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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-workplace-safety-report-ptI.pdf
January 01, 2024 - AHRQ Surveys on Patient Safety Culture provides
step-by-step guidance on how to develop an action plan … Clinical Leader Support for
Workplace Safety
Supervisors, managers, or clinical leaders monitor … Supervisor, Manager, or Clinical Leader
Support for Workplace Safety
My supervisor, manager, or clinical … (Item WPD1)
79
My supervisor, manager, or clinical leader encourages
providers and staff to report … (Item WPD2)
86
My supervisor, manager, or clinical leader can be trusted to
do the right thing to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mottur.pdf
June 01, 2005 - An Ambulatory Care Curriculum for Advancing Patient Safety
313
An Ambulatory Care Curriculum
for … this happens, the
theoretical concept is transformed into concrete reality and becomes actionable or … interventions or decisions. … 16 Eighty percent indicated
“not very often” or “not often at all.” … 53 percent indicated either a somewhat low threat or a very low threat.
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www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
January 01, 2025 - Keywords: Disclosure, Reporting, Clinical Communication, Patient Safety, Medical-Legal. … or otherwise help ameliorate
the medical condition created as well as declaring intent to faithfully … disclosure as an integral part of the standard of care. … leaving a formerly healthy 75-year
old woman brain damaged, incontinent, and in need of nursing home care … plan, pain and suffering, all that Texas law
says you should get.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
April 01, 2004 - in the definition can have a large impact on
its sensitivity (i.e., who is classified as having the condition … care, and vaccine-producing groups). … Scientists come from all aspects of
immunization safety (i.e., clinical care, regulatory, public health … , or (2) the clinical adverse event outcome itself (e.g., does the
clinical entity reported definitely … care and research (e.g., Walter Reed Medical Army Medical
Center or the U.S.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/030-hand-hygiene-webinar-slides-notes.docx
October 01, 2024 - bodily fluid
· When in contact with a patient, patient equipment, or patient environment during care … with a patient and their surroundings, or a contaminated body site
· When care moves from a dirty site … Many of these moments occur behind closed doors or behind curtains during patient care and are therefore … clinical environment. … After confirming the low adherence rate, focus group sessions—including representation from all clinical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-facguide.docx
January 01, 2017 - event and/or VAP. … These patient outcomes stem from long intensive care unit or ICU stays with mechanical ventilation. … she might be unaware of the clinical aspects of your work. … Would you want your parent, spouse, or child treated in a unit not practicing evidence-based care? … Finally, solidify your plan by providing solid real world application of how quality improvement is good
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - Preventing CAUTI: What to Do When it’s Time for Plan B (November 4, 2014)
Webinar Transcript … leave it to Sarah to talk about next steps when your CAUTI rates aren’t falling, specifically what’s Plan … The participants that we’ve been interviewing have included nurse managers, staff nurses including clinical … Sanjay Singh: Thank you Kathlyn and Sarah for that overview of what to do in terms of Plan B, first … it can be modified to prevent CAUTI in the long-term care setting.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-slides.pptx
January 01, 2017 - SAT and SBT, but supports weaning
American Thoracic Society4
Recommends use of daily interruption or … Perform SAT
Screen for SBT
pass
Restart sedatives at ½ prior dose
Persistent anxiety, agitation, or … 25369558
IVAC = infection-related ventilator-associated complication; VAC = ventilator-associated condition … Evidence-based clinical practice guideline for the prevention of ventilator-associated pneumonia. … Evidence-based clinical practice guideline for the prevention of ventilator-associated pneumonia.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
June 02, 2025 - Social Security Act and needlessly duplicative Need an aligned plan for evidence generation in the Medicare … Ask that AHRQ decline to support CED mechanisms or clinical studies associated with safe and effective … registry, and minorities and the disabled – who rarely are able to easily access care at academic medical … predictable patient access Engagment between manufacturers and CMS prior to FDA authorization Need an aligned plan … clinical studies associated with safe and effective treatments and/or their medically accepted uses
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www.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - ’s known primary care provider, or the original referring provider, or a known next provider of service … and long-term care social workers (n=12); health plan contract administrators (n=3); and health care … One patient remarked “Options for costs need to be given so we can plan ahead.” … institution, or team maintains responsibility for patient care until the receiving clinician or institution … Smith, MN, FNP (Clinical Instructor); and E’Lise M.
