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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.docx
    April 01, 2022 - such as spinal cord/pelvic/sacral trauma) · Neurogenic bladder 5) Where was daily medical necessity discussed … infection) rounds · Shift handoff · Other: ___________________________ · Medical necessity was not discussed
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/Culture-Check-UpTool.docx
    June 02, 2025 - establishing a tentative plan and timeline for carrying out an agreed-upon change that could improve the issue discussed … Culture Item Discussion Form: Statement to be discussed: Unit Safety Assessment Score (percent agreement
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39232/psn-pdf
    February 14, 2011 - to correctly interpret prescription drug instructions may result in devastating errors, such as one discussed … The role of health literacy in patient safety is discussed in an AHRQ WebM&M perspective and interview
  4. www.ahrq.gov/sites/default/files/wysiwyg/chsp/reports/chsp-issue-brief-3.pdf
    January 01, 2019 - Finally, workshop participants discussed strategies for disseminating research, engaging stakeholders … Finally, RAND discussed preliminary findings from qualitative research on physician arrangements and … Workshop participants discussed how future research on the benefits and implications associated with … Engaging With Health Systems Workshop participants also discussed forming a learning collaborative … Sustaining the Data Core Finally, workshop participants discussed strategies for sustaining the data
  5. www.ahrq.gov/sites/default/files/publications/files/coe-workshopissuebrief.pdf
    January 11, 2017 - This Issue Brief summarizes the key topics discussed during the workshop. … /chsp/chsp-reports/ resources-for-understanding- health-systems/defining- health-systems.html) and discussed … The teams discussed their efforts to build their data cores and identify health systems in existing … For example, the teams discussed the potential imprecision of health system definitions used in the … The group also discussed the evolving nature of the U.S. health care system overall, which could affect
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docx
    December 01, 2017 - Critical goals and steps for case discussed? Pertinent contingency plans discussed?
  7. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
    December 01, 2017 - Critical goals and steps for case discussed?     … Pertinent contingency plans discussed?     Expectation for assertiveness set?
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40309/psn-pdf
    April 22, 2011 - The importance of behavior change models in implementing checklists was discussed in a recent commentary … Brent James—one of the nation's leading physician quality improvement experts—discussed his use of change
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43613/psn-pdf
    December 19, 2014 - In particular, as discussed in a recent qualitative study, nurses frequently employ workarounds that … The role of smart pumps in medication safety was discussed in more detail in an AHRQ WebM&M perspective
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38245/psn-pdf
    February 18, 2011 - While past studies have discussed their impact on time efficiency and the quality of ambulatory care … A past AHRQ WebM&M commentary discussed how inaccurate clinical information pasted forward through a
  11. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/implementing-cms-measure-chat-transcript.pdf
    May 01, 2025 - Competencies for Patient Safety • In this webinar, patient safety and quality improvement experts discussed … Lillee Gelinas (University of North Texas Health Science Center) discussed the i... … with Competencies for Patient Safety In this webinar, patient safety and quality improvement experts discussed … Competencies for Patient Safety • In this webinar, patient safety and quality improvement experts discussed
  12. psnet.ahrq.gov/issue/improving-prescription-drug-warnings-promote-patient-comprehension
    December 21, 2014 - to correctly interpret prescription drug instructions may result in devastating errors, such as one discussed … The role of health literacy in patient safety is discussed in an AHRQ WebM&M perspective  and interview
  13. www.ahrq.gov/sites/default/files/2024-04/wolfson-report.pdf
    January 01, 2024 - The conference participants debated the implications of the emerging research, discussed how research … The group discussed the promises and challenges of physician-level interventions against the background … identity rather than to meet external expectations or requirements.i An expert in motivational theory discussed … As discussed more fully in the following section, there was no disagreement that the current reality—in … A number of participants discussed the need to change the physician job description to persuade physicians
  14. www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-learningcollab.pdf
    September 01, 2025 - scan results, gave input on topics for the two rapid environmental scans, and discussed findings of … Through facilitated presentations and discussions, LC members discussed initial thoughts on promising … The following seven core components of PCCP (see Table 2) were presented, discussed, and approved by … David Reuben discussed the GUIDE (Guiding an Improved Dementia Experience) model, (2) Dr. … LC participants discussed implementing PCCP components.
  15. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/culture-checkup-tool.html
    July 01, 2023 - establishing a tentative plan and timeline for carrying out an agreed-upon change that could improve the issue discussed … Culture Item Discussion Form Statement to be discussed:   Unit Safety Assessment
  16. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/brownbridge
    January 01, 2023 - incorporating computer use into the consultation were identified and the pros and cons of each are discussed … presented topics for discussion seemed to reflect the "natural" order in which the topics would be discussed … All physicians discussed more topics in computer consultations than they did prior to implementation.
  17. www.ahrq.gov/chsp/events/coe-workshopissuebrief.html
    January 01, 2017 - This Issue Brief summarizes the key topics discussed during the workshop. … During the workshop, the CoEs presented their definitions and discussed how these definitions fit into … The teams discussed their efforts to build their data cores and identify health systems in existing secondary … For example, the teams discussed the potential imprecision of health system definitions used in the data … The group also discussed the evolving nature of the U.S. health care system overall, which could affect
  18. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/dexter-pr-et-al-1998
    January 01, 1998 - Results: Physicians who did not receive reminders (controls) discussed advance directives with 4% of … ratio, 7,0 [Cl, 2.9 to 17]; P< 0.001) - Overall, 45% of patients with whom advance directives were discussed … The advance directive reminders were followed by a choice list (discussed today, next visit, not applicable
  19. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/survey-methods-research/summary-research-meeting.pdf
    January 01, 2019 - including modes of data collection, survey length, outreach invitations, and incentives; they also discussed … The speakers in this session discussed analytical methods for identifying and correcting for biases in … Key Questions and Issues After hearing these presentations, the audience and panelists discussed the … Participants raised multiple questions about the use of alternative survey modes, as discussed below. … Participants discussed the merits to having a consistent look across paper and web versions of a survey
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40800/psn-pdf
    December 09, 2014 - The role of these tempos in precipitating diagnostic errors and communication errors is discussed through … A preventable adverse event caused by misunderstanding of disease tempo is discussed in this AHRQ WebM