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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - even months
or years later … procedures that convert from laparoscopic to
open, emergency procedures).1
Educational Recommendation
• Plan … appropriate
documentation, etc.5,18
• Follow a standard for performance improvement such as PDSA (Plan-Do-Study-Act … follow the safety protocols developed by the team to prevent
foreign body retention and develop a plan … publications/bulletin/2009/2009%20november%20bulleti
n.ashx
Policies/Protocols
• Institute for Clinical
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiij.html
June 01, 2010 - Digital Healthcare Research
Education & Training
Hospitals & Health Systems
Prevention & Chronic Care … Tools
Featured
Clinicians & Providers
Hospitals & Health Systems
Prevention & Chronic Care … Self-direction items include recruitment and retention of direct care staff, backup plans, and support … Tool or Measure Set: Wisconsin Draft Consumer Satisfaction Questions for Family Care Managed Care Organization … HCBS and Managed Long-Term Care Programs Data Source: Consumer survey (planned) Respondent: To be
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/index.html?page=45
November 01, 2005 - Filter the Results
Search All Impact Case Studies
Enter Keyword or … State or Territory
Alabama
(4)
Alaska
(4)
American Samoa
(1)
Arizona
(11)
Arkansas … Center Program (EPC)
(3)
Evidence Report
(21)
EXCEED
(1)
Fit For Kids DVD
(1)
Guide to Clinical … Tell us how you're using our research or tools using these AHRQ Impact Case Studies criteria or contact … Connect With Us
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/innovations-improve-cr-event-summary.pdf
May 20, 2021 - CR Program Trajectories
CR Programs are split between those reporting
complete or partial return … monitoring of higher risk CR patients, and the need for patients to be able to
connect with their care … • Innovations are allowing for greater peer-to-peer interaction, additional 1:1 clinical attention … assessment, risk factor planning, six-minute walk test,
and review of exercise goals and treatment plan … underserved areas to access previously unavailable services and
eliminates transportation barriers to care
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
September 01, 2015 - • What do you value the most about this practice, the organization, yourself (or your care
team) and … The third phase of the 4D cycle focuses on designing the social, administrative,
and clinical infrastructure … Design is about moving a vision into a
plan. … Short-term Action Plan (2 months)
Action Help Needed Due Date
Mid-term action Plan (2-12 months) … plan using the template
above or a similar format (Ludema, et al., 2003).
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pptx
July 01, 2015 - Narrowing
Breast cancer diagnosed at advanced stage per 100,000 women age 40+ Better No Change
Women with clinical … Hispanics
Measure Most Recent Disparity Disparity Change
Adults age 40 and over with diabetes whose condition … Hence, providers should develop a written diabetes management plan, especially for patients with a history … Overall Rate: Only 43% of Californians with current diabetes had a written diabetes management plan in … not at all were less likely than those who spoke English only to have a written diabetes management plan
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
September 01, 2022 - Although central to clinical practice, these topics are not emphasized as critical skills or typically … a patient to toxic substances,
inconvenience, or unnecessary care for which harms outweigh benefits. … , and it would not add substantial time or cognitive load to
clinical encounters. … care. … Committee on Diagnostic Error in Health Care; Board on Health Care Services; Institute of Medicine;
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - Staff members turn over, and new staff members join the clinical unit. … Say:
Encourage proactive thinking about the workflow in your clinical setting. … In order to develop an action plan, you need to prioritize your list of factors. … So, if you can standardize care, you can improve care. … Slide 24: Action Plan
Say:
As you move into sustainability, review the Learning From Defects tool
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapb.html
April 01, 2018 - Next Steps and Plans for Reporting & Dissemination
Meeting wrap up, review of assignments and action plan … review deliverable schedule
Review of draft final report & identification of reporting gaps and/or … Break
10:15pm - Noon
Review Draft Report
Noon - 1:00pm
Working lunch & discussion of Action plan … with fragments care where OP care occurs outside the system→ follow on thought from Lucy-this may be … Surveillance requirements are different than clinical action requirements.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
January 01, 2024 - For high-impact or high-frequency safety errors, we developed and validated
eMeasures, or quality measures … originate in ambulatory care. … infection.4,5,15 As a result, guidelines recommend universal screening for
hepatitis B for patients who plan … In ambulatory care, clinical decisions that affect patient safety are often complex, and
understanding … Arthritis care &
research. 2011;63(3):358-365.
