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721. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/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.

722. 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

723. 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.

724. 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

725. 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.

726. 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

727. 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.

728. 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.

729. 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.

730. Electronic Reports | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/ereports.html
     December 01, 2017 - Ulcer Locations and Codes Ulcer Location Code Ulcer Location Description Head Back … Assessment Date 01/02/14 01/09/14 01/16/14 01/23/14 01/30/14 02/06/14 Length: clock method

731. Puh-Electronic-Reports (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-electronic-reports.pdf
     February 10, 2014 - Table 2: Ulcer Locations and Codes Ulcer Location Code Ulcer Location Description HEAD Back of head … Assessment Assessment Date 01/02/14 01/09/14 01/16/14 01/23/14 01/30/14 02/06/14 Length: clock method

732. 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

733. Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
     May 01, 2024 - Switching back to the primary task requires both remembering to return to the task after the interruption … Examples include chart reviewing, use of clinical decision support tools, methods of documentation, … Although imperfect, methods for measuring cognitive load do exist. … Med Teach. 2014;36(5):371-84. doi: 10.3109/0142159X.2014.889290. Accessed April 10, 2024. 11. … The subjective workload assessment technique: a scaling procedure for mea- suring mental workload.

734. Cognitive Load Theory and Its Impact on Diagnostic Accuracy - Issue Brief 17 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load.pdf
     May 01, 2024 - Switching back to the primary task requires both remembering to return to the task after the interruption … Examples include chart reviewing, use of clinical decision support tools, methods of documentation, … Although imperfect, methods for measuring cognitive load do exist. … Med Teach. 2014;36(5):371-84. doi: 10.3109/0142159X.2014.889290. Accessed April 10, 2024. 11. … The subjective workload assessment technique: a scaling procedure for mea- suring mental workload.

735. Health Coach Intervention Sustainability Plan (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/60-tenn-health-coach-sustainability-plan-toolkit.pdf
     March 30, 2023 - The best method is to verify patient eligibility within their MAC. 8. Cheat Sheet AWVs i. … Measure, Act, Partner (MAP) Method: to help develop the most sustainable model for practices 3. … include: o Depression o Asthma o Coronary Artery Disease o Diabetes o HTN o High Cholesterol o Low Back

736. 3. Which fall prevention practices do you want to use? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
     January 01, 2013 - Postfall procedures, including a clinical review and root cause analysis ( section 3.5 ). … The closing script states, "If you need a nurse before I come back, use the call bell or contact the … Patients are frequently transported on and off the unit for tests and procedures. … Patients who were admitted to the hospital for a procedure that directly affects their mobility (e.g. … Safe manual handling methods for patients with signs or symptoms of fracture or potential for spinal

737. 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

738. Quality Improvement Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html
     July 01, 2021 - Project TEACH . … Monitor Access and Waiting Lists Use mystery shoppers or other methods to assess sufficiency of … Care Gap Reports Use care gap reports to feed information back to providers (e.g., primary care physicians

739. Section 5, Figure 1 and Tables 1-5 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-figure-1-tables-1-5.pdf
     January 01, 2011 - with pt. over time •Short visit length •Poor provider-parent/pt communication; Underuse of alternate methods … 200159 Guideline Children with traumatic brain injury Provide recommendation for transitioning back

740. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/24630-Jones-report.pdf
     November 15, 2017 - standardizing actions, such as conducting audits to monitor core team adherence to fall-risk-reduction policy/procedure … P values calculated using a Poisson rate model †P values calculated using nonparametric regression method … Sentinel Event Alert brings falls back into the spotlight. … Psychological Methods. 2005;10:178-192. 43. Moscovice IS, Casey M. … Methods 5. Results 7. References