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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-Dickerman_84.pdf
June 04, 2008 - of the clinical system other than the environment in which it is delivered. … In health care projects, the client,
the architects, or a specialized consulting firm might prepare … It could also affect the
way physicians and nurses
complete charts and write
clinical orders. … Both types of
safety involve cultural issues or characteristics of health care institutions; neither … The project execution plan should be created with the informed input of all stakeholders and
should
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www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
January 01, 2024 - providers or skilled observers as a deviation from
optimal care based on the clinical situation14 – … Analysis Plan
Aim 1. … ) and crosses clinical settings (NICU to OR and
back to NICU). … Video capture of clinical care to enhance patient safety:
The nuts and bolts. … Analysis Plan
Aim 1.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting-revised.docx
April 01, 2022 - Patient has one or more of the following clinical signs/symptoms (check all that apply):
☐ Fever without … Were there any changes or problems with the urinary catheter equipment or related supplies at any point … Why or why not? … this point, an evaluation of the proximate probable cause(s) of the CAUTI and development of an action plan … prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical
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www.ahrq.gov/patient-safety/reports/engage/references.html
May 01, 2023 - Blame the patient, blame the doctor or blame the system? … Communicating about health care: observations from persons who are deaf or hard of hearing. … plan: study protocol. … Personalised care planning for adults with chronic or long-term health conditions. … Studying the clinical encounter with the Adaptive Leadership framework.
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www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
January 01, 2024 - and noncritical
care settings during the course of their hospitalization, according to changing care … Medical Care, 1995. 33(5): p. 452-62.
4. … Medical Care, 1994. 32(7): p. 700-15.
5. … Med Care, 2005. 43(8): p. 785-91.
8. … Crit Care Med,
2005. 33(8): p. 1694-700.
9.
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www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
December 01, 2017 - Hospital executives planning or executing a major capital construction project or minor renovations can … Frequent overhead announcements, pagers, alarms, and noisy equipment in or near patient rooms are stressful … than 150 practical examples from real world health care on using process or design features to prevent … Scientific information on which to base clinical guidelines, performance measures, and other quality … Interventions for the Prevention of Falls in Older Adults: Systematic Review of Meta-Analysis of Randomized Clinical
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-section-2-tech-specs.pdf
January 01, 2011 - Benefit type (if insured): HMO, PPO, Medicaid Primary Care Case
Management (PCCM) Plan, Fee for Service … Benefit type (if insured): HMO, PPO, Medicaid Primary Care Case
Management (PCCM) Plan, Fee for Service … Benefit type (if insured): HMO, PPO, Medicaid Primary Care Case
Management (PCCM) Plan, Fee for Service … Benefit type (if insured): HMO, PPO, Medicaid Primary Care Case
Management (PCCM) Plan, Fee for Service … Benefit type (if insured): HMO, PPO, Medicaid Primary Care Case
Management (PCCM) Plan, Fee for Service
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/qdr-ruralhealthchartbook-update.pdf
January 01, 2020 - Delays or Difficulty Getting Needed Care for Financial or Insurance Reasons
Among people unable … to get or delayed in getting needed medical care,
dental care, or prescription medicines, those who … Among people unable to get or delayed in getting needed medical care,
dental care, or prescription medicines … care, or prescription medicines, 64.1% cited financial or insurance reasons … medical care, dental care, or prescription medicines due to financial or insurance reasons
decreased
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apia.html
June 01, 2010 - Portland, OR: Foundation for Accountability; 2000. Bickman L, Slazer M. … Developing a reliable, valid, and feasible plan for quality-of-care measurement for cancer: how should … Using clinical performance measures to drive quality improvement. … Quality assessment in a Medicaid managed mental health care plan: an Iowa case study. … Records are available in a combination of indexed, abstract, or full-text formats.
