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digital.ahrq.gov/sites/default/files/docs/phr-impact-chronic-disease-transcript-012512.pdf
August 01, 2012 - I think that is an area where we could do lots of research about how the best way to
do that will be … is only been an evolving emphasis on how do we treat
them and do good chronic illness care and do the … We also created Flash-based tutorials on how to do certain tasks on their
machine. … Commission, as a
content producer at a dot com, and as a case study writer for Harvard Business School … on how to do that better.
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psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - Identify best sources of information for designing a response to an error. … very few
nurses come to work to do a bad job. … Do three things to determine why it made sense for the nurse to do what he or
she did. … How do hospitals manage these kinds of errors in general?
Not very impressively. … This, in the end, is how a hospital can balance accountability and learning.
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psnet.ahrq.gov/issue/ten-challenges-improving-quality-healthcare-lessons-health-foundations-programme-evaluations
February 19, 2020 - Health Service
February 19, 2020
Why do systems for responding to concerns and complaints … A multisite case study. … June 16, 2021
How well is quality improvement described in the perioperative care literature … April 29, 2015
How not to waste a crisis: a qualitative study of problem definition and … June 28, 2017
Dual-process cognitive interventions to enhance diagnostic reasoning: a
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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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psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - How strategic were you in the beginning? Did you say we need to do this, this, and this? … How can we do a better job getting our patients access to care? … How can we do a better job making sure all the lab
tests reach the right people who need to know? … We could start in medical school to ask students, how well do you think you're going to
do on this test … You get so much more information from watching
how a clinician analyzes a case than you do from how
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan29/diet-behavioral-counseling-primary-care-adults-2003
February 03, 2014 - The final Research Plan is used to guide a systematic review of the evidence by researchers at … The figure illustrates how behavioral counseling interventions for healthy diet and/or physical activity … The figure also depicts how these interventions may influence intermediate health outcomes associated … case-control studies
KQs 1–3: Any observational studies
KQ 4: Ecological studies, case-series, case … reports
Publication Date
Trials published from 1990 to present
Trials whose primary results
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psnet.ahrq.gov/issue/testing-association-between-patient-safety-indicators-and-hospital-structural-characteristics
April 01, 2010 - Citation Text:
Rivard PE, Elixhauser A, Christiansen CL, et al. … April 1, 2010
Evaluating the Patient Safety Indicators: how well do they perform on Veterans … hospital performance: a VA case study. … January 3, 2017
Partnering with VA stakeholders to develop a comprehensive patient safety … 2013
Validating the Patient Safety Indicators in the Veterans Health Administration: do
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/autism-update_disposition-comments.pdf
August 06, 2014 - How do
you define the outcome? … How do you define
the outcome? … To date, the EPC program has not used
single case studies or single subject research designs to
assess … Because there is no separate
comparison group in these studies they would be
considered case reports … Case reports and case series can
have rigorous evaluation of pre- and post- measures, as
well as strong
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-illness-adults-prisons_disposition-comments.pdf
August 21, 2013 - do rather than about to do. … I think the better way is to identify
key outcomes that you want to know how to impact and
then identify … However, I do have
concerns with how the overall assessments of effectiveness
were determined. … If this is what you intended, I think you
need to provide a little more explanation of how despite … medication had nothing to do with sobriety
and, in fact, would help keep a person with serious mental
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - very few nurses come to work to do a bad job. … Do three things to determine why it made sense for the nurse to do what he or she did. … How many other patients were there at the time; how long had the nurse been on shift? … How do hospitals manage these kinds of errors in general?
Not very impressively. … This, in the end, is how a hospital can balance accountability and learning.
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psnet.ahrq.gov/issue/thinking-about-our-thinking-physicians
August 24, 2016 - How doctors think. … January 14, 2011
Do some surgical implants do more harm than good? … July 14, 2010
A model patient: how simulators are changing the way doctors are trained … February 8, 2011
Do HSMRs really measure patient safety? … October 13, 2018
Use of a novel, modified fishbone diagram to analyze diagnostic errors
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psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-management-safety
May 29, 2014 - December 1, 2010
Learning from accidents—what more do we need to know? … May 12, 2010
Managing patient safety and staff safety in nursing homes: exploring how … leaders of nursing homes negotiate their dual responsibilities- a case study. … January 31, 2024
Adaption of a trigger tool to identify harmful incidents, no harm incidents … December 4, 2024
Leading quality and safety on the frontline - a case study of department
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psnet.ahrq.gov/issue/making-health-care-safer-what-contribution-health-psychology
November 26, 2008 - Citation Text:
Vincent CA, Wearden A, French DP. … care unit (PICU): a case notes review study. … August 5, 2020
How to do no harm: empowering local leaders to make care safer in low-resource … need to know about psychiatric patient safety. … suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national
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psnet.ahrq.gov/issue/unrealized-potential-and-residual-consequences-electronic-prescribing-pharmacy-workflow
December 31, 2014 - A past AHRQ WebM&M commentary describes how a nurse entered an outpatient prescription for the wrong … March 13, 2019
Overcoming barriers to the implementation of a pharmacy bar code scanning … system for medication dispensing: a case study. … January 7, 2015
How do community pharmacies recover from e-prescription errors? … December 31, 2014
E-prescribing: a focused review and new approach to addressing safety
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psnet.ahrq.gov/issue/quality-improvement-lessons-learned-national-implementation-patient-safety-events-community
March 15, 2016 - April 10, 2024
How hospitals select their patient safety priorities: an exploratory study … 2014
Validating the Patient Safety Indicators in the Veterans Health Administration: do … January 16, 2025
Partnership as a pathway to diagnostic excellence: the challenges and … A multisite case study. … of implementation through a Canadian learning collaborative.
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psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
March 01, 2018 - We decided to study hospital patient outcomes and make it our primary interest to analyze how much of … RW : So 10 years from now how is all of this going to look? … of equipment, but it's more difficult to do that with human resources. … Nurses who have too many patients to care for do not have time to complete all necessary care, and this … How necessary steps in a task get omitted: revising old ideas to combat a persistent problem.
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effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/alcohol-pharma-final-protocol.pdf
January 01, 2023 - , brief interventions, and especially medication therapy that has
yet to have a major impact on how … 8
KQ 1b: How do medications for adults with alcohol-use disorders compare for
improving consumption … KQ 2b: How do medications for adults with alcohol-use disorders compare for
improving health outcomes … KQ 3b: How do medications for adults with alcohol-use disorders compare for adverse
effects in outpatient … Case series
Case reports
Nonsystematic reviews
Editorials
Letters to the editor
Studies with historical
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psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - The
staff nurse that comes onto a med–surg unit has 4 to 8 patients assigned, each of whom has a to-do … list at
the start of the shift, and has to figure out how to integrate those to-do lists, how to keep … Think about your to-do list as a stack of things to get done. … We need to do
those simultaneously. … That's not a productive way to do it.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan18/drug-use-illicit-primary-care-interventions-for-children-and-adolescents-march-2014
May 15, 2013 - The figure illustrates how interventions to reduce the illicit or nonmedical use of drugs may improve … the health care system by participant
How delivered: To individuals or in small groups (15 or less … studies
Before-after studies
Cross-sectional studies
Editorials, commentaries, case … studies, case series
Study geography
Developed countries; rated “Very High” according … A few other minor changes were made to clarify inclusion criteria and outcomes.