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181. Pre-intervention Assessment: Adapting and Implementing Patient Safety Practices in Ambulatory Care (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/hret-preinterventionasst.xlsx
     June 02, 2025 - Literacy Support •Guide for Safe Transitions, References-Patient and Family Engagement in Primary Care- Teach … Engagement in Primary Care- Be Prepared to Be Engaged Strategy- Patient Note Sheet 0 20 The team uses teach-back … and other methods to ensure the patient and their care partner understand the plan of care prior to … Interviewing: •Guide for Safe Transitions, References-Patient and Family Engagement in Primary Care- Teach … Appointment” •Guide for Safe Transitions, References-Patient and Family Engagement in Primary Care- Teach

182. Healthcare Cost and Utilization Project (HCUP) NEDS Notes
     hcup-us.ahrq.gov/db/vars/hosp_control/nedsnote.jsp
     May 01, 2015 - Classes Refined for ICD-10-PCS Tools for CPT and HCPCS Level II CCS for Services and Procedures … Surgery Flags for Services and Procedures Tools for ICD-9-CM Clinical Classifications Software ( … Elixhauser Comorbidity Software for ICD-9-CM Utilization Flags for Revenue Center Codes and ICD-9-CM Procedure … Summary Trend Tables Findings-At-A-Glance Publications Information About Using HCUP Data Methods … Privacy Notice , Viewers & Players Last modified 5/8/15 Back to Top

183. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable | PSNet
     psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
     December 20, 2023 - an insulin pen and vial contain the same active ingredient, they differ in terms of the delivery method … were categorized as critically impactful , defined as rationing, delaying, or canceling treatments or procedures … rationing criteria (85%), changing order sets or protocols (75%), delaying or canceling treatments or procedures … Assessing the patient/caregiver’s ability to administer the medication and using the teach-back method … When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33641/psn-pdf
     November 01, 2006 - Human Factors Engineering Can Teach You How to Be Surprised Again November 1, 2006 Gosbee JW. … Human Factors Engineering Can Teach You How to Be Surprised Again. PSNet [internet]. 2006. … Would you have called this an "expected complication" of the procedure and moved on? … References Back to Top 1. Murff HJ, Gosbee JW, Bates DW. … Cognitive and usability engineering methods for the evaluation of clinical information systems.

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853772/psn-pdf
     September 27, 2023 - if an insulin pen and vial contain the same active ingredient, they differ in terms of the delivery method … were categorized as critically impactful, defined as rationing, delaying, or canceling treatments or procedures … rationing criteria (85%), changing order sets or protocols (75%), delaying or canceling treatments or procedures … Assessing the patient/caregiver’s ability to administer the medication and using the teach-back method

186. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
     January 01, 2025 - back Integration of teach back method during patient and ED nurse conversation during discharge process … Teach back education distributed to ED nurses. … back method, and follow-up call. … Nurses described challenges with teach back, including time pressure for both themselves and patients … A few nurses described how the redesigned AVS can be helpful to support teach back, as the main information

187. HCUP Nationwide Inpatient Sample Design Report 1998
     hcup-us.ahrq.gov/db/nation/nis/reports/NIS_1998_Design_Report.jsp
     January 01, 1998 - Comparison of 1998 and 1997 NIS Hospital Sampling Procedure Using the current 1998 NIS procedures, … These variance calculations are based on finite-sample theory, which is an appropriate method for obtaining … Different methods are used for calculating variances under the two sample theories. … The choice of an appropriate method for calculating variances for nationwide estimates depends on the … Privacy Notice , Viewers & Players Last modified 5/27/16 Back to Top

188. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/caregiver-and-clinician-perspectives-discharge-medication-counseling-qualitative-study
     January 31, 2024 - Clinicians and caregivers both stated that teach-back protocols were helpful but inconsistently used … 2020 Implementation and sustainability of a medication reconciliation toolkit: a mixed methods

189. In Conversation With… Mark Graban, MS, MBA | PSNet
     psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
     January 01, 2015 - It's one thing to teach a technique, it's another to take someone who has been successful by virtue of … MG : If we look back to the work of Dr. … Again, this comes back to Dr. … I always try to teach them in advance, there are a lot of cool robots in the factory, but Lean is not … Virginia Mason has aligned the concepts, methods, and elements of innovation with their counterparts

190. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care | PSNet
     psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
     January 01, 2015 - Virginia Mason has aligned the concepts, methods, and elements of innovation with their counterparts … It's one thing to teach a technique, it's another to take someone who has been successful by virtue of … MG : If we look back to the work of Dr. … Again, this comes back to Dr. … I always try to teach them in advance, there are a lot of cool robots in the factory, but Lean is not

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33776/psn-pdf
     January 01, 2015 - It's one thing to teach a technique, it's another to take someone who has been successful by virtue … MG: If we look back to the work of Dr. … RW: There's a long history of industrial improvement methods that have been used religiously for 3 or … Again, this comes back to Dr. … I always try to teach them in advance, there are a lot of cool robots in the factory, but Lean is

192. 40 of K | PSNet
     psnet.ahrq.gov/web-mm/40-k
     January 12, 2011 - The nurse attempted to contact the physician but was told he was busy with procedures. … use of verbal or telephone orders, but if used, the order should be immediately transcribed and read back … accessible to caregivers prior to pharmacist review, are used in almost 60% of hospitals ( 13 ) as a method … pharmacy-approved medications be available), or by using an "override" process, which is meant to provide a method … Always request a "read-back" of the transcribed order.

193. Module 2: Urinary Catheter Maintenance | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod2.html
     February 01, 2023 - catheter-associated urinary tract infections or CAUTI in the intensive care unit or ICU, as well as methods … If it would be helpful, you can go back and listen to the case scenario again before moving on in the … This is dangerous because urine could flow back from the bag into the bladder. … Doing that will help keep the urine from flowing back into the tubing when the patient is moving. … transporter go back into the patient’s room.

194. Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses, physicians and parents. | PSNet
     psnet.ahrq.gov/issue/prospective-pilot-intervention-study-prevent-medication-errors-drugs-administered-children
     December 04, 2015 - 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods … Errors in the administration of intravenous medications in hospital and the role of correct procedures … December 30, 2014 A "back to basics" approach to reduce ED medication errors.

195. The University of Texas System Clinical Safety and Effectiveness Course | PSNet
     psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
     February 01, 2011 - address this need, a few programs have been developed for practicing physicians and other caregivers to teach … The purpose was to encourage sharing and collaboration of QI methods across the system and to further … Shine, MD Executive Vice Chancellor for Health AffairsThe University of Texas System References Back … Teach health care professionals about QI 4. Research & develop new knowledge for QI 5. … , 2) Institutional and peer recognition, and 3) Financial reward for achieving objectives Back

196. Healthcare Cost and Utilization Project (HCUP) KID Notes
     hcup-us.ahrq.gov/db/vars/hosp_control/kidnote.jsp
     September 01, 2008 - Classes Refined for ICD-10-PCS Tools for CPT and HCPCS Level II CCS for Services and Procedures … Surgery Flags for Services and Procedures Tools for ICD-9-CM Clinical Classifications Software ( … Elixhauser Comorbidity Software for ICD-9-CM Utilization Flags for Revenue Center Codes and ICD-9-CM Procedure … Summary Trend Tables Findings-At-A-Glance Publications Information About Using HCUP Data Methods … Privacy Notice , Viewers & Players Last modified 9/17/08 Back to Top

197. Healthcare Cost and Utilization Project (HCUP) NIS Notes
     hcup-us.ahrq.gov/db/vars/hosp_control/nisnote.jsp
     September 01, 2008 - Classes Refined for ICD-10-PCS Tools for CPT and HCPCS Level II CCS for Services and Procedures … Surgery Flags for Services and Procedures Tools for ICD-9-CM Clinical Classifications Software ( … Elixhauser Comorbidity Software for ICD-9-CM Utilization Flags for Revenue Center Codes and ICD-9-CM Procedure … Summary Trend Tables Findings-At-A-Glance Publications Information About Using HCUP Data Methods … Privacy Notice , Viewers & Players Last modified 9/17/08 Back to Top

198. 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?

199. 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

200. The critical incident technique. | PSNet
     psnet.ahrq.gov/issue/critical-incident-technique
     January 07, 2015 - describes the development of the "critical incident technique," the history of its evolution dating back … included to illustrate the mechanics of the technique, in the context of creating a foundation for such procedures … Interested users can review a bibliography that chronicles its development and use as a research method