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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
April 01, 2016 - Purpose: To help teams adopt a system-focused approached to event investigation and analysis. … System-Focused Event Investigation and Analysis Guide – 3
Other high-risk industries, such as aviation … System-Focused Event Investigation and Analysis Guide – 5
7. … 10 – System-Focused Event Investigation and Analysis Guide
6. … The agreed-upon visual model will keep the team focused.
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-3.html
September 01, 2020 - to Diagnostic Safety and Quality
Issue Briefs
Content-Specific Versus Process-Focused … Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
Content-Specific Versus Process-Focused … for Diagnostic Error Reduction
Introduction
Rationale for Use
Content-Specific Versus Process-Focused … diagnostic accuracy based on clinical vignettes. 13 Similarly, most studies that evaluated process-focused … content-specific checklist that suggested differential diagnosis for the case at hand or (2) a process-focused
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/issue-briefs/dxchecklists-table1.html
September 01, 2020 - for Diagnostic Error Reduction
Introduction
Rationale for Use
Content-Specific Versus Process-Focused … Process-Focused Checklists
O’Sullivan and Schofield,
2019 13
Mnemonic tool (SLOW) focused on … Compared Content-Specific and Process-Focused Checklists
Study
Description of the Checklist
Participants … interpretation checklist (content specific) compared with a cognitive debiasing checklist (process focused … Experimental
No overall significant differences between the content-specific checklist, process-focused
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ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight01.html
March 01, 2019 - A list of additional studies on child-focused quality measurement is also included below. … Top of Page
Contents
Maine's Approach to Child-Focused Quality Measurement
Massachusetts' Approach … to Child-Focused Quality Measurement
North Carolina's Approach to Child-Focused Quality Measurement … Pennsylvania's Approach to Child-Focused Quality Measurement
Additional Resources on Child-Focused … Quality Measurement
Maine's Approach to Child-Focused Quality Measurement
Maine aims to integrate
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Safety Resources by Setting
Hospital
Hospital Resources
CANDOR
System-Focused … Patient Safety News and Events
Education & Training
Resources
System-Focused … AHRQ Communication and Optimal Resolution Toolkit
Purpose : To help teams adopt a system-focused … The agreed-upon visual model will keep the team focused. … However, avoiding those solutions that are focused solely on individuals (those in the red circle)
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
September 04, 2020 - Content-Specific Versus Process-Focused
Checklists
Checklists used in the diagnostic reasoning process … diagnostic accuracy based on clinical vignettes.13 Similarly,
most studies that evaluated process-focused … , the content-specific (knowledge-based) checklist as described
before was compared with a process-focused … all this research into account, content-specific checklists seem to be more promising than process-
focused … Process-Focused Checklists
O’Sullivan and
Schofield, 201913
Mnemonic tool (SLOW)
focused on slowing
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/head-bed-elevation-lit-review.html
January 01, 2017 - Study focused on medical and respiratory patients who required mechanical ventilation in the intensive … Observational Study
(Orozco-Levi, 1995) 9
PRO: Observational study focused on adult, critically … Crossover Trial
(Torres, 1992) 11
PRO: Crossover trial focused on patients requiring mechanical … Study focused on 255 patients intubated within 24 hours of intensive care unit admission and required … PRO: Crossover trial—Study focused on 19 patients requiring mechanical ventilation and intubation in
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-5.html
August 01, 2023 - timeouts 141 ; and programs to improve communication about diagnostic uncertainty. 93
Interventions focused … that involve patient-centeredness and family involvement in the diagnostic process. 120 , 142 Patient-focused … Active efforts must be made to include diagnosis-focused clinical and health services research in the … journals should ensure that their projects, programming, and publications appropriately include work focused … Increased pediatric advocacy efforts and research funding focused on diagnostic safety are also needed
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/head-bed-elevation-litreview.docx
January 01, 2017 - Study focused on medical and respiratory patients who required mechanical ventilation in the intensive … Clinical Review
(Kollef, 2004)15
Clinical review focused on clinical methods used for prevention of … CON: Observational trial – Study focused on the angle of the head of bed in adult patients requiring … Study focused on 255 patients intubated within 24 hours of intensive care unit admission and required … PRO: Multivariate analysis – Study focused on 227 patients requiring mechanical ventilation for more
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ipe-large-org-webcast-skootsky.pdf
March 01, 2021 - 30
UCLA Health Interventions & Strategies to
Improve the Patient Experience
Newer Initiatives
Focused … based survey
15 minutes
after their
clinic visit (1-5
rating)
Physician
Communication
Workshop
Focused … Focused Quality Improvement Work
31
Agenda for Discussion
• Review objectives of improvement project … Communication Course
• Employee ART training and E-Learnings
• Restructuring of ART Observations, focused … & Standardized Reporting
