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1641. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) (pdf file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
      January 01, 2018 - • Many strategies exist to make culture change that are relevant to HIT – Reporting systems – Walkrounds

1642. SITUATION MONITORING (ppt file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
      January 01, 2008 - For example, if the Activator was the nurse, his or her role could change from primary caregiver in the … Physician shift change (responsibility). Evolving patient condition. … What went wrong and how can we change the RRS to prevent recurrence? … She did not note any specific change in clinical status, though she agreed that the patient seemed lethargic … The nurse called the physician at 3 a.m. and described the patient’s general status change as being “