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www.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 - and
non-health care organizations.3, 4, 5, 6 These challenges or barriers include lack of sustained … clinical and operational processes from the perspective of the patient or staff member in order
to identify … little interaction or dialogue between the supervisors planning the initiative and the
health care … For example, meetings to plan clinical
practice implementations or to improve clinical processes are … QI
initiatives—such as those for implementing clinical practice guidelines or new health informatics
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www.ahrq.gov/teamstepps-program/curriculum/situation/teach/two-day.html
February 01, 2024 - plans, teams, or working environment. … Ask one or two participants to share a recent experience where they were unaware of one or more of these … The options include: two people or a vase, a duck or a rabbit, and a young woman or an older woman. … Slide 18, “Progress Toward Goal,” allows you to note that care and patient care plans always involve … “Tools for Situation Monitoring: STAR,” to provide a short overview of STAR using an example from a clinical
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www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
January 01, 2025 - Minor Temporary Error: Minor patient injury, increased patient monitoring, or change in treatment plan … Assessments Clinical or administrative assessments. … Coordination of Care:
External
Sharing of patient information between clinics/sources of care
Coordination … of Care:
Internal
Division of responsibility for patient care within the clinic (time, medication … Monitoring Patients Supervision and general monitoring of patients (medication management,
treatment plan
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www.ahrq.gov/news/newsletters/e-newsletter/907.html
April 01, 2024 - by the Biden–Harris Administration’s commitment to advancing equity as well as HHS’ Health Equity Plan … Intent to Publish a Funding Opportunity Announcement for Implementing and Evaluating Patient-Centered Clinical … Patient safety and artificial intelligence in clinical care. Ratwani RM, Bates DW, Classen DC. … Usability of a human factors-based clinical decision support in the emergency department: lessons learned … Best practices for telehealth in nurse-led care settings-a qualitative study.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
May 01, 2017 - It is important to prepare for potential individual resistance among your staff and/or clinical providers … step in the sustainability process is to be sure to identify and partner with both administrative and clinical … Slide 22
SAY:
Manage Skepticism and Resistance
Active involvement of the administrative and clinical … Considering the ever changing complexity of any health care or organizational system, one measure won … implementation plan.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight04.html
October 01, 2013 - to existing health IT initiatives funded through the Health Information Technology for Economic and Clinical … practices, Vermont also used CHIPRA quality demonstration funding to broaden its existing webbased clinical … system change, there is a need to pull data, look at where trends are, organize policy, establish State plan … its public reporting system, which is also used by some payers—including the State employee health plan—to … perspectives of any State or Federal agency.
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www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - from an
inpatient to an ambulatory care model. … delivery model
Little or no overt or pre-planned backup
for management of complications or
events … As an example, we did not have sufficient data from
administrative, clinical, or published literature … Even when the GI proceduralist waives the use of an anesthesiologist, clinical care can
proceed without … Similarly, because of the uncertainties in clinical care, use
of the anesthesiology specialist also
-
www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
August 01, 2022 - Eleven of the 20 cases with a claim or lawsuit involved substandard care and causation, and the hospital … part of the model with some success, with an initial disclosure of an adverse event to the patient or … Massachusetts State Department of Public Health
Clinical improvement processes within ambulatory care … data feedback on improving clinical processes showed significant improvement in followup of abnormal … Clinical improvement processes within ambulatory care
Based on patient surveys, the primary care practices
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
July 01, 2021 - Services: Clinical and other health-related services across the health care system
Population: … Health care providers.
Implementation of clinical care practices and interventions. … Disease-specific clinical screening and treatment in primary care. … health care needs, the management of commonly occurring and undifferentiated clinical problems, and … , clinical service, or health care systems more broadly.