UCLA Health Interventions & Strategies to Improve the Patient Experience
Focused
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-4.html
August 01, 2023 - This lack of attention to pediatrics is true of much of the available literature focused on diagnostic … process attempted to delineate clear diagnostic safety research priorities in the form of specific, focused … However, research and funding to improve diagnosis remain disproportionately focused on adults. … RePORTER, the authors found that only 10 percent of AHRQ and NIH funding in diagnostic safety specifically focused … To overcome this disparity, future efforts should include:
Heightened advocacy efforts focused on improving
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ce.effectivehealthcare.ahrq.gov/teamstepps/webinars/previous-webinars-2016.html
June 01, 2017 - He also discussed the importance of strategies focused on small tests of change, as well as MHA’s work … Their presentation focused on UF Health’s process and strategies for preparing to implement TeamSTEPPS … MetroHealth Uses TeamSTEPPS to Improve Patient Transfer from the OR to the ICU
This webinar focused … January Webinar: TeamSTEPPS in the NICU and the Role of Leaders in the Process
This webinar focused … Their presentation focused on the planning, implementation and sustainment of TeamSTEPPS in the NICU,
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-lit-review.html
January 01, 2017 - RCT Pressure Support Versus Spontaneous Breathing
(Gnanapandithan, 2011) 11
CON: Study focused … Survey of SCCM
(Tanios, 2009) 13
PRO: Survey focused on 12,994 physician, nurse, and pharmacist … Protocol-Directed Versus Non-Protocol
(Brook, 1999) 18
PRO : Study focused on adult patients who … PRO: Study focused on adult mechanically ventilated patients in the intensive care unit who required … Study was focused on 321 adult patients who were admitted into the medical ICU.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight01.pdf
January 01, 2012 - A list of additional studies on child-focused quality measurement is also included below. … Maine’s Approach to Child-Focused Quality Measurement
Maine aims to integrate quality measurement activities … Portland, Maine 04104-9300
207-780-4202
jklayman@usm.maine.edu
Massachusetts’ Approach to Child-Focused … Charlestown, MA 02129
617-886-8259
Louise.Bannister@state.ma.us
North Carolina’s Approach to Child-Focused … Raleigh, NC 27699-2009
919-500-3031
Stacy.warren@dhhs.nc.gov
Pennsylvania’s Approach to Child-Focused
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
January 01, 2021 - In all, 15 articles focused on health systems and two focused on ACOs. … Eight articles about internal processes focused on health systems, seven focused on ACOs, seven
focused … on medical groups or physician networks, one focused on post-acute care facilities, and
one focused … Of the 39 articles, 16 focused on health systems, 11 focused on ACOs, 7 focused on
hospitals, 3 focused … ),
four focused on low-income populations, two focused on racial and ethnic minorities, and one
focused
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-c.docx
April 13, 2017 - “I need to stay focused and the checklist is a distraction.” … The checklist is a way for every member of the team to be focused, including the surgeon, and to make … If each person is focused individually, yet that focal point differs from the person next to him or her
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ce.effectivehealthcare.ahrq.gov/pqmp/about/pediatric-quality-measurement-importance.html
June 01, 2018 - Historically, quality measures have been focused on adults or the elderly, while existing child measures … and application of quality measures, including the Pediatric Quality Measures Program (PQMP)—which is focused … Medicare & Medicaid Services (CMS)—was formed and continues to support public and private partners focused … currently funded under the 2015 Medicare Access & CHIP Reauthorization Act (MACRA), the work has been focused
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ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter6k.html
June 01, 2014 - population needs
Broad Approaches Potentially Related to Care Coordination
Teamwork focused … goals: 3, 8
Create a proactive plan of care: 4
Link to community resources: 3, 8
Teamwork focused … population needs
Broad Approaches Potentially Related to Care Coordination
Teamwork focused … population needs
Broad Approaches Potentially Related to Care Coordination
Teamwork focused … Monitor, follow up, and respond to change: 1-16
Support self-management goals: 4, 9
Teamwork focused
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-litreview.docx
January 01, 2017 - RCT
Pressure Support Versus Spontaneous Breathing
(Gnanapandithan, 2011)11
CON: Study focused on … Randomized Trial
SAT with SBT Versus Standard of Care and SBT
(Girard, 2008)1
PRO: Study focused … Quasi- Experimental
Nurse-Implemented Sedation Intervention
(Quenot, 2007)14
PRO: Study focused on … Sedation Interruption Versus Control
(Kress, 2000)17
PRO: Study focused on adult medical patients … Study was focused on 321 adult patients who were admitted into the medical ICU.
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ce.effectivehealthcare.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - Implementation focused on MU Health Care’s 390-bed University Hospital, the only Level I trauma center … the need for hospital-acquired pressure injury (HAPI) reduction and the system’s readiness to create focused … The project spanned two phases: the first focused on general HAPI prevention (February 2019 - July 2020 … ) and the second focused on reducing risk related to equipment (February 2021 - September 2021).