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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/089-or-traffic-fg.docx
April 01, 2025 - Slide 10
Case Example
SAY:
Now, the presentation will focus on how to utilize the CUSP team to implement … and how to know the risk is reduced. … other ideas on how to decrease OR traffic, such as discussing how to organize breaks for staff that … Slide 16
Case Example: How To Know the Risk Is Reduced? … recommendations in this presentation are those of the authors, who are responsible for its content, and do
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool15.html
March 01, 2014 - Summary
References
Appendix A. Case Studies
Appendix B. Shared Appointments
Appendix C. … What Is a Diabetes Prevention Program? … v=aUaInS6HIGo&vq=medium
This video answers the question of "What is the single best thing you can do … scope and serious health complications of obesity, and how it is affecting the future of the United … Choices—describes how it is possible to successfully lose weight with appropriate diet and physical activity
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Case 3. … Studies
Introduction to the Case Studies
Case 1. … The case study methods, including the criteria for selection of the projects for analysis, are described … We have to find a way to do things better and smarter to be here 10 years from now." … In 2010, during the time that this case study was conducted, the parent organization was updating the
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www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_hca.pdf
April 01, 2019 - HCA: How a Large Healthcare System Is Looking Beyond the Electronic Health Record
HCA: How a Large … series of case studies
to help health system chief executive officers and other C-suite leaders better … As this and other case studies show, becoming an
LHS is an iterative journey characterized by strong … and prescriptively (what should we do?). … With its strong data foundation and commitment to continuous learning, HCA’s LHS is a model
for how
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - • Present case studies or vignettes. … identify additional diagnostic case studies … WebM&M: Case Studies. https://psnet.ahrq.gov/webmm-case-
studies? … • How do your findings relate to other team members’?
I-3. … SIDM Competencies To Improve Diagnosis and Suggested Questions for Debriefing Case Studies
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/005-ss-preop-chlorhexidine-fg.docx
April 01, 2025 - of preoperative decolonization
· To recognize the importance of teaching patients how and when to bathe … provide patients with information about CHG, and how to properly apply it prior to surgery. … SAY:
When a patient develops an SSI, it is important to do everything possible to learn from that defect … He continues to do well and when he follows up the next week, the infection has cleared. … patients about how to perform their CHG bathing.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - definition of Just Culture, presentations on Just Culture, a case
study, and videos.
5. … Case studies are included to document how transparency is practiced in each of the domains. … AHRQ Impact Case Studies
http://www.ahrq.gov/policymakers/case-
studies/index.html? … This subset of the Agency’s
Impact Case Studies specific to patient safety highlights these successes … AHRQ Impact Case Studies
3. Appoint a Safety Champion for Every Unit
4.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-facguide.docx
January 01, 2017 - Slide 1
Learning Objectives
SAY:
After reviewing this slide set, you will be able to describe how … Slide 7
VAPs Among Most Expensive HACs
ASK:
Do you know how much preventable healthcare-acquired … Slide 8
What Do We Need To Do? … This model is probably familiar to most health care workers, but it doesn’t always mean “do more with … The CFO, who typically has a degree in finance, understands how revenue is flowing and serves as the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
January 01, 2004 - two-to-three case studies per month. … Each case study included a series of companion questions to which
participants were encouraged to respond … With the permission of
the participants, responses to the case studies were posted anonymously on a … This endeavor led to
the development of a case study model that includes a description of the topic … The case studies provided a blameless way for health care providers to
present and discuss patient safety
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www.ahrq.gov/sites/default/files/2024-05/gore-report.pdf
January 01, 2024 - on how to implement a primary palliative care model in
the field of urology. … Panel members presented and discussed fictional case
histories for patients with bladder cancer, kidney … how to operationalize a primary palliative
care model in urology, (b) the clinical innovations and … disease to illustrate how palliative care could be integrated into a general urology practice. … Communication skills training also should focus
on how to deliver bad news and how to address quality-of-life
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www.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - The case studies were based on actual medication discrepancies that occurred during a hospital-to-home … Case Study One: Mrs. Brown
Mrs. … Case Study Two: Mr. Adams
Mr. Adams was a 69-year-old man admitted for difficulty walking. … Brown’s case study was presented to the focus group members, followed by Mr. Adams’s case study. … in the case studies.