13.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/asian-nhpi/asian-nhpi-chartbook.pdf
May 15, 2020 - Clinical quality measure data are generally available through
2016; more recent data are used as available … A person is determined to have had a primary care provider if
his or her usual source of care setting … care, tests, or treatment and sometimes or never found it easy to get the care,
tests, or treatment … Source: Centers for Medicare & Medicaid Services, Quality Improvement Organization Program, Clinical … Source: Centers for Medicare & Medicaid Services, Quality Improvement Organization Clinical Data Warehouse
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
October 01, 2018 - We plan to leave time for questions and answer at the end of the
webcast, so again please submit your … And those details include things like who was involved in the scenario or the care provision that’s being … get at NYP or
I hate the care I get at NYP. … And they are matched based on either their specialties or are they primary care
or family planning. … office staff, this is nurses and PAs and other people who provide clinical services.
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ce.effectivehealthcare.ahrq.gov/data/apcd/envscan/references.html
November 01, 2020 - Realizing the potential of all-payer claims databases: creating the reporting plan. … environmental scan of integrated approaches for defining and measuring total population health by the clinical … Recommendations for Collecting Payer Information on Plan Benefit Design and Payments to Providers for … https://www.apcdcouncil.org/publication/recommendations-collecting-payer-information-plan-benefit-design-and-payments-providers … Connect With Us
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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-Ehringer_17.pdf
February 08, 2008 - We offer ideas about applying
elements and concepts of computerized clinical decision-support systems … In other words, the physician writes or creates orders for a
specific procedure, diagnosis, care, or … Patient education Stroke or CHF education booklets, diet education, diabetes care, ostomy training. … once.”)12
Medication safety also includes alerts and reminders as appropriate to the patient’s condition … care.
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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/Rogers.pdf
January 01, 2003 - Testing and the Relation of Clinical
Information Systems to Patient Safety
Michelle L. … This paper will discuss the application of
scenario-based usability testing in clinical health care … failure in clinical system
implementations. … Part of the
testing plan includes determining the appropriate number of practitioners to be
tested … Software used in health care can prevent patient injury or
contribute to it, when usability testing
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/ts2-0ltc_course_mgmt_guide.pdf
January 01, 2007 - but
are vital to care planning or
execution (e.g., laboratory, dietary,
environmental services, … course materials include 33 specialty scenarios that offer
clinical (e.g., licensed nurses, nursing … It is helpful to
review a list of the course participants and identify their clinical positions or work … Each team will require space to work and talk
together about their Action Plan. … TeamSTEPPS 2.0 Core Curriculum is designed to help an
organization develop and deploy a customized plan
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
July 01, 2023 - Technical Elements
Clinical knowledge
Clinical expertise
Evidence-based best practices
Adaptive … While these technical elements are essential, there is a second side to care that complements clinical … Imagine how the care you provide might be or feel different when you’re completely in sync with your … These two interventions are: an obstetric hemorrhage emergency management plan and support for patients … Williams, we may need to give you blood products or move you to the OR if the bleeding continues.
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ce.effectivehealthcare.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit3.html
March 01, 2014 - Key words to use together or in combination during a search:
Obesity (or the condition of interest … everyone in the practice will help the project champion, and allow the community partner representative a clinical … Will this be a practice-wide effort or confined to just one clinician and care team? … While acknowledging the power in numbers, the clinical care coordinator also realized that perhaps the … However, only the clinician can check whether or not a patient's blood work indicates a certain condition
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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/Carayon.pdf
January 01, 2004 - .23 examined found that several human factors barriers
inhibited the implementation of computerized clinical … UWHC’s clinical areas of excellence include its Level
One trauma center; a solid organ transplant service … Computerized physician order
entry (CPOE) with clinical decision support systems
(CDSSs). … Journal of Clinical Monitoring
1992;8(1):1–6.
23. Patterson ES, Nguyen AD, Halloran JP, et al. … Human
factors barriers to the effective use of 10 HIV clinical
reminders.
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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/OConnor.pdf
November 29, 2004 - These observed patterns of medical error define
specific clinical domains and patient subgroups for … these physicians provide regular care to 10 or more adults with diabetes. … rapidly lead to adverse clinical events. … Improving diabetes care in a large health care system:
an enhanced primary care approach. … Demographic and clinical characteristics of the 4,152 study subjects
Table 2.