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www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
January 01, 2024 - Women made up a slight
majority of respondents overall. … problematic responses among hospital
personnel were three times higher than those among naval aviators and up … This process included keeping up with revisions to the measure specifications over
time.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
February 26, 2008 - Samore, MD
Abstract
Up to 98,000 patients die because of human error in U.S. hospitals each year … Introduction
Up to 98,000 patients die because of human error in U.S. hospitals each year.1 Critical … Food and Drug
Administration (FDA) reported that from 1985 to 1989, up to 50 percent of device recalls … in 1990, Congress passed the Safe Medical Devices Act (SMDA), which requires device
producers to follow
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www.ahrq.gov/patient-safety/reports/advances/planning.html
July 01, 2022 - Do you work with anyone who can link you up with them?
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/nh/nursing-home-family-eng-1652a.doc
September 01, 2011 - your family member capable of making decisions about his or her own daily life, such as when to get up
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/bestpractices-web-sopssurveys-transcript.pdf
June 12, 2019 - First of all, it's important that your provider and staff list are up to date. … Famolaro, Slide 36
Now, we're going to switch things up a little bit. … Then, encourage site four to try and catch up with site three. … We have another question coming up. I think I can answer
this one. … It goes up every single time.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.pdf
October 28, 2009 - Web site:
http://www.npsf.org
Speak Up Initiatives
The Speak Up Initiatives is a national campaign … Consumers Advancing Patient Safety
Josie King Foundation
National Patient Safety Foundation
Speak Up
-
www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
January 01, 2024 - Significant percentages of providers consistently reported that it is difficult to speak up; that
conflicts … not appropriately resolved; that it is not easy to ask questions; that it is difficult to
disagree "up … not be the most senior"), but seniority plays a critical role (e.g., a fellow
said that, as "a back-up … ], and the ancillary staff, are there all the time, so I think there's a lot of
trust that's built up … , "questions can only go down the chain of command, and you are very
careful about questions going up
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight13.html
June 01, 2015 - one learning collaborative session featured a game show–like competition in which practices teamed up … Sign up for email updates from the national evaluation team
Endnotes
1 Devers K. … Interventions to improve screening and follow-up in primary care: a systematic review of the evidence
-
www.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
January 01, 2024 - preventive practices that are known to reduce adverse events included failures to
determine, document, or follow … up on results of tests prior to medication initiation and failure to
adequately implement prophylactic … We found no cases of
pneumocystis infection over 640 patient-years of follow up, including among those
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - administering new medications, tracking symptoms, participating in physical therapy, and following up … family, hospital staff also:
At admission
Transcribe admission orders to the hospital record and follow … up with community providers for missing information or records
Reconcile the medication list
Identify
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
March 10, 2008 - contrast,
codes in ICD-9-CM begin with three-digit numbers (i.e., 001 - 999) followed by a decimal
and up … However, some countries do not follow the UHDDS definition. … A separate validation study is also underway in the Veterans Affairs hospital system,
following up on
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Gershon_88.pdf
January 01, 2012 - acuteness of care provided in home health care and the increasing
number of frail elderly that make up … Nearly all participants (92 percent) reported quickly cleaning up blood or bodily fluid
spills.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/overall-antibiotic-stewardship-project-final-report.pdf
September 01, 2022 - intervene
on all patients receiving antibiotics, lack of knowledge of or interest in understanding up-to-date … The number of facilities add up to
459. … , rigorous quality control
processes were implemented and included data quality checks and timely follow … up with sites that
provided incomplete data.
-
www.ahrq.gov/sites/default/files/2024-02/parchman-report.pdf
January 01, 2024 - than their current
medications.
3) Having Difficult Conversations: Using a study-produced video and a follow-up … It is also
of critical importance to follow the impact of this program on patient disposition and patient-reported … Why don't physicians follow clinical practice guidelines? A
framework for improvement.
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/progress-update-2024-slides.pdf
January 01, 2024 - Systems-Based
Approaches to
Improve Patient
Safety by Improving
Healthcare Worker
Safety and Well-
Being (up … every healthcare worker
• Addresses equity and accessibility by developing educational
resources that follow
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
November 15, 2022 - attendance, ad-
dress language barriers, and reinforce the importance of refer-
rals, testing, and follow-up
-
www.ahrq.gov/sites/default/files/2024-07/barnett-report.pdf
January 01, 2024 - National Health
Interview Survey and linkages to the National Death Index (NDI) (some of this work is a follow-up … surveys can be used with deaf communities to identify strengths and disparities and
can also be used to follow
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - Can they call out any concerns or bring them up with the physician and/or peers? … Can they call out any concerns or bring them up with the physician and nurses? … : Message Carefully
Adopt “One Size Fits All” Mentality
Use Only Educational Material/Meetings
Give Up … Can they call out any concerns or bring them up with the physician and nurses?
-
www.ahrq.gov/sites/default/files/2025-02/kleinman2-report.pdf
January 01, 2025 - Children up to age four
consist of one category, children ages five to eleven create the second age … category,
and children ages twelve to seventeen make up the final category.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.docx
June 02, 2025 - team members:
· Proactively inviting everyone’s input by giving permission and encouragement to speak up … · How does the nurse manager encourage the nurse assistant to speak up while participating on the project … Culture Check-up Tool
The Culture Check-up Tool will help the unit team address problems identified in