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www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
January 01, 2024 - poor self-health rating, hospitalization greater than 4 days,
4
rehospitalization in 30 days, and clinical … Two
or more of the same prescriptions are available to the patient to
take or be refilled. … European Journal of Clinical Pharmacology 64(7): 715-722] that examined factors predicting
hospital … Transitional care programs have been developed (e.g., Transitional
Care Model by Dr. … focuses on using a care
manager or nurse to aid in a seamless transition.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
March 01, 2017 - Measuring Long-Term Care Work: A Guide to Selected Instruments To Examine Direct Care Worker Experiences … Is there something about this process that affects my ability to do my clinical work? … An empowered staff—
Understands how to assess organizational processes on clinical practice and be … This can include channels for advancement or growth in the organization, such as incentive or career … you can do to provide positive reinforcement to staff:
Set a goal, and when that goal is reached, plan
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
January 01, 2004 - Clinicians could phone or e-mail study staff with any concerns or
questions about the program. … is susceptible to error, and that even
those working on systems aimed at lowering error rates must plan … One must also consider the inevitable changes to a clinical decision support
system or the integrated … The software to
which the clinical decision support system is connected may be upgraded or
updated … Some unintended
consequences of information technology in health
care: the nature of patient care information
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www.ahrq.gov/sites/default/files/2024-05/johnson-ying-report.pdf
January 01, 2024 - nurse to conduct an efficient and accurate assessment of the
patient to determine if the patient’s condition … is emergent, urgent, or non-urgent. … In addition, they can potentially delay care, resulting in significant morbidity
or mortality (Grossmann … to avoid interruptions or mitigate the impact of interruptions on
patient care. … We
plan to use this education in a larger scale throughout the hospital system.
-
www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
February 01, 2018 - AHRQ must embrace the paradigm of a person-360, or p-360, view of health care, which places the patient … The tools include a focus on the needs of patients with or at risk for opioid use disorder. … The sharpest rise was among women age 65 or older. … Limitations include the lack of clinical detail, lack of pharmacy and laboratory data, lack of information … Another can be changes in clinical behaviors including responses to alarms. Dr.
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www.ahrq.gov/sops/about/faq/index.html
June 01, 2022 - In addition, the Action Planning Tool helps healthcare organizations develop an action plan for improving … A medical practice or health care system may have multiple medical offices in different locations, but … schedulers, and share some or all clinical support staff, you may consider them one office. … Your office may provide primary care services only, other specialty care services only, or a mix of primary … home beds and is not an assisted living, community care, or independent living facility.
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www.ahrq.gov/sites/default/files/2025-02/shapiro-report.pdf
January 01, 2025 - persons.(10) Crowding has been
associated with increased morbidity and mortality in nearly every disease condition … region-wide,
real-time clinical dataset. … and usage by clinical users. … Healthix also provides automated clinical event
notifications to Mount Sinai in support of care coordination … CI 1.07-1.12),
patient-hospital county concordance (OR 1.40; CI 1.36-1.44), male gender (OR 1.27;
CI
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight12.pdf
January 01, 2020 - units (NICUs) that provide care for
infants with severe illness or complex
conditions joined the … conference calls with
the hospitals to review the reports,
address issues, and develop an action
plan … of the
American Congress of Obstetricians
and Gynecologists, the PCQT identifies
the minimum core clinical … degree to which health plans
have these processes in place and to
develop a performance improvement
plan … perspectives of any State or
Federal agency.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops-wps-study-report.pdf
January 01, 2022 - 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 … Care
Aide/
Nursing
Asst. … Care
Aide/
Nursing
Asst. … Care
Aide/
Nursing
Asst.
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www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - The original plan was to sample events before and after introduction of a new web-based reporting
system … Patient death or serious disability associated with the use or function of a device in patient care, … The original research plan submitted specified two initial focus groups for this aim, with
seven or … Trivial or
insignificant events include minor injuries of little clinical consequence such as nausea … This sample is close to
the original 4200 sample predicted in the research plan.