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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - The nurses caring for the patient
would often "hold" the morning or evening doses of insulin if his … the hospital, concluding that
holding orders should be avoided unless absolutely necessary and that hold … figure
https://psnet.ahrq.gov//#figure
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov/web-mm/hold-order … https://psnet.ahrq.gov/web-mm/hold-order
In addition to medications frequently being "held" in the … Algorithm to Guide Assessment and Interventions When Nutrition Is Unexpectedly on Hold
Figure 4.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.html
July 01, 2023 - Hold the executive team accountable for an explicit action plan to improve safety and teamwork.
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psnet.ahrq.gov/node/853981/psn-pdf
September 27, 2023 - anxiety
disorder, in a long-term stable relationship, was placed on 72-hour involuntary psychiatric hold … evaluation, the ED staff decided to admit the patient for observation (still on
involuntary psychiatric hold … have been returned to the ED immediately, been placed under an additional
involuntary psychiatric hold … jail
rather than escorted back to the ED, since he was most recently under involuntary psychiatric hold
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pbrn.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
December 01, 2012 - a system that holds itself accountable, holds staff members accountable, and has staff members who hold … At the other extreme, a culture that does not hold team members accountable will never achieve optimal … culture, there is a general failure to uphold standards of care, and staff members are less likely to hold … Comprises engaged frontline providers who hold themselves responsible for patient safety. … a system that holds itself accountable, holds staff members accountable, and has staff members who hold
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pcmh.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
December 01, 2012 - a system that holds itself accountable, holds staff members accountable, and has staff members who hold … At the other extreme, a culture that does not hold team members accountable will never achieve optimal … culture, there is a general failure to uphold standards of care, and staff members are less likely to hold … Comprises engaged frontline providers who hold themselves responsible for patient safety. … a system that holds itself accountable, holds staff members accountable, and has staff members who hold
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psnet.ahrq.gov/node/49477/psn-pdf
April 01, 2005 - Hold the tPA
April 1, 2005
Fagan SC. Hold the tPA. PSNet [internet]. 2005. … https://psnet.ahrq.gov/web-mm/hold-tpa
The Case
A 74-year-old woman with a history of atrial fibrillation … hemorrhage (up to 15% or more).(5,6) This means that “time is brain” in the
https://psnet.ahrq.gov/web-mm/hold-tpa
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
September 04, 2012 - a system that holds itself accountable, holds staff members accountable, and has staff members who hold … At the other extreme, a culture that does not hold team members accountable will never achieve optimal … culture, there is a general failure to uphold standards of care, and staff members are less likely to hold … The team:
· Understands patient safety culture is local,
· Comprises engaged frontline providers who hold … a system that holds itself accountable, holds staff members accountable, and has staff members who hold
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
September 04, 2012 - a system that holds itself accountable, holds staff members accountable, and has staff members who hold … At the other extreme, a culture that does not hold team members accountable will never achieve optimal … culture, there is a general failure to uphold standards of care, and staff members are less likely to hold … The team:
· Understands patient safety culture is local,
· Comprises engaged frontline providers who hold … a system that holds itself accountable, holds staff members accountable, and has staff members who hold
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
September 04, 2012 - a system that holds itself accountable, holds staff members accountable, and has staff members who hold … At the other extreme, a culture that does not hold team members accountable will never achieve optimal … culture, there is a general failure to uphold standards of care, and staff members are less likely to hold … The team:
· Understands patient safety culture is local,
· Comprises engaged frontline providers who hold … a system that holds itself accountable, holds staff members accountable, and has staff members who hold
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
September 04, 2012 - a system that holds itself accountable, holds staff members accountable, and has staff members who hold … At the other extreme, a culture that does not hold team members accountable will never achieve optimal … culture, there is a general failure to uphold standards of care, and staff members are less likely to hold … The team:
· Understands patient safety culture is local,
· Comprises engaged frontline providers who hold … a system that holds itself accountable, holds staff members accountable, and has staff members who hold
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
September 04, 2012 - a system that holds itself accountable, holds staff members accountable, and has staff members who hold … At the other extreme, a culture that does not hold team members accountable will never achieve optimal … culture, there is a general failure to uphold standards of care, and staff members are less likely to hold … The team:
· Understands patient safety culture is local,
· Comprises engaged frontline providers who hold … a system that holds itself accountable, holds staff members accountable, and has staff members who hold
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
September 04, 2012 - a system that holds itself accountable, holds staff members accountable, and has staff members who hold … At the other extreme, a culture that does not hold team members accountable will never achieve optimal … culture, there is a general failure to uphold standards of care, and staff members are less likely to hold … The team:
· Understands patient safety culture is local,
· Comprises engaged frontline providers who hold … a system that holds itself accountable, holds staff members accountable, and has staff members who hold
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psnet.ahrq.gov/node/46745/psn-pdf
January 17, 2018 - half-hospitals-conn-del-hit-medicares-safety-penalties
The Hospital-Acquired Condition Reduction Program is an effort to hold
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/executive-summary
January 01, 2022 - Digital healthcare technologies hold the key to this vision, and research holds the key to ensuring that
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/pcph-stakeholder-report.pdf
September 01, 2022 - contractor, RTI International, will:
• Convene a 25-member stakeholder panel to advise the contractor
• Hold
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/phases.html
September 01, 2017 - Hold positions that allow flexible scheduling. … Stay in Touch
The Implementation Team and QISs/instructors should continue to hold weekly check-in … buy-in
Stay in Touch
The Implementation Team and QISs/instructors should continue to hold … Stay in Touch
The Implementation Team and QISs/instructors should continue to hold check-in calls or … Stay in Touch
The Implementation Team and QISs/instructors should continue to hold check-in calls or
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/phases.html
September 01, 2017 - Hold positions that allow flexible scheduling. … Stay in Touch
The Implementation Team and QISs/instructors should continue to hold weekly check-in … buy-in
Stay in Touch
The Implementation Team and QISs/instructors should continue to hold … Stay in Touch
The Implementation Team and QISs/instructors should continue to hold check-in calls or … Stay in Touch
The Implementation Team and QISs/instructors should continue to hold check-in calls or
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www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/index.html
April 01, 2022 - how to make first contact with a practice, develop effective relationships with practice champions, hold … Meetings – Learn how to plan an effective meeting, use techniques for running productive meetings, and hold
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psnet.ahrq.gov/glossary/active-error-or-active-failure
September 13, 2021 - Active Error (or Active Failure)
September 13, 2021
Anonymous (not verified)
The terms active and latent as applied to errors were coined by Reason . Active errors occur at the point of contact between a human and some aspect of a larger system (e.g., a human machine interface). They are generally readily …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp.pptx
May 01, 2017 - accountable
Holds leaders and managers accountable
Holds staff members accountable
Has staff members who hold