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461. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/22458-Rosenman-report.pdf
     October 01, 2018 - 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.

462. Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
     January 01, 2024 - METHODS and 6. RESULTS and LIMITATIONS (grouped by each specific aim) Study Methods Overview. … METHODS Study Design. … Methods of measurement. … A 26-item survey instrument was developed using accepted procedures, including review of the literature … The database was stored on a highly secure hospital network, which had an automatic back-up system ..

463. Readiness Assessment Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_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.

464. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=121
     January 01, 2024 - The authors sought to gain a comprehensive understanding of the current methods for conflict resolution … clinicians how to advise watchful waiting when patients request low-value spinal imaging for acute low back … looked for will a decreased post-intervention rate of spinal imaging among actual patients with acute back … Patients with renal colic used the least number of pills and patients with back pain used the most. … five-phase approach to collecting qualitative data from hard-to-reach populations using crowdsourcing methods

465. Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/arora-report.pdf
     January 01, 2024 - Methods: Trained personnel observed hospitalist and resident handoffs at University of Chicago and … tool is informed from other evaluative instruments, such as the Mini-CEX, as well as from hand-off procedures … receivers of the handoff performance remained constant, demonstrated by their attentive listening, read-back … We hope that the Handoff CEX can arm educators with an innovative, necessary, valid and feasible method … Understanding communication during hospitalist service changes: A mixed methods study.

466. Development of the Learning Health System Researcher Core Competencies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/lhs-corecompetencies.pdf
     January 01, 2017 - Qualitative methods were used to elicit, refine, and prioritize the competencies. … These methods produced 197 articles. … They must know how to design mixed method studies to understand how, why, for whom, and in what contexts … This requires near-real-time data aggregation, analysis, and evaluation to prompt changes that feed back … LHS researcher core competencies described in this report were developed using an iterative, multi-method

467. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-pfe.pdf
     January 01, 2023 - Participants identified questions, arts projects, protocols, and evaluation procedures that could be … The final interventions were “Be Prepared To Be Engaged,” “Create a Safe Medicine List Together,” “Teach-Back … patient seeking input from trusted others (65%), establishing a patient’s role in DM (53%), using teach-back … family (OR = 2.43, p = 0.05) or healthcare team (OR = 4.28, p = 0.002) for questions and reading back … For example, reading back orders was associated with greater family engagement in decision making.

468. Final Progress Report: The ED Pharmacist as a Safety Measure in Emergency Medicine (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/15818-Fairbanks-draft-1.pdf
     September 08, 2008 - METHODS and 6. RESULTS and LIMITATIONS (grouped by each specific aim) Study Methods Overview. … METHODS Study Design. … Methods of measurement. … A 26-item survey instrument was developed using accepted procedures, including review of the literature … The database was stored on a highly secure hospital network, which had an automatic back-up system ..

469. Labor and Delivery Unit Safety: Obstetric Hemorrhage | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
     July 01, 2023 - Nonstandardized, informal, visual estimation methods typically underestimate blood loss, resulting in … delayed recognition and management of obstetric hemorrhage. 19,20 The routine use of quantitative methods … intervention, though few studies have formally evaluated whether this approach improves outcomes. 10,21-23 Methods … Verifying and checking back on information. Providing ongoing updates.

470. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
     April 21, 2008 - • A method for implementing organizational changes. … The main method used to report incidents consists of a paper incident report, which is completed by the … patient’s anticoagulation flow sheet and noted the discrepancy between the patient’s status as being back … These changes included the complexity of the procedure itself and staff adjustment to the changes. … These redundancies in reporting interfered with staff compliance with our fall policy and procedures

471. Improving Patient Safety Systems for Limited English Proficiency Patients
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pptx
     January 01, 2011 - readmission due to LEP patients’ greater difficulty understanding instructions, such as: Preparing for a procedure … Ineffective or improper use of medications or serious medication errors Improper preparation for tests and procedures … what constitutes a patient safety event (including near misses) and how to report them Consider other methods … medical interpreters, or both Provide patients with written materials, such as informed consent forms or procedure … Require presence of qualified interpreters Provide translated materials in preferred language Use “teach-back

472. Improving Patient Safety Systems for Limited English Proficiency Patients: A Guide for Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pdf
     January 01, 2011 - readmission due to LEP patients’ greater difficulty understanding instructions, such as:  Preparing for a procedure … or improper use of medications or serious medication errors  Improper preparation for tests and procedures … constitutes a patient safety event (including near misses) and how to report them  Consider other methods … interpreters, or both  Provide patients with written materials, such as informed consent forms or procedure … Require presence of qualified interpreters  Provide translated materials in preferred language  Use “teach-back

473. Final Progress Report: Developing Best Practices for Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
     January 01, 2024 - Results: The survey was implemented in Consortium hospitals, and results were reported back to hospitals … medication safety,89 patient safety initiatives range from anesthesia10 to patient restraint systems and procedures … safety, the implementation of that tool in a group of hospitals, reporting results from the project back … implementation of the PSCHO survey in Consortium hospitals produced data that we used both to report back … Due to the need to circle back and work on theoretical frameworks, the full empirical analysis is not

474. Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/18278-Arora-report.pdf
     January 01, 2012 - Methods: Trained personnel observed hospitalist and resident handoffs at University of Chicago and … tool is informed from other evaluative instruments, such as the Mini-CEX, as well as from hand-off procedures … receivers of the handoff performance remained constant, demonstrated by their attentive listening, read-back … We hope that the Handoff CEX can arm educators with an innovative, necessary, valid and feasible method … Understanding communication during hospitalist service changes: A mixed methods study.

475. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
     September 12, 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.

476. Integrating Primary Care Practices and Community-based Resources to Manage Obesity (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdf
     May 01, 2014 - ; 3) automated export procedures for seamless data downloads to common statistical packages; and 4) … procedures for importing data from external sources. … electronic bar code admission card and a method of reporting back to insurers the utilization of those … Similarly, staff at Clinics Three and Five work with, teach, and have participated in the Living Well … There is also a back-up scale for larger patients located in the procedure room.

477. Appendix 3: Golisano Children's Hospital and Family-Centered Rounds | Agency for Healthcare Research and Quality
     www.ahrq.gov/innovations/will-work/appendix3.html
     February 01, 2021 - The rounds include read-back and confirmation of orders entered via a wireless laptop brought into the … I was armed with their [residents] push to get back to the bedside and then I began to reflect on my … However, the steering committee’s knowledge of the methods used at Cincinnati and those excellent results

478. Final Progress Report: TIPI Systems To Reduce Errors in Emergency Cardiac Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
     January 01, 2024 - systems, the TIPI-IS provided a single point of access to view ED patient demographics, ICD-9 diagnoses, procedure … involved working with the local IT department representatives to identify disaster recovery and downtime procedure … requirements as well as adherence to hospital data center policies and procedures. … ECG and demographic data, lab test results, ED triage disposition, and ICD-9 discharge diagnosis and procedure … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

479. Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
     January 01, 2024 - Procedure. … We repeated the procedure at each meeting for approximately 12 months. … Methods. … Methods. … diuretics; the real-time asynchronous CDS notified clinicians when abnormal potassium results came back

480. Chapter-2 - Failure-To-Rescue (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
     March 01, 2020 - then transfer to a higher level of care (i.e., intensive care unit), have their care returned care back … General methods for this report are described in the Methods section of the full report. … A PMS will improve outcomes only if accompanied by comprehensive procedures for escalation, RRT activation … assesses patient disposition, which can result in transfer of the patient to the ICU, return of care back … General methods for this report are described in the Methods section of the full report.