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psnet.ahrq.gov/issue/promoting-health-care-safety-through-training-high-reliability-teams
January 06, 2018 - Finally, the authors provide mechanisms by which health care teams can achieve high-reliability status
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psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
January 30, 2019 - Finally, large-scale systems need to maintain strong safety cultures and norms that reinforce common
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psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care
July 05, 2008 - Finally, Berwick proposes three design elements in creating a radically different and much improved health
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psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
May 27, 2011 - Finally, the authors recommend considering a series of issues, which they enumerate, before organizations
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psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
December 03, 2018 - Finally, the author describes the importance of storytelling in organizations, which allows people to
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psnet.ahrq.gov/issue/tell-truth-ethical-and-practical-issues-disclosing-medical-mistakes-patients
April 19, 2011 - Finally, practical issues in the disclosure of mistakes are outlined, including the challenges of when
-
digital.ahrq.gov/sites/default/files/docs/page/ari_smart_form_final.pdf
June 16, 2021 - Pediatric Documentation Templates
Acute Respiratory Infection (ARI) Smart Form
Executive Summary
The Partners Pediatric Acute Respiratory Infection (ARI) smart form is a guideline-driven template
designed to streamline urgent care visits for patients ages 6 months to 18 years presenting with ARIs.
The for…
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digital.ahrq.gov/events/national-web-conference-health-it-enabled-quality-measurement
January 01, 2023 - Finally, project leaders will provide a presentation on some of the suggested next steps for incremental
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018151-smith-final-report-2013.pdf
January 01, 2013 - Finally, a comprehensive and mandatory computer-based
discharge medication reconciliation system was … Finally, hospitalists will likely be an enduring
component of medical care, so incorporating communication … Finally, we had concerns about possible contamination effects with a randomized trial.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
October 01, 2018 - And finally we generate measures and data that are used by provider and policy makers and researchers … Finally, somebody says I was left sitting in the waiting room for one hour after my visit was over because … And finally, we need this to be a print ready summary snapshot. … Servati, Slide 51
And finally looking ahead at our next steps, it’s to analyze our patient comments … Shaller (closing), Slide 55
And finally I want to let you know that there are a number of ways to keep
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www.ahrq.gov/sdm/research/index.html
May 01, 2023 - Finally, Decision Talk is the task of arriving at decisions that reflect the informed preferences of
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses4.html
August 01, 2022 - Finally, many aspects of distributed cognition overlap with concepts inherent in “Safety-II” science, … Finally, dyad combinations are not fixed and may change frequently during an ED shift, with one physician
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/epic-implementation-q-a-final-deck.pdf
June 02, 2025 - Epic Q&A Session
A my M i l l e r, M D, P h D
D av i d R u b i n s , M D
Chat Function
HOW TO ASK
QUESTIONS
To ask a question or make a comment
open the chat box
Set the TO: field to Everyone so
that we can all see your question
Try the chat function now by
sending a short greeting to the rest
of the…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - Finally, if the catheter is not needed, it should be removed . … Finally, the risk of ventilator-associated complications (infectious and noninfectious) is best mitigated
-
www.ahrq.gov/sites/default/files/2024-01/smith-report.pdf
January 01, 2024 - Finally, the optimal strategies for identifying high-risk patients,
opioid dependence, and opioid addiction … Finally, “overcommunication” with patients is important for establishing
postsurgical expectations as … Finally, it is
important to identify and leverage patient assets.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-facguide.docx
January 01, 2017 - Finally, to ensure that it is safe for a patient to be mobilized, screen daily for PT/OT safety before … Finally, how do we know if we made a difference in the lives of our patients? … Finally, in order to capture the information you will need to apply the Four Es, use a daily early mobility
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/health-share-of-oregon-case-study.pdf
September 01, 2016 - Finally, as a coordinated
care organization, Health Share was also dealing
with changes to benefits … Finally, Health Share’s staff includes a member
navigator, who deals with complex calls that
require … Finally, the customer service staff and manager
work together to catalog what they are hearing
from
-
psnet.ahrq.gov/node/33800/psn-pdf
January 01, 2015 - Finally, evidence from a multicenter outpatient study did not find a change in the rate of preventable … Finally, the authors noted the failure to systematically identify,
track, and learn from CPOE errors
-
psnet.ahrq.gov/node/73650/psn-pdf
August 25, 2021 - population, it is not
unusual for women to be misdiagnosed for many years as having asthma prior to finally … rate of recurrence, a
pneumothorax in a patient with LAM needs to be managed with pleurodesis, as finally … Finally, clinicians should understand the principles of diagnostic uncertainty as they apply to patients
-
psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
February 24, 2021 - Once pericardiocentesis was finally performed, the child immediately improved and more than 200 cc of … Finally, the lessons of experience are communicated through a dense oral culture—inexperienced workers … Finally, there needs to be intolerance from organizational leaders of the behaviors that characterizes