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1321. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 5. How do we measure our pressure ulcer rates and practices? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are …

1322. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
      December 01, 2017 - Learning From Defects Through Sensemaking: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Implementation Learning From Defects through Sensemaking Slide 2: Learning Objectives Describe difference between first-order and second-order problem-solving. L…

1323. Impact of Staff-Led Safety Walk Rounds (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
      March 05, 2008 - Impact of Staff-Led Safety Walk Rounds Impact of Staff-Led Safety Walk Rounds Vicki L. Montgomery, MD, FAAP, FCCM Abstract Objectives: The primary objectives of this study were to provide a venue for discussing safety concerns and to facilitate finding solutions for everyday safety issues. Methods: The mul…

1324. Identifying Key Areas for Delivery System Research (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/casalino_idkeydsr.pdf
      February 01, 2014 - possibility of unintended consequences, and the difficulty of measuring more rather than less important things—are … Interviews to be conducted with physicians and CMS managers may provide some information about these things … This program can be characterized as, among other things, focused on the recommended key area of care … population of patients, for organizations large enough so that reliable measurement can be made of things

1325. Identifying Key Areas for Delivery System Research (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/paper/casalino_idkeydsr.pdf
      February 01, 2014 - possibility of unintended consequences, and the difficulty of measuring more rather than less important things—are … Interviews to be conducted with physicians and CMS managers may provide some information about these things … This program can be characterized as, among other things, focused on the recommended key area of care … population of patients, for organizations large enough so that reliable measurement can be made of things

1326. 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 - grabbed my phone… and made the call” [Pt-F] “I don’t remember them telling me to do… the normal things … The highlighted in boldface items drew my attention to things that I needed to read” [Pt-F] “ … … it was seven pages, and some of the pages are… just probably things that have to be included … I need to learn a lot of things before I can read and understand the DI. 2.7 (2, 5) 3.4 (2, 5) Less

1327. Surveys on Patient Safety Culture (SOPS) Hospital 1.0 Survey: 2021 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hsops1-database-report-part-I.pdf
      March 01, 2021 - Organizational Learning—Continuous Improvement % Agree/Strongly Agree We are actively doing things … Handoffs & Transitions % Disagree/Strongly Disagree Things “fall between the cracks” when transferring … Organizational Learning—Continuous Improvement % Agree/Strongly Agree We are actively doing things … Handoffs & Transitions % Disagree/Strongly Disagree Things “fall between the cracks” when transferring

1328. A Unit Guide To Infection Prevention for Long-Term Care Staff | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
      March 01, 2017 - A Unit Guide To Infection Prevention for Long-Term Care Staff Acknowledgments Content leads for the preparation of this document were as follows: Deb Patterson Burdsall, M.S.N., R.N.-B.C., CIC Infection Preventionist Lutheran Home/Lutheran Life Communities Arlington Heights, IL Steven J. Sc…

1329. Final Progress Report: Addressing Patients' Multiple Concerns in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/heritage-report.pdf
      January 01, 2024 - 'Wrapping things up: A qualitative analysis of the closing moments of the medical visit.'

1330. TeamSTEPPS for Improving Diagnosis Facilitator's Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
      February 04, 2022 - numerous to review comprehensively and the impact on outcomes is hypothetical, it is easy to imagine how things … What does this exercise suggest in terms of our ability to see things differently after reflection? … numerous to review comprehensively and the impact on outcomes is hypothetical, it is easy to imagine how things

1331. Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
      March 01, 2014 - comparable to joining a wellness center or commercial weight loss group, even when accounting for things … See where your time is going, and if you are leaving enough time for yourself for things you want to

1332. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
      August 01, 2010 - report is not consistently monitored, nurses may revert back to familiar habits and ways of doing things … Patient and Family Engagement :: 8 • Q3: During this hospital stay, how often did nurses explain things

1333. Specific Tools To Support Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
      January 01, 2011 - Improvement Diagram/ Chart Pareto Diagram According to the “Pareto Principle,” in any group of things … • The group can generate a substantial list of ideas, rather than just the few things that first

1334. Specific Tools To Support Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
      January 01, 2011 - Improvement Diagram/ Chart Pareto Diagram According to the "Pareto Principle," in any group of things … • The group can generate a substantial list of ideas, rather than just the few things that first

1335. Pressure Injury Prevention Program Phases | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/phases.html
      September 01, 2017 - an improvement means that the progress is locked in, and staff don’t revert to the old ways of doing things

1336. Family-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
      June 01, 2021 - Slide 11 Offer Solutions SAY: Finally, let’s offer some things to try to solve the problem.

1337. TeamSTEPPS® Diagnosis Improvement: Module 4 Leadership - Facilitator’s Notes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-presenters-notes.pdf
      January 05, 2022 - focus on individual and team goals at the beginning of the day often leads to improved attention to things

1338. CAUTI Event Reporting Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
      April 01, 2022 - Injection Safety Checklist 40 Did the patient and/or family receive education on the central line and things

1339. Implement-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
      May 01, 2017 - There are some crucial things to consider when using the DESC script: Time the discussion.

1340. Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
      July 01, 2023 - There are some crucial things to consider when using the DESC script: Time the discussion.