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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide131.html
October 01, 2014 - Recommendation: Clinicians should offer 4 mg rather than 2 mg nicotine gum to highly dependent smokers
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psnet.ahrq.gov/issue/one-fourth-unplanned-transfers-higher-level-care-are-associated-highly-preventable-adverse
May 16, 2018 - One fourth of unplanned transfers to a higher level of care are associated with a highly … One fourth of unplanned transfers to a higher level of care are associated with a highly preventable … One fourth of unplanned transfers to a higher level of care are associated with a highly preventable
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psnet.ahrq.gov/node/61004/psn-pdf
October 07, 2020 - severe-staffing-and-personal-protective-equipment-shortages-faced-nursing-homes-during-covid
https://psnet.ahrq.gov/issue/personal-protective-equipment-preventing-highly-infectious-diseases-due-exposure-contaminated … https://psnet.ahrq.gov/issue/personal-protective-equipment-preventing-highly-infectious-diseases-due-exposure-contaminated
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www.ahrq.gov/gam/updates/index.html
October 01, 2023 - taken offline in July 2018, AHRQ has conducted various activities aimed at restoring what had been a highly
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
January 01, 2004 - 13.7 percent more likely to have a surgery-related patient safety
event than are patients treated at highly … have a 26 percent
higher probability of not being rescued and of dying than do patients treated at
highly … These 14 patient safety indicators are used to
identify complications that are highly preventable. … We refer to hospitals with 10 percent or higher margins as “highly
profitable” hospitals. … The
omitted category includes highly profitable hospitals with margins of more than
10 percent.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/pathak-r01grant.pdf
November 30, 2015 - attention is the link between major depressive disorder
(MDD) and heart failure (HF) since both are highly … prevalent conditions and also
highly comorbid.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-1-slides.pptx
August 03, 2022 - 10
Communication
10
Example:
Situation:
Several specialties within the Health System provide highly … specialized/rare consultation services and second opinions that are highly sought after by patients … in adjoining states, that project does not provide sufficient guidance for the situation involving highly
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psnet.ahrq.gov/node/34661/psn-pdf
March 07, 2005 - Using
examples from the business consulting world, Argyris describes the tendency for highly successful … and
highly motivated professionals to employ “defensive reasoning” in problem solving.
-
psnet.ahrq.gov/node/845361/psn-pdf
March 29, 2023 - be applied to internal organs; (3) clearly
marks all procedures and locations, and (4) is simple, highly … The marking procedure was highly accepted by patients, physicians, and clinical staff.
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psnet.ahrq.gov/node/46194/psn-pdf
September 22, 2017 - A narrative review of Surgical
Safety Checklist knowledge as developed in 25 highly
cited papers from … A narrative review of Surgical Safety
Checklist knowledge as developed in 25 highly cited papers from
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psnet.ahrq.gov/node/33612/psn-pdf
May 01, 2005 - Organizational Change in the Face of Highly Public
Errors—I. … Organizational Change in the Face of Highly Public Errors—I. … https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer … https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute … Our patients are perilously ill, and their treatment requires the use of
highly toxic therapies.
-
psnet.ahrq.gov/node/845360/psn-pdf
March 29, 2023 - Memory/new learning (highly structured environment)
4. … Environmental/special awareness (highly structured environment)
5.
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psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and
February 20, 2016 - Related Resources From the Same Author(s)
The underappreciated role of habit in highly … November 20, 2019
Creating highly reliable accountable care organizations. … January 11, 2023
Creating highly reliable health care: how reliability-enhancing work
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pbrn.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
April 01, 2022 - 29/21 Description: The goal of this learning lab was to enhance capacity for innovation and develop highly … problem analysis, design, development, implementation, and evaluation, drove the lab’s efforts to develop highly … innovative solutions for improving health information technology-supported processes and designing highly … Progress Report: Engineering Highly Reliable Learning Lab.
-
pcmh.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
April 01, 2022 - 29/21 Description: The goal of this learning lab was to enhance capacity for innovation and develop highly … problem analysis, design, development, implementation, and evaluation, drove the lab’s efforts to develop highly … innovative solutions for improving health information technology-supported processes and designing highly … Progress Report: Engineering Highly Reliable Learning Lab.
-
psnet.ahrq.gov/node/41211/psn-pdf
January 03, 2017 - the appropriate treatment may seem a straightforward task,
patient misidentification has resulted in highly … he-thought-lady-door-was-lady-window-qualitative-study-patient-identification-practices
https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
-
psnet.ahrq.gov/node/37386/psn-pdf
January 06, 2017 - WebM&M perspective that discussed organizational changes at
Dana-Farber Cancer Institute following highly … improving-medication-reconciliation-outpatient-setting
https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
-
digital.ahrq.gov/sites/default/files/docs/page/a-personalized-portal-to-promote-patient-centered-preventive-care-mypreventivecare.pdf
June 03, 2010 - (Preliminary Task Order Experiences)
23
Its All About the Data
• Quality of EMR data is highly variable … historical perspective
24
Patient Functionality – Even More Needed
Patients want the system to be highly … information from all sources of
care
• Address all their healthcare needs (i.e. beyond
prevention)
• Be highly … 26
Integrate with Widely Disparate Systems
• Convert to a service oriented architecture
• Cross highly
-
psnet.ahrq.gov/issue/health-care-worker-perspectives-their-motivation-reduce-health-care-associated-infections
June 02, 2019 - This interview study found that health care workers are highly motivated to prevent health care–associated … January 23, 2017
Diagnosing sepsis is subjective and highly variable: a survey of intensivists
-
www.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
April 01, 2022 - 21
Description: The goal of this learning lab was to enhance capacity for innovation and develop highly … problem analysis, design, development, implementation, and evaluation, drove the lab’s efforts to develop highly … innovative solutions for improving health information technology-supported processes and designing highly … Progress Report: Engineering Highly Reliable Learning Lab.