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psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - of health care delivery;
Collection and analysis of patient safety work product;
Development and dissemination … Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination
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psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - Establishing
and validating an assessment tool will be required to systematically test and confirm the
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psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - Selecting a screening tool for use in the clinical setting, as well as developing processes and protocols … Christie Allen: The bundle is a tool and could be implemented by any AIM team.
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - Christie Allen: The bundle is a tool and could be implemented by any AIM team. … Selecting a screening tool for use in the clinical setting, as well as developing processes and protocols
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psnet.ahrq.gov/node/33660/psn-pdf
December 01, 2007 - down to a three-item measure, which accounts for about 90% of the predicted accuracy of the 15-item
tool … council for
the Joint Commission for raising awareness of the importance of discharge and transition planning … There would be some inherent value in having a tool that would allow a fairly concise
communication
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psnet.ahrq.gov/node/33803/psn-pdf
January 01, 2015 - Fourth, engaging patients and
families in discharge planning throughout the hospital stay. … This tool has been used widely throughout the nation. … A second tool, the Team Strategies and
Tools to Enhance Performance in Patient Safety, or TeamSTEPPs … How do you
decide that a certain tool is ready for scaling? … We do research to figure out what happens if
we take this tool and try to implement it at many more
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psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - Use of Maternal Early Warning Trigger tool reduces maternal morbidity.
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psnet.ahrq.gov/perspective/conversation-michael-l-millenson
April 27, 2022 - KH: I’m thinking about it as a patient safety tool, like using it to identify clusters of events, or … So, use it not to get the story into the mainstream, but as a tool, similar to how web data can be used … Social Media as a Tool for Consumer Engagement in Hospital Quality Improvement and Service Design: Barriers
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - Privacy or Safety?
August 21, 2015
Halamka JD, McGraw D. Privacy or Safety? PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/privacy-or-safety
Case Objectives
Understand that the HIPAA Omnibus Rule is an enabler of data sharing, not a barrier.
Review common misconceptions about privacy rules.
Understand the…
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - September 1, 2012
Dissemination of Lean methods to improve Pap testing quality and patient … 2017
WebM&M Cases
Failed Interpretation of Screening Tool
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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - NTSV cesarean rates are more likely to report a culture that is supportive of vaginal birth. 23
Planning … In the planning phase, CMQCC leadership say teams planning to implement this innovation should reach … Initiate development of educational materials and a dissemination plan for the public.
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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - Planning and Development Process
For the pre-implementation planning phase, the consortium recommends … focus
on:
Forming a multidisciplinary team consisting of key stakeholders to oversee the initiative
Planning … Making it stick: developing and testing the difficult intravenous access
(DIVA) tool. … The W.I.S.E Tool for assessment of short term PICC use. https://mi-
hms.org/sites/default/files/WISE … The W.I.S.E Tool for assessment of short term PICC use. https://mi-
hms.org/sites/default/files/WISE
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - of health care delivery;
Collection and analysis of patient safety work product;
Development and dissemination … 2017
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination
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psnet.ahrq.gov/node/49715/psn-pdf
August 21, 2014 - Biopsy
The use of liver biopsy to obtain tumor or liver histology remains an important diagnostic tool … Additionally, the use of computed
tomography as an image-guidance tool has gained popularity.
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psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - interdisciplinary team reviews each case at 1, 2, 3, 6, and 9 months after the initial and annual care-planning … Planning and Development Process
Key steps in the planning and development process included the following
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psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - belief that every ICU patient should be
screened daily for the presence of delirium using a validated tool … Exercises include modification of
existing neuropsychological tests like digit span, puzzles, planning
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psnet.ahrq.gov/node/865411/psn-pdf
March 27, 2024 - Use of Maternal Early Warning Trigger tool reduces maternal
morbidity.
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psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - Establishing and validating an assessment tool will be required to systematically test and confirm the
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - You mention the trigger tool as a methodological change for identifying those adverse events. … What would you say is needed to improve implementation and dissemination of best practices? … original Harvard Medical Practice Study, the recent study used an adapted version of the Global Trigger Tool … However, over time, more care has been occurring in outpatient settings. 1 Using a trigger tool to review
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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - original Harvard Medical Practice Study, the recent study used an adapted version of the Global Trigger Tool … However, over time, more care has been occurring in outpatient settings. 1 Using a trigger tool to review … You mention the trigger tool as a methodological change for identifying those adverse events. … What would you say is needed to improve implementation and dissemination of best practices?