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www.ahrq.gov/ncepcr/tools/confid-report/research-agenda.html
March 01, 2016 - We do not know enough about how, when, and why some feedback reports can achieve a more significant impact … We therefore have much to learn collectively about how to optimize feedback reporting ( Ivers, Grimshaw … to a team? … In particular, how often do individual physicians receive multiple provider feedback reports from various … what extent do the scores conflict?
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides3.html
October 01, 2017 - How to perform a comprehensive skin assessment. … How to conduct a standardized assessment of pressure injury risk factors. … Slide 7: How To Do a Skin Assessment
Video Clip of Skin Assessment
Image: Icon of a blank movie-projection … Slide 19: Risk Assessment Case Study—Mr. K
Image: Photograph shows a patient lying in bed. … How do you want the assessment to be conducted?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
February 01, 2005 - facilitate
this goal, ACRM training provides trainees with critical incident case studies to
review … comprehensive review of the literature (refer to Baker et al. for a detailed
explanation as to how this … Case studies, vignettes, and tools
are interspersed throughout the curriculum to reinforce the importance … Here we review the empirical
evidence for MedTeams and DOM, and then provide a summary of our case study … Case study results
In the summer of 2003, AIR conducted independent, detailed case study
analyses
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www.ahrq.gov/research/publications/pubcomguide/pcguide5.html
July 01, 2025 - opportunities to tell the story of what AHRQ does and how findings help advance the Agency mission. … In cases where these guidelines do not address a specific issue concerning an interaction, OC will work … In cases where these guidelines do not address a specific issue concerning an interaction, OC will work … Impact Case Studies AHRQ Impact Case Studies show how AHRQ-funded research, products, and tools have … Studies web page .
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www.ahrq.gov/patient-safety/reports/liability/silence.html
August 01, 2017 - Practices: Lessons Learned
Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case … Study
Transitional Care Medication Safety: Stakeholders' Perspectives
Medication Discrepancies and … Some people need to do this to make sure the problem or system is fixed, others do it to honor their … , and learn how to live in a different world. … When there is loss of life due to a medical error, some families do not want any money because they feel
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
July 01, 2022 - gather data
Case study: Building a Diagnostic Safety
Program
Selecting a Measurement Strategy
General … What To Do
Step 1
Develop a partnership with the quality/safety department and risk
management and include … What To Do
Step 1
Decide whether to capture diagnostic safety events through a general
safety event … How To Review a Case for Diagnostic Learning
Opportunities
1
3
2
4
Ensure that you and any other … How To Review a Case for Diagnostic Learning Opportunities
Appendix G.
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www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
July 01, 2022 - gather data
Case study: Building a Diagnostic Safety
Program
Selecting a Measurement Strategy
General … What To Do
Step 1
Develop a partnership with the quality/safety department and risk
management and include … What To Do
Step 1
Decide whether to capture diagnostic safety events through a general
safety event … How To Review a Case for Diagnostic Learning
Opportunities
1
3
2
4
Ensure that you and any other … How To Review a Case for Diagnostic Learning Opportunities
Appendix G.
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www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
January 01, 2024 - slide deck, a case study for role playing, and pocket cards for clinicians. … safety, a guide on how to perform adjudication, and standardized cases to review. … teach providers how to take a Best Possible Medication History (BPMH) and assume
competency. … to do inpatient quality improvement.
3. … Case Studies in Medication Reconciliation Quality Improvement: lessons learned from the MARQUIS
study
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.docx
October 01, 2024 - A defect is defined as anything that you do not want to have happen again. … How do we reduce the likelihood of this defect from happening again?
4. … How do we know the risk is reduced? … Slide 40
Case Example: How Do We Reduce the Likelihood of the Defect From Happening Again? … Slide 41
Case Example: How Do We Know the Risk Is Reduced?