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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
    June 10, 2008 - “PBLI is like holding up a mirror to ourselves to document, assess, and improve our practice.”2 In … The concept of systems, in general, often brings up images of “well-oiled machines.” … Managers tend to go high up on the outcomes chain, but we need to drill down to the decision level. … Goals need to be set around front line decision making – then roll them up to senior leaders and the
  2. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-tools-webcast-2022-sangria.pdf
    January 01, 2022 - Got care for illness, inju ry or condition as soon as needed 42% 54% 58% 65% 68% 71% 78% Got check-up
  3. www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/resources.html
    July 01, 2022 - help you capture information about a practice when you are doing initial on-site observations at start-up … The AMA has resources for looking up CPT codes. … Psychological Safety Video demonstrating creating an environment where team members feel safe speaking up
  4. www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
    January 01, 2024 - events.12 Unintentional overdoses of acetaminophen result in 14,000 emergency department visits, and up … transcription of the interviews, observations that were recorded in the video (e.g., pointing to or picking up … and 3) pilot-test a quick and simple data collection tool that may be used during a future scaled-up … pre-implementation, no patient had an educational level below high school, but one patient reported education up … intervention, as well as the minimal impact to pharmacist workload, the Senior Section can be scaled up
  5. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
    December 01, 2024 - WIHI: How To Speak Up for Safety https://staff.ihi.org/resources/Pages/AudioandVideo/WIHI-Speak-Up-For-Safety.aspx … This webcast provides information on why this practice is not more common and how to speak up for safety … /hai/tools/perinatal-care/index.html https://staff.ihi.org/resources/Pages/AudioandVideo/WIHI-Speak-Up-For-Safety.aspx … Center for Patient Safety WHO Multi-Professional Patient Safety Curriculum Guide WIHI: How To Speak Up
  6. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-13-measuring-and-benchmarking.pdf
    September 01, 2015 - How does your practice measure up? Fam Pract Manag 2006 Jul-Aug;13(7):59-64. … F II Percentage of patients w ho have a follow up U ppMropnate O ow- ACR measure > 90 days and <
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
    April 03, 2008 - This initiative was recently awarded the 2007 National Patient Safety Foundation’s “Stand Up for Patient … Security: System is set up on dual servers (separate database and Web servers) with the database … System is protected by the most up to date virus protection available.
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/57-senior-executives-facilitator.docx
    June 01, 2023 - , can generate savings ranging from $655 to $16,447 per patient and a return-on-investment ratio of up
  9. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
    July 01, 2023 - Slide 13: Root Cause Analysis: Causal Tree Worksheet 6 Image: The causal tree is made up of five
  10. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T4-Concise_Antibiogram_Toolkit_How_to_Enter_Data_Manually_into_an_Antibiogram_Template.pdf
    May 01, 2014 - For a given organism, this could be any number from 0 (blank) up to the total number of isolates included
  11. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.html
    October 01, 2022 - Clinicians often simply bypass the CDS offered in the tool rather than checking off all risk factors, adding up … One model identified four factors available at admission that were most predictive of VTE during and up … Also, setting the threshold for prophylaxis this high would essentially be giving up on preventing two-thirds … cohort) had a 3-month VTE rate of <1/person, while those with higher scores had rates of 1.5 percent and up … the United States. 60 Age, sex, and 10 additional risk factors were associated with VTE during and up
  12. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
    October 01, 2022 - Clinicians often simply bypass the CDS offered in the tool rather than checking off all risk factors, adding up … One model identified four factors available at admission that were most predictive of VTE during and up … Also, setting the threshold for prophylaxis this high would essentially be giving up on preventing two-thirds … cohort) had a 3-month VTE rate of <1/person, while those with higher scores had rates of 1.5 percent and up … the United States. 60 Age, sex, and 10 additional risk factors were associated with VTE during and up
  13. www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
    April 01, 2018 - The median follow-up period was 27 months.
  14. www.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/suppl-healthlit-items.html
    October 01, 2023 - to Care for Yourself " Note: H-HL32 repeats question 18 in the Adult HCAHPS Survey in order to set up
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-section-2-tech-specs.pdf
    December 01, 2012 - The program rolls up assignments by claim and sets an array for icd-9 codes, so that it accommodates … dataset where identifications of body system, progressivity, and malignancy have been rolled up … any specified occurrence (i.e. once per claim). 4) 'Results' processing rolls up … &sid &claimid; run; /* Assign values to the appropriate flags based on conditions found and roll up … &claimid then output; run; /* Roll up to one record per child, with a single flag for each body
  16. www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/hsrguide/hsrguide.pdf
    October 01, 2011 - Health Services Seed and Fertilizer Organizations Assessment is important for setting up a successful … Address any issues that come up in the review process and finalize the proposal. 12. … Schedule and handle the logistics such as advertising training sessions, acquiring space, setting up … • An independent evaluator frees up staff time, eliminates potential conflict of interest, and … One or more of the following elements may make up your program’s sustainability plan: • Short and
  17. www.ahrq.gov/sites/default/files/publications/files/hsrguide.pdf
    October 01, 2011 - Health Services Seed and Fertilizer Organizations Assessment is important for setting up a successful … Address any issues that come up in the review process and finalize the proposal. 12. … Schedule and handle the logistics such as advertising training sessions, acquiring space, setting up … • An independent evaluator frees up staff time, eliminates potential conflict of interest, and … One or more of the following elements may make up your program’s sustainability plan: • Short and
  18. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
    June 30, 2025 - Pilot studies of postdischarge follow-up were performed. … medication reconciliation, plain-language discharge instructions, patient education, and telephone follow-up … together to coordinate hospital discharge, educate patients, and reconcile medications led to fewer follow-up … readmission was observed in the academic facility but not at community hospitals, possibly due to short follow-up
  19. www.ahrq.gov/sites/default/files/2024-12/johnson-report.pdf
    January 01, 2024 - Followup: Recent National Consensus Project Guidelines16 recommend comprehensive palliative care assessment … (0)  25 (50)  0 (0) Home 10 (4)  0 (0)  0 (0)  0 (0)  10 (20)  0 (0) *N=50 per site; % may not add up
  20. www.ahrq.gov/sites/default/files/publications2/files/takeheart-hybrid-workgroup-evaluation.pdf
    August 01, 2023 - In the sections that follow, we describe this task by phase including a description of key activities … the Workgroup, if their roles were complementary or one of the persons agreed to serve as a “back- up … WG2 Patient-related activities Infrastructure-related activities Staff-related start-up considerations

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