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www.ahrq.gov/sites/default/files/2024-07/barnett-report.pdf
January 01, 2024 - Incidence/Prevalence: We do not have data on the size or demographics of the Rochester (or US) deaf … priority topic, so we also used CAHPS questions on
emergency department use from the CAHPS Health Plan … After the 5-year AHRQ K08 early career Mentored Clinical Scientist Development Award, Dr. … Hearing loss and older adults' perceptions of access to care. … Deaf adult self-reported quality of vision and use
of eye care.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - SAY:
There is a reason that patient care is not automated or handled by robots. … to the complexity of patient care. … patient care and guards against mistakes and lost information. … One example is requiring a nurse or provider to repeat back a critical action laboratory value or verbal … Plan for success by setting clear goals and using the PDSA (Plan-Do-Study-Act) approach within a timeline
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/029-hand-hygiene-webinar-slides.pptx
October 01, 2024 - with a patient and their surroundings, or a contaminated body site
When care moves from a dirty site … clinical care environment. … formal observations within a 12-month period Receives training and develops a personal improvement plan … Clinical Safety: Hand Hygiene for Healthcare Workers. https://www.cdc.gov/clean-hands/hcp/clinical-safety … worker education, and clinical outcomes: a longitudinal study.
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www.ahrq.gov/practiceimprovement/systemredesignsafetynet/systemredesign-slides.html
December 01, 2017 - Clinical Associate Professor
Department of Health Policy and Management
Boston University School … Aim to enhance (or at least to preserve) the organization's competitive position. … Medical Director, Cook Children's Health Plan
Sandral Hullett, M.D., M.P.H. … delivery and clinical processes to meet new requirements and expectations. … Inadequate HIT capacity for supporting clinical, organizational, and financial operations
Potential
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
December 01, 2013 - ■ You have only 30 days to add your newborn to your
insurance plan. … ■ Having a heart condition.
■ Being on a ventilator.
■ Lack of nourishment. … :
■ Clear the G tube or button as your health care provider showed you … Appendix B: Clinical Materials to Share
With Primary Care Providers
Diagnoses and Conditions
■ Anemia … Before my baby left the hospital, the staff and I agreed on a plan of care for my baby’s health.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
December 01, 2013 - ■ You have only 30 days to add your newborn to your
insurance plan. … ■ Having a heart condition.
■ Being on a ventilator.
■ Lack of nourishment. … :
■ Clear the G tube or button as your health care provider showed you … Appendix B: Clinical Materials to Share
With Primary Care Providers
Diagnoses and Conditions
■ Anemia … Before my baby left the hospital, the staff and I agreed on a plan of care for my baby’s health.
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www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
August 01, 2022 - These all have a direct impact on
cognition and will shape clinical reasoning, for better or worse.17 … social details or clinical
examination findings that may facilitate arriving at the correct diagnosis … enhance their clinical
reasoning. … general care units. … Teamwork in clinical
reasoning - cooperative or parallel play?
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - These all have a direct impact on
cognition and will shape clinical reasoning, for better or worse.17 … social details or clinical
examination findings that may facilitate arriving at the correct diagnosis … enhance their clinical
reasoning. … general care units. … Teamwork in clinical
reasoning - cooperative or parallel play?
-
www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
January 01, 2024 - top-level event is an “AND” gate, meaning that all
events below the gate are required to satisfy the condition … the condition above
the gate. … ’s condition varied from person to person, and they often felt
they were “flying blind” when giving … Lack of clinical information and decision-making
support to prescribers is a weak link in the LTC wrong … Portland,OR.
24 American Health Care Association: 2002 CMS OSCAR Data Reports.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
January 01, 2003 - The typical
graduate nurse and physician have learned VAD clinical techniques and processes
of care … Learning plan
sections vary by topic, but always include primary course materials (i.e., links to
animated … Case studies or
examples that parallel clinical application or intervention appeal to abstract
thinkers … health care? … in
intensive care.