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psnet.ahrq.gov/node/33607/psn-pdf
September 27, 2022 - Physician Well-being 2.0: Where are we and where are we going?.
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psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 15, 2024 - June 24, 2020
Going to the COVID-19 Gemba: using observation and high reliability strategies
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psnet.ahrq.gov/primer/burnout
November 20, 2024 - Physician Well-being 2.0: Where are we and where are we going?.
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - The medication appropriateness index at 20: where it started, where it has been and where it may be going
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psnet.ahrq.gov/web-mm/communication-failure-whos-charge
April 01, 2018 - arrest and subsequent death were surprises to everyone because quite literally no one knew what was going
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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - If we are truly going to improve ED safety and quality, we must account for all of these pressures, distractions
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psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - If institutions are going to care for patients this way, then standards must be set for quality of care
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018656-bates-final-report-2012.pdf
January 01, 2012 - First we identified patients who were using the PHR for only certain functionality such
as going online
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - human factors review and guidance on medical device applications submitted by manufacturers prior to going
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digital.ahrq.gov/sites/default/files/docs/2010-04-06%20Patient%20Empowerment%20(1).pdf
January 01, 2010 - • Naylor CHF Care Model
• Phoenix Palliative Care
Model
Resources Required
• NP or RN coaches going
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psnet.ahrq.gov/node/73455/psn-pdf
June 30, 2021 - Her symptoms were abrupt in onset and she felt her heart was racing and pounding like it was going to
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psnet.ahrq.gov/node/841469/psn-pdf
December 14, 2022 - All patients who are going to be treated with immunosuppressive drugs
https://www.cdc.gov/dpdx/strongyloidiasis
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psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
November 16, 2022 - On-going auditing by a multidisciplinary team can help maintain optimal infection prevention strategies
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - question should be: "Is there anything unusual I need to know about this patient or procedure or what's going
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psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
January 01, 2021 - or “They told me I was going to have the
packing removed but I feel like there is still something inside
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Training could constitute a team simply going through "what if" scenarios between cases.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/womenhealth/2014nhqdr-womenhealth.pptx
January 01, 2020 - Improving = Quality is going in a positive direction at an average annual rate greater than 1% per year … not changing or is changing at an average annual rate less than 1% per year
Worsening = Quality is going … Improving = Quality is going in a positive direction at an average annual rate greater than 1% per year … not changing or is changing at an average annual rate less than 1% per year
Worsening = Quality is going
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pdf
June 01, 2014 - Healthy Living
(n=38)
Improving No Change Worsening
Key: n = number of measures
Improving = Quality is going … changing or is changing at an average annual rate less than 1 percent per year
Worsening = Quality is going … Healthy Living
(n=38)
Improving No Change Worsening
Key: n = number of measures
Improving = Quality is going … changing or is changing at an average annual rate less than 1 percent per year
Worsening = Quality is going
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_go_live_planning_checklist.pdf
January 01, 2006 - EHR Go Live Planning Checklist
EHR Go Live Planning Checklist
Note: Your EHR project team should review this list and add any items that might be specific to
your practice.
Staff
Has been trained on new EHR policies and procedures and has signed off
indicating that they understand the new policies and …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-casereport.pdf
September 05, 2017 - Barriers:
Practices felt it was hard to maintain momentum on this project with all the other things going … finished: “It’s maybe the realization that
we are trying to make sure that they understand what’s going … We made it very clear at the start, ‘this is what we are going to do!’