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81. Mod03-Gap-Analysis-Guide (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
    April 01, 2016 - RCA policies/procedures/processes Organizational Structure a. … Does the organization perform at least one prospective analysis per year using a method approved by the … Do patients “teach back” key information about treatment and procedures? b. … Does the organization perform at least one prospective analysis per year using a method approved by … Informed Consent Do patients “teach back” key information about treatment and procedures?

82. Variation in Health System Characteristics Across States, 2016 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief2-us-health-system-characteristics-2016.pdf
    January 01, 2016 - www.ahrq.gov/chsp/chsp-reports/resources-for-understanding-health-systems/defining-health-systems.html 2 METHODS … interpreted with the understanding that estimates vary across data sources depending on the data collection methods … Health System Characteristics, 2016 METHODS CAVEATS AND LIMITATIONS Acrobat … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

83. Prologue: Laying the Foundation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
    June 02, 2025 - disappear into data graveyards, and that useful information for system improvement is faithfully reported back … uses of safety science terminology in health care, there is a growing interest in the risk assessment methods … cause analysis driven initiatives include an extended protocol to ensure correct surgical and invasive procedures

84. Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging (pdf file)
    www.ahrq.gov/sites/default/files/2025-07/fenton2-report.pdf
    January 01, 2025 - Methods: Intervention clinicians received 3 simulated office visits, each with a standardized patient … to develop and to refine a theory-informed standardized patient (SP)-based intervention designed to teach … METHODS Study Design: We performed a qualitative study using six focus groups with 30 patients who sought … Use of Imaging Studies for Low Back Pain [Internet]. … Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging ABSTRACT PURPOSE SCOPE METHODS

85. Reducing-Unnecessary-Urinary-Catheter-Use-Ed-Transcript (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.docx
    June 02, 2025 - This is why we felt it necessary to place it both in the front and in the back of the cards. … This process did work and you can do it too using the three-step method. … Number three, what successful methods have you used in the past to ensure physician buy-in of clinical … discussion questions on the screen right now are the discussion question we would like for you to take back

86. Final Progress Report: Evaluating the Impact of Simulated Team Training on Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
    January 01, 2024 - Ambulatory procedures have undergone tremendous growth that will likely continue; from 1980 to 1995, … This study targeted 2 high-volume ambulatory surgery procedures, laparoscopic cholecystectomy and laparoscopic … These procedures consisted of laparoscopic cholecystectomy or tubal ligation, depending on surgeon vs … This implementation method was designed to allow the team to fully interact in an immersive environment … Although we had originally aimed to have 2 back-to- back sessions conducted within the 2-hour period,

87. Final Progress Report: Benchmarking Patient Safety and Quality in U.S. Hospitals: The Stochastic Frontier Approach (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/unruh-report.pdf
    January 01, 2025 - A method that provides information about how hospitals meet their own best possible practices could … One method for estimating gaps in performance is the Stochastic Frontier Analysis (SFA). … Hospitals with lower profit margins may have to cut back on essential inputs in order to maintain operations … An SFA approach to quality and safety has the potential to be the method adopted by public and private … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

88. Reducing Unnecessary Urinary Catheter Use in the Emergency Department | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-urinary-catheter-use-ed-transcript.html
    December 01, 2017 - This is why we felt it necessary to place it both in the front and in the back of the cards. … This process did work and you can do it too using the three-step method. … Number three, what successful methods have you used in the past to ensure physician buy-in of clinical … discussion questions on the screen right now are the discussion question we would like for you to take back

89. Reducing Unnecessary Urinary Catheter Use in the Emergency Department (March 3, 2015) | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.html
    December 01, 2017 - This is why we felt it necessary to place it both in the front and in the back of the cards. … This process did work and you can do it too using the three-step method. … Number three, what successful methods have you used in the past to ensure physician buy-in of clinical … discussion questions on the screen right now are the discussion question we would like for you to take back

90. Patient and Family Engagement in the Surgical Environment Module | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-slides.html
    May 01, 2017 - Distinguish between different methods of engaging patients and family members. … Apply engagement methods to the ASC setting. … Gives opportunity to teach family members about postoperative care. Provides timely feedback. … how well health care providers explain the diagnosis, condition, and next steps in their care — use Teach … Back.

