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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
July 01, 2023 - Have ready access to the antidote, calcium gluconate, via a kit stored in the patient’s room or easily … organizational learning
Unit can decide its approach to reviewing cases where magnesium sulfate was used outside … Fluid inputs and outputs (if a patient cannot ambulate to the bathroom or use a bedpan, an indwelling … Place lights in the patient’s room on low.
Maintain a quiet environment.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/advisorycouncil/advisorycouncil.pdf
April 01, 2008 - Holding the meeting in a special location, such as a hotel meeting room or
conference center rather a … hospital’s meeting room, provides an atmosphere
of excitement and attention to the importance of the … • Room setup. … • Maintain confidentiality at the council meetings and outside the
meetings. … • All members will support the decisions outside the meeting.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd.pdf
November 01, 2023 - and mitigate the risk of falls successfully
identified the risk associated with different patient room … Users outside the United States should contact AHRQ regarding
permission to reprint.
4
Appendix … OR PSLL represent the most comprehensive body of
work related to operating room work systems design. … It
found that operating room size, room design, and layout
may create barriers to task performance, … This preliminary model
successfully identified the risk associated with different
room layouts and
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
February 16, 2011 - Walks Frequently:
Walks outside the room at least twice a day and inside room at least once every 2 … Walks Frequently
· Encourage ambulating outside the room at least bid.
· Check skin daily.
· Monitor … No Limitations
· Check skin daily.
· Encourage ambulating outside the room at least bid.
· No interventions … Reports any skin issues to nurse
· Turns/repositions patient as ordered
· Offers liquids each time in room … Within the facility, write the room number transferred to and draw a line through the remainder of the
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
May 01, 2016 - Walks frequently— Walks outside of the room at least twice a day and inside the room at least once every … does not use the POA indicator and is focused only on patients with surgical diagnoses or operating room
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Gershon_88.pdf
January 01, 2012 - direct supervision, home health aides provide basic medical services
that allow patients to convalesce outside … The study
participants also raised environmental concerns, including overheated room temperatures, poor … (24.2)
Activities
Cook meals 1,422 (95.1)
Take clients to appointments 1,305 (92.1)
Walk or ambulate
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ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/business-case.html
April 01, 2013 - Think about a magazine subscription for your waiting room. … s say you’re sitting at home, and it’s mostly wintertime and so you’re sitting there in your family room … notion of hospital throughput, and keep this in mind, the hospital throughput is likely to be seen outside
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - There was a warning message written on
the outside of the chart RE two patients with same name, but … infant with mild respiratory
distress syndrome requiring continuous positive airway pressure only
on room
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ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/redesigningprimaryhealthcareteams.html
November 01, 2017 - Their tasks included escorting the patient to the exam room and updating medications, allergies, and … Follows up on previous orders and consults with providers outside Penobscot.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
April 03, 2008 - was designed
as an anonymous reporting system to protect employees’ identity.13 Reports are screened outside … Names,
room numbers, medical record numbers, and any other identifying information are scrubbed
from
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ptmgmt/ptmgmt.pdf
November 01, 2007 - is likely to have more
options for organizing the self-management support program either within or outside … responsibility of the local provider (e.g., physician group
or clinic) and those that are located outside … Internal,
primary care
model
Position of
program within
the health care
system
Positioned
outside … programs, programs in the external on-the-ground and external call-center models are managed
from outside … provided under the
authority of an organizational entity external to the local provider and usually outside
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
April 27, 2008 - Noting that many of their patients’ symptoms resolve
after an extended stay in the waiting room, management … might agree to make an additional
room available to place patients for observation. … The system anticipates changes outside the routine and adapts
in a way that is apparently seamless. … invisibly).34 They are the usual solutions (e.g., putting admitted
patients in the hallway to make room
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap.html
October 01, 2014 - on three populations: aged, blind, and disabled (ABD) members; persistent asthmatics; and emergency room … To ensure the study's legitimacy, the State decided to use an outside evaluator, the Regenstrief Institute … Iowa also measures pharmaceutical utilization, emergency room utilization, and inpatient admissions.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
July 18, 2008 - Commission occurred in the ambulatory setting, not including the ED.14 However,
underreporting is frequent outside … A report describing benefits of the debriefing process65 in the operating room and
intensive care unit … Operating room briefings and wrong-site surgery. J
Am Coll Surg 2007; 204: 236-243.
59. IHI. … Operating room briefings: Working on the same page. … Operating room debriefings. Jt Comm J Qual Patient
Saf 2006; 32: 407-410.
66.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
March 27, 2008 - recommendation for patient handoffs has been the inclusion of
readbacks.11, 26 Readbacks in domains outside … during transitions but also
during other high-consequence activities, such as being in the operating room
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
August 01, 2022 - Users outside the United States must get permission from AHRQ to
reprint or translate this product. … For example, as part of a newly
established workflow, the nurse and physician go into a patient’s room
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Users outside the United States must get permission from AHRQ to
reprint or translate this product. … For example, as part of a newly
established workflow, the nurse and physician go into a patient’s room
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - reaction
in patient to administered substance without any apparent incorrect action are considered
outside … reaction in patient to administered
substance without any apparent incorrect action are considered outside … presented in the Data Submission Summary module because some reports submitted in CFER-H
V1.2 were outside … area (i.e., grounds
of this facility)
Labor and delivery
Operating room or procedure area
Radiology … Operating
room or procedure area includes for example, cardiac catheter labs, other endoscopy areas,
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
July 22, 2015 - Four grants reported the use of practice
facilitation, where an outside expert or team of experts (sometimes … Solberg et al found substantial variation in the performance of PCMHs and that many
had significant room … same economies of scale as larger practices3 and often did not have the
necessary funds to bring in outside … Emergency Room Utilization
Three studies found evidence of reduced emergency room utilization by PCMH … be expected with no PCMH implementation, PCMH
practices had an 18.3 percent reduction in emergency room
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/healthsystemsresearch/decarbonization/decarbonization.pdf
September 01, 2022 - visitor and patient travel (excluding owned or leased vehicles, such as ambulances)
typically fall outside … experts, the insight and imagination of the workforce, and learning from organizations within
and outside