-
www.ahrq.gov/sites/default/files/2024-05/kobayashi-report.pdf
January 01, 2024 - Scope: Methods development and applied experimental research in acute care bedside clinical informatics … A
heuristic evaluation and usability test plan were set up for the proposed experimental
multiparametric … institutional adoption (e.g.,
automated subject screening for research or clinical trial enrollment … severity of the condition(s) triggering the
alarms (with respect to morbidity and mortality). … Anticipated data sources are sister site (ED or other acute care environment) patient
physiologic datastreams
-
www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
January 01, 2024 - case managers, n=3 clinical pharmacists, n=1 pharmacy technician, and n=2 social
workers). … hospitalized,
Becky visited every day and communicated with the doctors and nurses about her mother’s condition … support (project developed)
The overall data collection plan is in Table 5. … The
project provided a way to prospectively assess the risks that go beyond patients’ clinical condition … Retrospective cohort study of medication adherence and risk
for 30-day hospital readmission in a Medicare Cost Plan
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
May 01, 2024 - Then,
the clinician generates a working diagnosis, creates a testing plan, formulates an accurate diagnosis … , or ambiguous clinical problem arises; or when a
common clinical condition does not evolve as expected … Given the degree
to which technology is now interwoven with clinical care, however, it will be important … Diagnostic errors in hospitalized adults who died or were transferred to intensive care. … Too much or too little?
-
www.ahrq.gov/sites/default/files/2024-07/overhage-report.pdf
January 01, 2024 - Clinical practice guidelines
describe an acceptable standard of care in situations when there has been … The Medical Gopher component of the RMRS includes functions (G-CARE ) to analyze
patients’ clinical … ” as essential metrics in their physician compensation plan. … tablet or elixir) under the strength. … clinical decision support.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20110511/talkingquality-audience-webcast-20110511-transcript.pdf
June 02, 2025 - We asked them how they would find out what the
standards or the best guidelines for care for their condition … The biggies are they either feel they already receive quality care or they
don't know what quality care … or
what makes high quality care, which was interesting. … Was it -- were they more
interested in clinical measures versus patient experience measures? … And we have tested
subsequently sort of a combination of patient experience with clinical and sort of
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/TalkingQuality_Audience_Webcast_2011_05_11_Transcript.pdf
January 01, 2011 - We asked them how they would find out what the
standards or the best guidelines for care for their condition … The biggies are they either feel they already receive quality care or they
don't know what quality care … or
what makes high quality care, which was interesting. … Was it -- were they more
interested in clinical measures versus patient experience measures? … And we have tested
subsequently sort of a combination of patient experience with clinical and sort of
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pdf
July 01, 2015 - Breast cancer diagnosed at advanced stage per 100,000
women age 40+
Better No Change
Women with clinical … with diabetes whose condition was
diagnosed
Worse Insufficient Data
Adults age 40 and over with … Report
28 | 2014 National Healthcare Quality and Disparities Report
Written Diabetes Management Plan … People with current diabetes who have a written diabetes management plan,
by Hispanic group and English … Care for Hispanics
Recommended Services for Diabetes
Written Diabetes Management Plan
Control of
-
www.ahrq.gov/sites/default/files/2024-12/eder-report.pdf
January 01, 2024 - regard to age, race, ethnicity, gender, language, religion, education,
sexual orientation, physical condition … , or ability to pay. … of unique patients, encounters, and clinical staff;
geographic location; and the types of lab … All research
participants either obtained care or worked within urban safety net offices; almost
all … documentation that patient was notified 36%
No documentation that patient acknowledged the follow-up plan
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
January 01, 2024 - This
could include any failure in timely access to care; elicitation or
interpretation of symptoms, … diagnosis and care plan,
patients’ family members or caregivers are often aware of or can provide valuable … Do work condition interventions affect quality and errors in primary
care? … Delayed or failure to follow-up abnormal
breast cancer screening mammograms in primary care: a systematic … an action plan.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight01.pdf
September 30, 2015 - • Adapting measures originally designed for reporting at the health plan or
State level for use … Even in States where Medicaid- and
CHIP-enrolled children choose or are
assigned to primary care providers … In addition, barriers to defining
denominators for health plan or State-
level reporting remain a challenge … ideal scenario—where child-serving
practices have real-time quality data
available to influence their clinical … Use of Quality Indicators in Patient
Care: A Senior Primary Care Physician Trying
to Take Good Care
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
September 01, 2022 - Patients with a score of 4 or 5 should be admitted and may need an intensive care unit stay. … Hospital admission should be based on the overall clinical assessment. … SAY:
The last moment to consider is, Does my patient understand what to expect and the followup plan … Patients should be instructed to return to medical care if they experience mental status changes or become … Slide 23
Moment 4
SAY:
Fourth, does my patient know what to expect and the followup plan?