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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/894.html
December 01, 2023 - Grantee Applies Human Factors Approach to Healthcare Systems To Improve Safety . … Grantee Applies Human Factors Approach to Healthcare Systems To Improve Safety
AHRQ grantee Rollin … MedStar Health in the Baltimore and Washington, D.C., region, is applying a human factors engineering approach … Used in safety-critical industries like aviation, a human factors approach seeks to understand the factors … Insurance-based disparities in stroke center access in California: a network science approach.
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ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/index.html
April 01, 2024 - This approach can involve evaluating the physical (built) environment, technological factors such as … One of the lab’s successes was at Boston Children's Hospital, which created a new approach to patient … Understanding diagnostic reasoning using a case-based approach . … Proactive evaluation of an operating room prototype: a simulation-based modeling approach . … This study is novel in its approach to data collection and analysis.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-facilitator-guide.pdf
November 01, 2019 - With this
approach, the ASP can also advise about obtaining the
correct cultures. … The disadvantage of this approach is
that it impacts only the agents that are restricted, does
not … Other advantages to this approach include greater
flexibility in the timing of interventions and the … The
primary disadvantage of this approach is that
recommendations are generally optional and may not … The steps
and approach are reviewed in the next several slides.
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
August 01, 2023 - identification of cases at risk of containing an MDO. 67
Another proactive and easily implemented approach … children admitted for sepsis within 7 days of an ED encounter experienced a probable MDO. 78 This approach … morbidity and mortality conferences, and autopsy results, to build a diagnostic error index. 11 This approach … This connotation may arise from the general description of the “heuristics and biases” approach to intuitive … In addition, residents reported that this approach increased their comfort with giving feedback and improved
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care_Final.pdf
October 01, 2016 - Review the SBAR communication approach (Situation, Background, Assessment Input,
Request) and discuss … Antibiotic Stewardship
• Antibiotic stewardship is an approach or program that focuses on improving … • It is an approach to providing healthier and safer care to residents. … — What parts seemed to follow the SBAR approach well? … — Was there anything that could be done differently to better follow the SBAR approach?
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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-TitleCitation_Vol1.pdf
August 01, 2008 - Advances in Patient Safety: New Directions and Alternative Approaches
Advances in Patient Safety: New Directions and
Alternative Approaches
Volume 1. Assessment
Editors:
Kerm Henriksen, PhD
James B. Battles, PhD
Margaret A. Keyes, MA
Mary L. Grady, BS
Agency…
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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/vol2/Advances-TitleCitation_Vol2.pdf
August 01, 2008 - Advances in Patient Safety: New Directions and Alternative Approaches
Advances in Patient Safety: New Directions and
Alternative Approaches
Volume 2. Culture and Redesign
Editors:
Kerm Henriksen, PhD
James B. Battles, PhD
Margaret A. Keyes, MA
Mary L. Grady, BS
…
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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/vol2/Advances-Hagg_80.pdf
January 01, 2007 - It is a
systematic approach to improving the reliability of processes through the identification and … This approach specifically emphasizes+ working to incorporate staff engagement and ownership,
including
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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/vol4/Advances-TitleCitation_Vol4.pdf
August 01, 2008 - Advances in Patient Safety: New Directions and Alternative Approaches
Advances in Patient Safety: New Directions and
Alternative Approaches
Volume 4. Technology and Medication Safety
Editors:
Kerm Henriksen, PhD
James B. Battles, PhD
Margaret A. Keyes, MA
Mary L. Grady, BS
…
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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-TitleCitation_Vol3.pdf
August 01, 2008 - Advances in Patient Safety: New Directions and Alternative Approaches
Advances in Patient Safety: New Directions and
Alternative Approaches
Volume 3. Performance and Tools
Editors:
Kerm Henriksen, PhD
James B. Battles, PhD
Margaret A. Keyes, MA
Mary L. Grady, BS
…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-3/share-tool3.pdf
