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621. 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.

622. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
     January 01, 2024 - Wrong surgical procedure performed on a patient 0.9 D. … Procedure or device events 3.4 A. … Methods. … Methods and Sample Design. … Methods. Results.

623. Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
     March 07, 2008 - to fax the results as soon as they are completed to reduce the overall time it takes to communicate back … In the process of designing the CAT Clinic processes and procedures, it became clear that a software … Repeat INR determinations would be made until the patient was back in therapeutic range. … The use of SPC differs from the current method used by many providers because with SPC, the nurse practitioner … Implementing Six Sigma: Smarter solutions using statistical methods, 2nd ed.

624. Project Summaries for ACTION III Projects Awarded in 2016 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/actioniii-2016-summaries-revised.pdf
     January 01, 2016 - In addition, approximately 80 percent of all medical procedures are performed in ACFs. … • An email helpline, one on one coaching with teach-back by instructors, and webinars will be used … Implementation Plan • CE/CME/CEU certificates • Revised TS for Office-Based Care Online materials • Teach-back … CDS Evaluation • The contractor will undertake a mixed-method evaluation that will include site visits … Methods • Systematic Review.

625. Module 5: Resident and Family Engagement | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-slides.html
     March 01, 2017 - Describe different methods to engage residents and family members in safety initiatives, especially in … Person-Centered Care 1 Traditional Care Person-Centered Care Decisions about policies, procedures … Use teach back to confirm understanding. … and Family Advisers in Nursing Homes 7 Are partners on teams developing or revising policies, procedures

626. Final Progress Report: Identifying Unnecessary Irradiation of Patients With Suspected Renal Colic (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/moore-report.pdf
     January 01, 2024 - Exclusion criteria were lack of any flank or back pain, history of trauma, evidence of infection (subjective … active malignancy, known renal disease (including creatinine >1.5mg/dl or 133µmol/L), or prior urologic procedure … for the presence or absence of factors related to the chief complaint selected (typically flank or back … Phase 3 methods: Prospective interventional study with follow-up. … guidelines on urolithiasis in which they state that “ultrasonography should be used as the primary procedure

627. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
     January 01, 2024 - extremely important, and it consists of integrating care that takes place through referrals with different procedures … Neither the traditional HFMEA scoring method, which was developed for inpatient care, nor the traditional … beta-blocker and requires short-term hospitalization to stabilize -Cardiac cath -Short-term dialysis -Invasive procedure … -Sutures removed too soon after minor surgical procedure and wound dehiscence, which requires 6 weeks … there, has nothing, necessarily, to do with whether or not that failure is fixed. 11 The HFMEA method

628. Final Progress Report: Health Journalism 2011, national conference on healthcare journalism (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/bruzzese3-report.pdf
     January 01, 2024 - detailed and authoritative sources of online databases and maps to build resources and skills to bring back … He will answer your questions and share his assessment as you see this teaching method in action. … A member of the Cardiac Center will share the details of the conditions and procedures you are seeing … Lemole's keynote speech (Excerpt: Lemole describes medical procedures performed on Giffords) • Stories … three busloads of attendees taking field trips to see hands-on research, cancer treatment, medical procedure

629. Puh-Factraining-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
     November 24, 2014 - 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 re-engage and get back on track.

630. On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
     December 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 re-engage and get back on track.

631. Communication: Obstetric Hemorrhage (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_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, … exact structure of the tool (e.g., SBAR or I PASS the BATON) as it is in having a unit‐recognized procedure … Check‐Back Video Discussion Check‐Back Discussion Answers Application to the 4 Rs of Obstetric

632. Communication: Obstetric Hemorrhage - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
     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, nursing … that was just relayed, Tanya uses a check-back to confirm the information. … the exact structure of the tool (e.g., SBAR or I PASS the BATON) as it is in having a unit-recognized procedure

633. Session 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
     October 01, 2014 - causing decreased urine production, people can retain urine and their bladder can fill and stretch and back … A link to the SBAR tool is in the Additional Tools and Resources section at the back of this Workbook … Not being able to talk about how things did or could go wrong holds back our own learning. … Clarifying confusion: The confusion assessment method. A new method for detection of delirium.

634. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
     November 06, 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.

635. Puh-Factraining-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
     December 15, 2016 - 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 re-engage and get back on track.

636. Experiences From the Frontline: Case Studies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
     May 01, 2015 - continue efforts toward standardized practices, nurse educators developed online educational modules to teach … …It’s just going to cycle back around again.” … One component of this index, the Unanticipated Operative Procedure measure, decreased by 51 percent. … html AHRQ Safety Program for Perinatal Care Case Studies 20 coaching leaders on other units to teach … after beginning the Program, they determined that in order to be successful, they would need to scale back

637. Model State Enhancement Efforts | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/model.html
     October 01, 2015 - Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Introduction Methods … in the Pennsylvania Chronic Care Commission and efforts to improve diabetes care in the State dating back

638. Model State Enhancement Efforts | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/grants-impact/model-state.html
     February 01, 2017 - Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Introduction Methods … in the Pennsylvania Chronic Care Commission and efforts to improve diabetes care in the State dating back

639. Improving Patient Safety Systems for Limited-English-Proficient (LEP) Patients: A Guide for Hospitals | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
     December 01, 2012 - readmission due to LEP patients' greater difficulty understanding instructions, such as: Preparing for a procedure … Improper preparation for tests and procedures. Poor or inadequate informed consent. … Consider other methods of identifying errors outside of standard reporting. … Provide patients with written materials, such as informed consent forms or procedure preparation instructions … Use "teach-back" to confirm patient understanding.

640. Patient and Family-Centered Care (April 9, 2013) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
     December 01, 2017 - So, if you look at slide number six, you see lots of different methods, and we've talked about these. … We use many of these, but you see lots of different methods for how to help teams improve. … patients and families and health care leaders and practitioners begin to collaborate in policy and procedure … I've had many procedures done, tests done, in many different areas in the hospital. … What would she suggest that we use information-wise to teach a patient about the safety behind maybe