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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-slides.pptx
September 01, 2022 - the practice who should be involved in developing management strategies for patients with infectious concerns … Antibiotic Use – Ambulatory Care
Improving Communication
Around Antibiotic Decisions
Communicating Concerns … two-attempt rule
Always make two attempts to reach a common goal
If still not being heard, escalate concerns
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-b.pdf
December 29, 2017 - communication 66.4% 67.0% 66.4% .94
Involving teens in care 71.7% 71.5% 68.8% .75
Mistakes and concerns … communication 65.2% 66.8% 67.8% .44
Involving teens in care 70.6% 70.7% 70.7% 1.00
Mistakes and concerns
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
June 01, 2023 - of research on patient-reported experiences involving safety only sporadically touches on diagnostic concerns … hospitalizations in the United Kingdom, about one-third of the “incidents” that triggered patients’ concerns … Addressing Diagnostic Shortfalls
Prior findings make clear the potential for learning about safety concerns … patient/family-reported diagnostic errors
Type of Diagnostic Error
Frequency of Reported Concerns … Other biases may also emerge from differences in propensity to report diagnostic concerns, including
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module6/igmutualsupp.html
March 01, 2019 - You should also be persistent and persuasive, providing evidence or data for your concerns. … Each of these tools provides a mechanism whereby team members are able to bring up ideas and concerns … When the situation dictates that the team member must be assertive and address concerns regarding patient … It can easily be taught to patients and their families as a structured way to communicate their concerns … E = Express your concerns about the action. S = Suggest other alternatives.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-slides.pptx
January 01, 2018 - Are patients screened for needs and concerns?
Who is communicating with the patient? … CC for CR should start during hospitalization, with
Getting to know the patient and their concerns and … Understanding the characteristics of the population to better meet patient needs and concerns. … Topics covered in Implementing Effective Care Coordination include:
Addressing patient needs and concerns … An effective CC system helps to reduce these disparities by addressing the specific needs and concerns
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empower-staff-transcript.pdf
April 01, 2022 - They may feel that their concerns
are going to be brushed off. … respiratory therapists, and other people who are stakeholders in
patient care in the ICU discuss their concerns … traditional top of the hierarchy or the head of the team to listen actively, invite
questions and concerns … There might be some concerns there. How would you coach the doctor
to listen? … you communicate with that nurse is going to affect the way he or she will feel
about bringing up concerns
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
December 01, 2017 - ____________________________________________________________________________
Preoperative concerns … blood loss
Separation of clean and dirty instruments
Anesthesia review:
Patient-specific concerns … Circulating review:
Equipment availability, malfunctions, or concerns
Critical issues … _
____________________________________________________________________________
Team reviews concerns
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - This data can then be used to identify trends and
patterns in patient safety concerns, and to provide … The Generic Patient Safety Concerns section pertains to all patient safety concerns –
incidents, … Thus, these were excluded from report counts in the Generic Patient Safety
Concerns module. … Generic Patient Safety Concerns
All exclusions listed below apply. … Percentage of Patient Safety Concerns (Event Types)
Percentage of Patient Safety Concerns (Event Types
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-implementation-guide.pdf
March 01, 2023 - An effective CC system
addresses individual patient needs and concerns that may impact their ability … to ensure
eligible patients are referred
• Screening patients for needs and concerns can help identify … • Are patients screened for needs and concerns?
• Who is communicating with the patient? … Identifying Patient Needs and Concerns
• The BEST ways to understand an individual’s unique needs are … Table 4: Common Challenges and Ways to Address Them
Challenges/Barriers/Concerns Possible Solutions
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - Ask open-ended questions to elicit the patient and family’s questions and concerns. … “Please ask if you have any questions or tell us any concerns you have.”
… Make sure to ask if they have any other questions or concerns that are not listed. … Repeat back the patient’s concerns in your own words to make sure you understand their concerns. … Patient is unable to read, write, or articulate questions or concerns.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-cleary-slides.pdf
March 01, 2010 - the same topic
Source: Xu, Buta, Price, Elliott, Hays, Cleary; HSR 2014
39
www.ahrq.gov/cahps
Concerns … www.ahrq.gov/cahps
Background on Concerns about Unwelcome
Medical Advice
• Advice to quit smoking … communication than with
patients’ receipt of desired treatment
• No evidence to support policy-maker concerns … Outcomes
Veterans Administration (VA) Study of Heart Attack Patients
Reanalysis of Fenton Study
Concerns … Fenton Analyses
Reanalysis Methods
Results of Reanalysis
Frequently Raised Issues
Background on Concerns
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-teach-back-inpatient-medical-guide.pdf
August 31, 2023 - The
interpreter allows the patient and family to listen and ask questions without concerns about
misinterpretation
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-c.html
May 01, 2017 - Addressing Physician Concerns With the Checklist - Implementation Guide … Addressing Physician Concerns With the Checklist - Implementation Guide
Common Concern
Response … Addressing Physician Concerns With the Checklist - Implementation Guide.
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/design2.html
May 01, 2016 - We focused on event type (e.g., medication or device concerns, clinician or facility concerns), reporting … Participants agreed that three categories of patient safety concerns were understandable and sufficient … The reporting form is formatted with skip patterns to allow for reporting concerns that are considered … It also advises patients and caregivers that other types of concerns, such as complaints about amenities … should be reported to the hotline, the types of concerns that should not be reported to the hotline,
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module6-mutual-support.pptx
January 10, 2022 - Be persistent, be persuasive, and provide the data or evidence for your concerns.
… The member being challenged must acknowledge
the concerns.
15
The two-challenge rule empowers all … Examples: missing lab results, orders that seem inconsistent with the care plan, concerns or questions … E—Express your concerns about the action.
S—Suggest other alternatives. … E — Express your concerns about the action.
S — Suggest other alternatives.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module6-presenters-notes.pdf
January 10, 2022 - Be
persistent, be persuasive, and provide the data or evidence for your concerns. … To be effective advocates, team members must be able to assert their concerns. … The member being challenged must acknowledge
the concerns. … E—Express your concerns about the action.
S—Suggest other alternatives. … E — Express your concerns about the action.
S — Suggest other alternatives.
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ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day.html
September 01, 2023 - Indeed, we are trying to address their health concerns and "dis-ease" in providing care in the first … Our consumers' concerns must be at the center of everything we do. … It provides primary care practices with strategies to elicit patient concerns and communicate effectively
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
March 01, 2017 - , issues or expectations of the day and then make specific plans to address the concerns, issues, and … of teamwork and collaboration and provides an opportunity for team members to speak up if they have concerns … If so, do these teams conduct Briefs to review any safety or care concerns? What does it look like? … The provider should wait for a response and listen carefully to any concerns shared by the resident and … The facility should be prepared to address the concerns and, if committed to transparency, offer an apology
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles.pptx
May 01, 2017 - Short, standup meeting, typically once per day
Orients team to regular safety standard work, concerns … review safety performance
Opportunity to look ahead to patients scheduled for today, flagging safety concerns … Program for Ambulatory Surgery
Management Practices for Sustainability
A Simple Huddle Agenda
5
Safety concerns
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ce.effectivehealthcare.ahrq.gov/questions/resources/diagnosis/step2.html
November 01, 2020 - You may have fears or concerns. You may feel overwhelmed. … are made up of people with the same disease or condition who get together to share information and concerns … Online support or self-help groups
The Internet has support or self-help groups for people whose concerns