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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
January 01, 2013 - reasonable surgeon…If you come in and you’re an internist …into a group of surgeons …the first thing we’re going … to do is we’re going to say, ‘Look, you’re not one of us’…the way to get buy-in from surgeons is you … If you come in and you’re an internist …into a group of surgeons …the first thing we’re going to do is … we’re going to say, ‘Look, you’re not one of us’.
the way to get buy-in from surgeons is you got to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle_facnotes.docx
December 01, 2017 - and specifically infections, so care of coordination or handoff from post-discharge to home aren’t going … SSI prevention is going to help keep these patients from being readmitted. … We are going to talk about these later as “emerging evidence” to prevent SSIs. … The CUSP method is going to empower the front line to be part of this.
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www.ahrq.gov/news/newsroom/case-studies/cquips0504.html
October 01, 2014 - "We wanted to understand what was going on."
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_mg-toxicity.docx
May 01, 2017 - “I feel like I’m going to throw up.” … after no further opportunities for teamwork and communication are apparent, but aims to keep things going … “I feel like I’m going to throw up.”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_antepart-hemorrhage.docx
May 01, 2017 - She wants to know what’s going on. … after no further opportunities for teamwork and communication are apparent, but aim to keep things going … She wants to know what’s going on.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
June 01, 2021 - Normal WBC
The chest x ray does not show any acute changes to suggest pneumonia
What do you think is going … Based on the information provided so far, what do you think is going on with Peter?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
September 01, 2022 - He is worried that he has pneumonia because the cough has been going on for so long and asks if he should … As you can see from the study depicted on this slide, although guidelines going back to at least 2001
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/physician-survey-post-intervention-nw.pdf
January 01, 2014 - When we experience a problem in the practice, we make
a serious effort to figure out what's really going … operate as a real team: Off
When we experience a problem, we make a serious effort to figure out what's going
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www.ahrq.gov/patient-safety/reports/liability/silence.html
August 01, 2017 - patients and families want after medical harm has occurred: tell us what happened, tell us how you are going … Second, we need to know that what happened to our loved one is not going to happen to anyone else.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/hospital-efficiency-resources.pdf
May 01, 2023 - Going Lean in Healthcare
https://www.ihi.org/resources/Pages/IHIWhitePapers/GoingLeaninHealthCare.aspx … Toolkit
Four Ways Healthcare HR Can Inspire Teamwork
A Framework for Safe, Reliable, and Effective Care
Going … Going Lean in Healthcare
5. Hospital Inpatient Waste Identification Tool
6.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/innovative-use-pcr-091423.pdf
September 14, 2023 - short
• Prefer not talking to someone on phone
• Can stay home in COVID
Barriers to Use • too much going … about reporting symptoms vs reporting SAFETY
• No follow up leads to lack of knowledge of where info is going … “What have you done to keep
things from going wrong?”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - Situation awareness: The state of “knowing what’s going on around you.” … As a hospital leader noted, “If we don’t fix the
problems…we’re not going to get out of the situation … …It’s
just going to cycle back around again.” … “It was
something that I just knew was going to be the best thing
for our unit and our patients, so … However, as one project leader soon recognized, “If
we’re going to do a [hemorrhage] risk assessment
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - Situation awareness: The state of “knowing what’s going on around you.” … As a hospital leader noted, “If we don’t fix the
problems…we’re not going to get out of the situation … …It’s
just going to cycle back around again.” … “It was
something that I just knew was going to be the best thing
for our unit and our patients, so … However, as one project leader soon recognized, “If
we’re going to do a [hemorrhage] risk assessment
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www.ahrq.gov/news/newsroom/case-studies/201718.html
April 01, 2018 - Going forward, NEVHC's goal is to reduce the average cycle time to less than 60 minutes.
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www.ahrq.gov/news/newsroom/case-studies/cp31103.html
October 01, 2014 - specifically asks, "In the last 12 months, how often did this doctor ask you to describe how you were going
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www.ahrq.gov/hai/cusp/toolkit/observing-rounds.html
December 01, 2012 - Were team members able to maintain situational awareness (awareness of activities going on in the unit
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_3_Pres_video_508.pdf
June 02, 2025 - them
– Shows teamwork among the nursing staff, reassuring the
patient that everyone knows what is going … address a problem with the room or situation
outgoing nurse in front of the patient
• Thank the nurse going
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess2.html
October 01, 2014 - they know which residents—especially new residents or those in transition back from hospital stays—are going … Rounding—going from patient to patient to see how they are doing—is the activity that lets you "keep
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/055-patient-instructions-chg-cloths.docx
April 01, 2025 - It’s usually best to apply CHG as the last thing you do before going to bed.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/056-patient-instructions-chg-shower.docx
April 01, 2025 - It’s usually best to apply CHG as the last thing you do before going to bed.