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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - His many contributions include studies of the value of intensivists, of the use of daily goal cards on … PP: My goal [in simultaneously studying clinical research, health policy, and management] was to combine … As a matter of fact, the goal is to put my team out of business—to shift the work to the caregivers at
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psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - rapidly get a sense of who's doing what with respect to a patient and to sort out, for example, what the goals … piloted the CDSS with a single drug (vancomycin) that has well-described pharmacokinetics and target goals … Unfortunately, at this writing, such an infrastructure is an underfunded and distant goal in the United
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psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - created widespread acceptance of culture change appear to be the most successful in achieving safety goals … not only requires leadership and "cheerleading"—it also requires measurement to ensure that cultural goals … Our notion is to build upon some early successes by truly committing to an audacious goal of eliminating
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.pdf
March 13, 2013 - Arundel Medical Center formally
incorporates patient- and family-centered care into their organizational goals … example, in fiscal year 2012, implementing bedside shift report
hospital-wide was an organizational goal … implemented strategies from the Guide, Advocate
Trinity Hospital tied implementation to research-oriented goals
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psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - Ultimately, the goal of early sepsis recognition is the rapid implementation of appropriate treatment … The goal of early sepsis recognition is the rapid implementation of appropriate treatment. … Author(s)
Patient Safety Primers
National Patient Safety Goals
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digital.ahrq.gov/sites/default/files/docs/coordination-patients-complex-needs-slides-022014.pdf
February 20, 2014 - Intervention 3
n = 54
Δ
Before I left the hospital, the staff and I agreed about clear
health goals … (Federal Project Officer)
► Grant Award Number: R18 HS017795
52
Goal and Objectives
• To determine … Improving Care Transitions for Complex Patients Through Decision Support
Project Team Members
Goal
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www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
November 01, 2017 - Major goals (among many) of the system are to support innovation, quality improvement, and transformation … The MEPS began with goals of defining insurance take-up and demand for care. … One goal of the Agency is to harmonize data from outcomes measures across registries and health IT networks
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www.ahrq.gov/news/events/nac/2018-07-nac/nacmtg0718-minutes.html
July 01, 2021 - AHRQ can provide data and insights for clinicians and policymakers, with a goal of moving toward high-quality … That goal might require the use of private/public partnerships. … Aligning their projects with organizational goals will be difficult.
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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-Hurley_55.pdf
March 07, 2008 - One of the goals for improving the process is to reduce the communication time from completion
of the … Specific
time goals can also be established within the new system to highlight specific parts of the … With improved INR data coming from the labs, another goal of the project was to identify the
reasons
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
September 01, 2023 - If decisions or actions were imperfect, the goal should be to understand why they made sense at the time … The goal of reporting and analyzing errors should be to promote insight, create solutions, and enable … communication,
generates understanding of different perspectives, and fosters collaboration.16 Shared goals
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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-Perry_49.pdf
March 27, 2008 - These factors include the ubiquity of goal conflicts and trade-
offs in chronically under-resourced environments … Finally, the goal for transitions should not be comprehensiveness, but saliency, to avoid
swamping the … Comput Support Coop Work 2001; 10: 317-
346.
8. 2008 National patient safety goals.
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effectivehealthcare.ahrq.gov/sites/default/files/07_diabetes_potential_high_impact_2012-12-10.pdf
January 01, 2012 - It is NOT the goal of the AHRQ Healthcare Horizon Scanning System to make predictions on
the future … It is the accepted standard for monitoring diabetes management goals. … However, targets are individualized according to clinician
judgment about the optimal goal for a specific … Many patients with T2DM do not meet treatment goals and require additional therapy
with one of two … Despite combined hypoglycemic therapy, many patients with T2DM can still fail
to meet treatment goals
-
digital.ahrq.gov/sites/default/files/docs/medication-without-harm-slides-07242024.pdf
January 12, 2025 - patients 65 years of age and older
at the time of discharge from the ED
to 5% or less
Primary
Goal … Wrong
Patient
Errors
n the NICU
Distinct Naming Convention
71
72
New Joint Commission Goal … The Joint Commission R3 Report Issue 17:
National Patient Safety Goal NPSG.01.01.01 Distinct ID of … Health Records
Wrong-Patient Errors in the NICU
Distinct Naming Convention
New Joint Commission Goal
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/hiv.html
April 01, 2018 - NHAS was updated to 2020:
Goal 1: Reduce new HIV infections. … Goal 2: Increase access to care and improve health outcomes for people living with HIV. … Goal 3: Reduce HIV-related disparities and health inequalities. … Goal 4: Achieve a more coordinated national response to the HIV epidemic.
-
effectivehealthcare.ahrq.gov/sites/default/files/diabetes-horizon-scan-high-impact-1412.pdf
January 01, 2015 - It is NOT the goal of the AHRQ Healthcare Horizon Scanning System to make predictions on
the future … Many
patients with T2DM do not meet treatment goals and require additional therapy with one of two … Part of this plan is
establishing target HbA1c goals. … Despite the availability of oral antidiabetes drugs, many patients with T2DM do
not meet treatment goals … Despite the
availability of oral antidiabetes drugs, many patients do not achieve treatment goals and
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/bundled-payments-quality-effects_disposition-comments.pdf
August 24, 2012 - Peer Reviewer
#5
Executive
Summary
and
Structured
Abstract
Because the main goal of most of … The
ultimate goal of policymakers may be to slow public health care spending
to e.g. … These many different potential goals and
outcomes are of different relevance in different settings, … could be
improved in a more general way by describing the connection of bundled
payments and their goals … We have added a motivation
paragraph to the introduction that discusses the
overall goals of bundled
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effectivehealthcare.ahrq.gov/sites/default/files/tech-brief-38-chronic-conditions-comments.pdf
March 01, 2021 - As noted earlier, the goals and methods of the
usability testing for the WW app is not clear. … technologies is improving
patient self-management of chronic illness, and
motivation enhancers (such as goal … through input from its
members, provides substantive feedback on the Draft
Technical Brief with the goal … Our goal
was to see if their use
caused better health
outcomes. … It is this reviewer’s understanding that a
goal of the technical brief is to provide a potential
framework
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digital.ahrq.gov/sites/default/files/docs/publication/2014-jason-data-for-individual-health.pdf
January 01, 2014 - • How would an EHR of the future help a care team whose goal was
health, rather than health care, … The ultimate goal is to achieve an agile, national-scale “Learning Health
System” for identifying and … Relevant non-profits should be encouraged to assess their goals with
respect to health data streams … organizations have begun supporting pi
lot efforts for communities to define health and wellness goals … Recommendation: Relevant non-profits should be encouraged to assess
their goals with respect to data
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www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
April 01, 2013 - And the fact that they had this shared goal across all of the ICUs that were participating in the State … You want to define what your specific goals are for spreading it. … What, again, are our timeframe and our goals, and how can we do this so there’s minimal disruption of … A lot of them have very similar goals or similar perspectives on how to improve care. … You have them be both if there are other goals that are associated, too.
-
www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Feasibility-Report.pdf
February 01, 2024 - and linking disparate administrative data sources
• Exploring data release options that met AHRQ’s goals … The overarching goal of the 3P-RD initiative was to further policy-relevant
health services research … Data Landscape and Selection
Fulfilling the goals of the 3P-RD required a fundamental understanding … either
through a single data source or through the combination of sources to achieve the intended goals … These had to both meet the goals of the study and reflect the realities of the population and how
that