April 01, 2014 - Tool 3: The Share Approach Overcoming Communication Barriers With Your Patients: A Reference Guide for … Health Care Providers
The SHARE Approach
Overcoming Communication Barriers
With Your Patients: A … Reference Guide
for Health Care Providers
Workshop Curriculum: Tool 3
The SHARE Approach is a 1- … This tool is to be used in conjunction with the Agency for Healthcare Research and Quality’s SHARE
Approach
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
July 01, 2023 - A unitwide approach could be part of a hospital’s larger rapid response system, with modifications to … Unit can decide its approach to debriefing events based on seriousness of event, expertise available, … Unit can decide its approach to reviewing cases of severe maternal or neonatal morbidity or mortality … Team members manage conflict using a constructive positive approach to emphasize "what is right, not … ACTION: Determine the approach rapid responders will use to debrief following a rapid response call,
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ce.effectivehealthcare.ahrq.gov/research/findings/factsheets/quality/qipc/index.html
November 01, 2020 - One prominent approach to redesigning primary care, the patient-centered medical home (PCMH), requires … facilitation (or coaching) by external organizations helps practices develop skills and organize their approach … This approach complemented its existing IT component of primary care practice transformation, which the … √ Provides a customized approach through one on one work with practices. … by creating a community for sharing challenges and successes peer to peer, and learning how others approach
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - The CANDOR process is an integrated approach that involves different pieces; but for the process to work … Slide 23
Say:
Eliminating human error is a futile goal, as it is not a realistic approach. … The CANDOR process recommends that organizations take a systems approach with human factors integrated … In this approach, the goal is to:
Ask what is responsible, not who is responsible, and focus on … This approach should be part of the safety culture in health care organizations.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care_Final_0.docx
October 01, 2016 - Review the SBAR communication approach (Situation, Background, Assessment Input, Request) and discuss … It is an approach to providing healthier and safer care to residents. … Questions for Discussion
What is our usual approach now when we think a resident might have a UTI? … What parts seemed to follow the SBAR approach well? … Was there anything that could be done differently to better follow the SBAR approach?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
December 20, 2016 - A minimalist approach,
2. … The On-Time approach, which combines a multidisciplinary
team with EMR-generated reports to provide … Video #2 Exercise
SAY:
Our second video shows an interdisciplinary approach to rounds. … Video #3 Exercise
SAY:
The third video shows an interdisciplinary approach to rounds
using … How did an interdisciplinary approach to rounding
combined with the use of the On-Time reports
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
January 01, 2004 - to understanding errors.6–11 Furthermore, the
Advances in Patient Safety: Vol. 2
64
approach … The
qualitative approach identifies themes found in the available data, instead of
imposing on the … The qualitative approach used to develop the AAFP-
Linnaeus taxonomy has strengths and the themes and … A detailed description of our approach to
coding harm can be found in an ASIPS report13 and online.8 … sophisticated approach may not be
widely available to all managers of medical error databases.
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ce.effectivehealthcare.ahrq.gov/policymakers/chipra/chipra-activities.html
October 01, 2014 - measures' importance, scientific acceptability, feasibility, and usability is part of a life-cycle approach … identified criteria that could be used to assess potential measures for retirement and an analytic approach … to the 2013 SNAC, and the SNAC used the information in two rounds of scoring using a modified Delphi approach
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - An approach health care institutions and practitioners can use to respond in a timely, thorough, and … just way to unexpected patient harm events.
14
Module 1
The CANDOR process is an approach that health … But we can change the conditions under which people work.”
23
What Is a Systems Approach? … The CANDOR process recommends that organizations take a systems approach with human factors integrated … In this approach, the goal is to:
Ask what is responsible, not who is responsible, and focus on system
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-material.docx
May 01, 2017 - Feel free to use these suggestions or come up with your own approach to implementing the module. … Discuss how this approach to coaching differs from and aligns with coaching the team members have received