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621. 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.

622. 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.

623. 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

624. 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 ..

625. 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

626. 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.

627. 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

628. 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

629. 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.

630. 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

631. 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.

632. Improving Patient Safety by Engaging Patients and Families (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
     April 30, 2025 - Participants identified questions, arts projects, protocols, and evaluation procedures that could be … The research involved developing an agreement through a Delphi method with 37 stakeholders, followed … The final interventions were “Be Prepared To Be Engaged,” “Create a Safe Medicine List Together,” “Teach-Back … Key Findings/Impact: The researchers designed a simulation-based intervention to teach physicians and … patient seeking input from trusted others (65%), establishing a patient’s role in DM (53%), using teach-back

633. 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

634. 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

635. 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.

636. 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.

637. 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.

638. 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

639. 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.

640. 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.