Results

Total Results: 910 records

Showing results for "began".

441. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
     December 01, 2017 - The patient was stabilized and the surgery to control the bleeding began. … performed in the ICU before the patient left it, nor were they performed in the OR before the surgery began

442. 5. Improving Data Collection Across the Health Care System (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5a.html
     May 01, 2018 - When Contra Costa Health Plan began requesting these data from its members, call center staff read a … In 2008, Wellpoint began using the proxy data to channel culturally and linguistically appropriate screening

443. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/pichert.html
     August 01, 2017 - This retrospective, descriptive, planning and implementation project began with application of CPPA’s … Evaluating "readiness" began with identifying and then addressing gaps in the project bundle elements

444. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - beginning day 1 In keeping with the facility design recommendations, equipment and technology planning began … Mock-ups of room construction Mock-up designs of patient rooms began immediately for the intensive

445. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
     January 01, 2003 - With failure modes in hand, the risk modeling teams began building the initial risk trees, creating … Once the risk models were well developed, the modeling team members began to identify and estimate data

446. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
     January 01, 2004 - The observational period began at the point the nurse logged into the bar code technology software. … Patients were asked before the observations began if they would verbally consent to observers entering

447. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
     February 09, 2005 - Although we began with an open-minded curiosity with regard to “what went wrong,” our inquiry eventually … those aspects of the project necessary to properly evaluate the tool, the institutional commitments began

448. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
     April 20, 2004 - Job-specific BCMA orientation training began in a computer lab environment, complete with PCs and barcode … This perception became highly controversial and began to undermine the efforts to implement the BCMA

449. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
     April 23, 2008 - Background on Coaching The CalNOC PFQ Project began its coaching intervention by approaching each hospital … We began our coaching intervention in anticipation that the experience gleaned from education would

450. Outpatient Surgery and Patient Safety—The Patient’s Voice (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
     January 01, 2003 - committed to improving patient safety in the community (www.madisonpatientsafety.org), convened and began … annual patient volume of the four centers was approximately 22,500 cases in the year in which the study began

451. What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-factors-influencing-state-reporting.pdf
     July 01, 2016 - State Medicaid/CHIP agencies began voluntarily reporting the state-level measures to CMS in 2011 for … centers for medicare and medicaid services, EHR electronic health record • Reported for 2013; State began … this measure in its first year of reporting m Reported for 2013; State added this measure (i.e., began

452. System Redesign Responses to Challenges in Safety-Net Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
     June 01, 2015 - different approaches would be needed if they were to remain financially viable in the future, and they began … Hospital E, a large multicampus academic medical center, began to build market dominance a number of … With this market dominance and its medical school affiliation, the system began to offer tertiary services … Midway through the project, staff began to feel that strict adherence to Lean procedures was slowing … Before the interview began, we obtained informed consent.

453. Final Progress Report: Consumer-Led Workshop To Advance Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
     January 01, 2024 - The workshop began with people who had significant experience as healthcare consumers or family members … And together, we gathered resources and developed this Workshop idea that began with consumers and … We also began outlining the action steps needed to reach each of these goals in 5 to 10 years. … been suggested to continue the dialogue, both for the participants and the nation as a whole, which began

454. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
     January 01, 2024 - with Disabilities (SPD)—and the Oregon Health Care Association (OHCA; the LTC provider association), began … Groups then began control process mapping, identifying active controls and the features of the system … Once the process and control system maps were complete, the modeling teams began to identify individual … reported rates of noncompliance for checking the MAR before giving medications to familiar residents and began

455. 007-Ss-Contact-Precautions-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/007-ss-contact-precautions-fg.docx
     April 01, 2025 - by curtains, rather than rooms – creating confusion as to where one patient space ended and another began

456. Final Progress Report: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/mchugh-report.pdf
     January 01, 2024 - Though the hospitals that began with the worst nurse staffing improved most as the mandate intended,

457. Final Progress Report: Safety Advancement in the Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
     January 01, 2024 - Using these findings, the design team began work to construct a preliminary cognitive tool for status

458. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
     January 01, 2024 - The team began by developing a high-level flow diagram of the discharge process, starting with identifying

459. Medical Failure-to-Rescue Final Report (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
     January 01, 2025 - To clarify reimbursement in cases when the status of the condition is in question, CMS began requiring … Medically Complicated and Precedence Rates: Using the 20% development sample, we began to refine the

460. Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
     January 01, 2024 - From this, we then began to investigate where things seemed to be working, where they were not, and … We began by printing the process map on cardboard and cutting out each individual component of the map