91. Basic Components of the Health Coach Program | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/components.html
    December 01, 2013 - hosting "meet and greets;" and placing signage in the units, newsletters, and Emails are all effective methods … Interviewing families to assess their understanding of their infants' medical conditions, procedures, … Assisting families in mastering the care of their infant, such as performing procedures and giving medications … educational material pertinent to their infant's care regarding medical conditions, medications, and procedures

92. Basic Components of the Health Coach Program | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/components.html
    December 01, 2013 - hosting "meet and greets;" and placing signage in the units, newsletters, and Emails are all effective methods … Interviewing families to assess their understanding of their infants' medical conditions, procedures, … Assisting families in mastering the care of their infant, such as performing procedures and giving medications … educational material pertinent to their infant's care regarding medical conditions, medications, and procedures

93. Section 2: Explanation and Value of the TeamSTEPPS Curriculum  | Agency for Healthcare Research and Quality
    www.ahrq.gov/teamstepps-program/curriculum/intro/explain.html
    July 01, 2023 - If you teach this content or want additional insights into how the material can be more fully learned … It addresses training requirements, active learning methods, human factors, and cultural shifts designed … Team members will know when and how to back up each other.

94. Current State of Diagnosis Education | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-3.html
    March 01, 2022 - diagnostic error, as repeated studies have shown. 6 , 27 , 28 Some of the origins of this problem trace back … The tacit lessons they learn in the chaos of the modern clinical environment likely teach students much … In addition, health professions education programs have been slow to adopt evidence-based methods to

95. Project Report - Lean Sigma (ppt file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap3.ppt
    January 01, 2003 - Hygiene Wash hands with soap and water or use a waterless hand sanitizer — Before and after invasive procedures … Press the sponge against skin and apply chlorhexidine solution using a back-and-forth friction scrub … Adequate room is needed to perform the procedure without risk of contamination. *Ranson. … * C-VAD Line Cultures: Method Remove all dressings and cap off all hubs/ports then paint the … Peripheral Blood Cultures: Method Don sterile gloves and observe standard precautions.

96. Next Steps and Barriers | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-5.html
    March 01, 2022 - A second large concern is: who will teach this? … As was the case in holding back patient safety education generally, faculty development around diagnostic … education is greatly needed. 29 , 30 , 87 Faculty must be equipped to teach these diagnostic competencies … clear that diagnostic teams are more than a sum of their parts; thus, combining traditional assessment methods

97. Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging (pdf file)
    www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
    January 01, 2025 - Methods: Intervention clinicians received three simulated office visits, each with a standardized patient … develop and to refine a theory-informed standardized patient (SP)-based intervention designed to teach … METHODS … Use of Imaging Studies for Low Back Pain [Internet]. … / Research Grant Final Report ABSTRACT PURPOSE SCOPE METHODS RESULTS LIST OF PUBLICATIONS

98. Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
    December 01, 2017 - Methods The materials for both inservices include a variety of instructional methods. … Methods Training for licensed staff should emphasize each of the eight elements of the Fall Response … page is a Cover Sheet; the second page is the falls assessment report; and the third page is the Fax Back … received, the primary care provider should review the results of the Falls Assessment and use the Fax Back … It is important that the primary care provider return the Fax Back Orders on the next business day to

99. Appendix 3. Guidelines to Prevent Central Line-Associated Blood Stream Infections | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/clabsi-tools/appendix-3.html
    March 01, 2018 - C-VAD Line Cultures: Method Slide 30. C-VAD Line Cultures: Interpretation Slide 31. … Peripheral Blood Cultures: Method Slide 33. Arterial Line: Site Selection  Slide 34. … Wash hands with soap and water or use a waterless hand sanitizer: Before and after invasive procedures … Adequate room is needed to perform the procedure without risk of contamination. * Ranson. … Back to Document Alternate Formats PowerPoint Version [ - 7.49 MB]

100. Primary Care Practice Facilitation Curriculum Module 1: Instructor’s Guide to Using the PCPF Curriculum (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-1-instructors-guide.pdf
     September 01, 2015 - primary care community to improve population health Incorporating Adult Learning Concepts as You Teach … , it is nonetheless critical for you, as the instructor, to consider and use these elements as you teach … • Create opportunities for PF trainees to report back on their experiences, using new skills in practice … accessing its resources, and becoming familiar with its exercises, your next step is to decide on a method … feedback, proactively check in with participants every 10–15 minutes or when appropriate, and utilize back