program first identified visit notes in the EMR, then examined the patients’ medication list, looking back … Computerized monitoring provides a reproducible method of detecting ADEs.