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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
January 01, 2016 - Starting
with the 2014 database, survey data are collected every 2 years and may only be up to 2 years … Whenever pressure builds up, my supv/mgr wants us to
work faster, even if it means taking shortcuts. … Staff wil I freely speak up if they see something that may
negatively affect patient care. … When an event is reported, it feels like the person is being
written up, not the problem. … Whenever pressure builds up, my
supv/mgr wants us to work faster, even if
it means taking shortcuts
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/introducing-cahps-child-hospital-survey-transcript.pdf
January 01, 2015 - After we’d done all that, we put it together and came up with a focus group protocol. … And so we
worked with our vendor and now we’re ready to put key drivers up. … We’ve been able to sign up
about 300 families.
Carla Zema
Great, thank you. … A question for Mark; how did you come up with the five category groups that you talked
about? … Composites wind up having a score. Individual measures have a score.
-
www.ahrq.gov/sites/default/files/2024-10/james-report.pdf
January 01, 2024 - They can
be hooked up to telemetry and provide feedback in code situations on CPR skills. … Once it appeared, the number on screen counted up, from zero, in
milliseconds until the spacebar was … To guard against loss, all data was backed up
regularly.
-
www.ahrq.gov/news/blog/ahrqviews/digital-healthcare-research-program.html
September 01, 2023 - As we wrap up another year, I am excited to see how these projects will help AHRQ achieve the improvements … Get more AHRQ news , sign up for AHRQ news via email and follow AHRQ on Twitter , LinkedIn , Facebook
-
www.ahrq.gov/sites/default/files/2024-02/hendee-report.pdf
January 01, 2024 - Down Barriers
• Impact of a Close-Call Reporting System
• Learning from Error
• Reporting Error and Follow … Up
• The Proactive Approach to Error
• Health Literacy
• Technology and the Nurse
• Implications
-
www.ahrq.gov/sites/default/files/2024-01/mastrangelo-report.pdf
January 01, 2024 - In addition to the physiological conditions, the simulation also assigned
up to 10 different invasive
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - WIHI: How To Speak Up for Safety
http://www.ihi.org/resources/Pages/AudioandVideo/WIHI-Speak-Up-For-Safety.aspx … This website links to videos that use vignettes to demonstrate
challenges to speaking up in healthcare … http://www.ihi.org/resources/Pages/AudioandVideo/WIHI-Speak-Up-For-Safety.aspx
https://psnet.ahrq.gov … To Enhance
Safety
Nursing 2015 Just Culture Toolkit
Outcome Engenuity
Partnering To Heal: Teaming-Up … WIHI: How To Speak Up for Safety
Will It Work Here?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
January 01, 2004 - The paper also describes a select number of related and follow-on
activities undertaken by AHRQ to address … Under the CLIPS solicitation, 11 research projects were funded for up to 5
years to help improve the … and reporting without reprisal, the ability
AHRQ's Patient Safety Initiative 2000–2004
15
to follow … AHRQ as the lead agency—developed an action plan to
address medical errors and patient safety as a follow-up … Six studies, conducted for up to 3 years, were funded to address innovative
approaches to provider education
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - ___________
______________________________________________________
Background: What factors led up … • Stand up, don’t sit down.
• Make attendance mandatory.
• Limit duration to 15 minutes. … The data collection team—which was made up of nursing
staff from various clinical, research, and administrative … Intimidation: Practitioners speak up about
this unresolved problem (Part I).
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3b_pdi_resultspresentation.pptx
January 01, 2006 - 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 *Note: Expected rates are not available in the most up … 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 *Note: Expected rates are not available in the most up
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/snac-final-report-mar2023.pdf
January 01, 2025 - Improvement in speaking up scores (psychological safety). … proportion of devices and software
that incorporate “safety by design” features that make it easy to follow … the safer
practices and hard to follow less safe practices … Several important constructs were brought up in discussion with the NAC. … :15 pm – 4:30 pm Propose measures for the aim(s) & subgoal(s).
4:30 pm – 5:00 pm Wrap Up
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
January 01, 2023 - 92% 94% 93%
When we see someone with more authority doing something
unsafe for patients, we speak up … 93% 95% 93%
Just before the start of procedures, the doctor encouraged all
team members to speak up … 93% 92% 93%
When we see someone with more
authority doing something unsafe for
patients, we speak up … 95% 97% 95%
Just before the start of procedures, the
doctor encouraged all team members to
speak up … 91% 92% 94%
Just before the start of procedures, the doctor encouraged all team
members to speak up
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide-slides.html
December 01, 2017 - EA/1
EA/1
EA/1
EA/2
Locomotion
EA/1
EA/1
EA/1
EA/2
Dressing
LA / set up … EA/1
EA/1
EA/1
Eating
LA / set up
EA/1
EA/1
EA/1
Personal hygiene
LA / set … up
EA/1
EA/1
EA/1
Toileting
EA/1
EA/1
EA/1
EA/2
Labs 1
Pre-Albumin (19.5 … ; and Total = total dependent; the abbreviation after the slash represents ADL support provided—set up … =set up help only, 1 or 2 = how many staff provide physical assistance.
-
www.ahrq.gov/sites/default/files/2025-02/platt-report.pdf
January 01, 2025 - The model was fit as a repeated measures model,
with N-1 repeated measures made up out of the N years … As for why coded SSI rates declined with increasing surgical volume only up to around 100
annual CABG
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - hospital, they should look toward primary care practices to
provide care and support, seamlessly picking up … If patients do end up in the hospital, encourage them to notify the
practice as quickly as possible
-
www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-explain-and-motivate.pdf
December 26, 2018 - Which statistical concepts are likely to come up in your report? … TalkingQuality
Note: You must use the UP and DOWN ARROW instead of TAB or SHIFT + TAB to fill out this
-
www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.pdf
March 01, 2017 - Develop and disseminate knowledge and lessons learned about what factors affect the
scale-up and sustainability … The pilot site
had effective, thoughtful leaders who routinely followed up with frontline physicians … In our study organization,
physicians were required to give up their personal offices to work in a shared
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
January 01, 2017 - This occurs when two people separately look at the same set of criteria and do, or don’t, come up with … It is interesting because there is one IP who found 11 VAPs, one who picked up 20, and one who picked … up 15. … • Do we follow evidence-based guidelines?
-
www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-plan-report.pdf
December 26, 2018 - Note
issues that came up and how they were resolved when the team was deciding on the goals for the … Keep track of their responses since you
may want to contact them again after the project is up and running … funding and keep track of their responses, since you may
want to contact them again after the project is up
-
www.ahrq.gov/sites/default/files/wysiwyg/data/AHRQ-Security-and-Privacy-Language-for-Information-and-Information-Technology-Procurements.pdf
November 07, 2023 - o Closed weaknesses for up to one year from the date of closure. … System documentation developed for a system using ETA/ERA
methods shall follow OMB 04-04 and NIST SP … In addition, the Contractor must follow the incident
response and US-CERT reporting guidance contained … All information system
development or enhancement tasks supported by the Contractor shall follow the … The Contractor (and/or any subcontractor) shall follow secure coding best practice requirements,
as