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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
December 01, 2014 - Leadership agrees to identify a change team champion and establish a multidisciplinary change team to … Step 3: Identify Multidisciplinary Team Members To Serve on the Change Team
The change team consists … They also identify prevention practices and processes for root cause review. … In completing this task, the team may identify problems in, for example, CNA documentation completeness … Identify Multidisciplinary Team Members To Serve on the Change Team
Within 1st month
4.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/bim.docx
December 01, 2017 - Tools to identify factors that hinder guideline adherence, also called barriers, and approaches to mitigating … Barrier Identification and Mitigation (BIM) Tool was designed to help frontline staffs systematically identify … Step 2: Identify Barriers
Subgroup members can work independently to identify and record barriers to … Use the Barrier Identification Table to provide a framework to identify and record barriers, contributing … Barriers
Several team members should work independently to identify barriers to consistent guideline
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
December 01, 2014 - Does information exist to identify residents at risk?
How can this information be used? … What are obstacles to staff obtaining the information needed to identify residents who need changes in … December 2014
On-Time Overview
6
6
Common Elements of On-Time
EMR used to develop reports that identify … staff intervene in a more timely manner
Implementation worksheets
Help staff assess how they currently identify … changing risk, make intervention decisions
Identify ways to integrate the reports into day-to-day clinical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
January 01, 2009 - “Identify Defects Through Sensemaking” helps you develop a shared vision among teams. … Identify Defects Through Sensemaking
5. … CUSP and TeamSTEPPS identify similar barriers to team performance. … Introduce CUSP and Sensemaking tools to identify defects or conditions,
2. … Identify barriers to communication,
3.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/potential-problem-analysis
January 01, 2023 - IDENTIFY BROAD ASPECTS of the plan that may be prone to failure.
2. … IDENTIFY SPECIFIC PROBLEMS that could occur and record them in the first column of a table.
3. … IDENTIFY POSSIBLE CAUSES and record them in the second column.
5. … For each cause IDENTIFY PREVENTATIVE ACTIONS to prevent or reduce the likelihood that the cause will
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psnet.ahrq.gov/node/854374/psn-pdf
October 11, 2023 - learning-latent-safety-threats-identified-during-simulation-improve-patient-
safety
Simulations are routinely used to identify … learning-latent-safety-threats-identified-during-simulation-improve-patient-safety
https://psnet.ahrq.gov/issue/making-move-using-simulation-identify-latent-safety-threats-care-injured-patients-new … https://psnet.ahrq.gov/issue/situ-simulation-tool-longitudinally-identify-and-track-latent-safety-threats-structured
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cds.ahrq.gov/sites/default/files/cds/artifact/111/implementation-checklist_1.docx
November 06, 2020 - Implementation Checklist
Task
Category
Task Owner
Completed
Resource Identity, Owner, or Location
Identify … Clinical Champion to serve as Implementation Leader
People
Identify Impacted Clinicians and … other End Users
People
Identify Subject Matter Expert / Clinical Content Reviewer (can be … clinical champion or other clinician)
People
Identify CDS Integration Team Leader
People … Identify Data Abstractor/Analyst
People
Categorize workflow (type 1 or type 2)
Process
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023701-ratwani-final-report-2021.pdf
January 01, 2021 - Methods: Clinical and human factors experts qualitatively analyzed PSE reports to identify
health IT … We analyzed a
large dataset of patient safety event reports to identify health IT related usability … specific issues in
their EHR and to identify potential solutions to those issues. … and safety issues that have
been otherwise difficult and expensive to identify. … Using Active Learning to Identify
Health Information Technology Related Patient Safety Events.
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psnet.ahrq.gov/node/837747/psn-pdf
July 27, 2022 - Measure Dx: A Resource to Identify, Analyze, and Learn
from Diagnostic Safety Events. … https://psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events … https://psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects
January 01, 2023 - These six States were funded to identify and support data-sharing and interoperability activities aimed … Goals of the State and Regional Demonstrations
To identify and support State and regional data … To identify successful strategies for the sustainability of health information exchange. … To identify programmatic linkages to other key regional and national health IT initiatives.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/usability-evaluation
January 01, 2023 - After implementation of a system to identify necessary improvements. … Identify individual(s) who will conduct the evaluation.
3. … Identify target users and recruit participants.
4. … Advantages
Can identify design and use issues and determine how to address them prior to implementation
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effectivehealthcare.ahrq.gov/sites/default/files/module-iii-points-of-engagement-in-the-ehc-program.pdf
May 29, 2025 - 5
Module III Learning Objectives
After completing Module III participants will be able to:
§ Identify … at least three opportunities to involve stakeholders in EHC Program research
§ Identify the objective … at least three opportunities to involve stakeholders EHC program research
§ Identify the objective … Slide 9
Topic Identification and Nomination
§ Purpose
§ Identify and select relevant topics based … All stakeholders are encouraged to identify and nominate topics for
research, including patients and
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - Triggers have become a widely used way to retrospectively analyze medical
records in order to identify … effect of opioid medications) to a
hospitalized patient would be a reasonable trigger that could help identify … Therefore,
pharmacists and patient safety personnel could use that trigger to identify cases that may … severe cases (ones that weren't severe enough to merit naloxone administration), but the cases it did
identify … Controversies
The IHI cautions that the GTT (or any trigger tool method) cannot identify all sources
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psnet.ahrq.gov/node/853439/psn-pdf
September 13, 2023 - situ-simulations-detect-patient-safety-threats-during-hospital-cardiac-arrest
In situ simulation is a valuable tool to identify … glossary-heading-term-73800
https://psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats … https://psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats
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psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - The Innovation team used chart review of ambulatory clinic patients to identify those who received a … Proactive approaches
to identify outpatient ADEs provide an opportunity to address issues that may not … Identify a vendor to implement the automated calling program. … Identify pharmacists who meet the cultural and linguistic needs of the patient population. … Identify a vendor to deploy the automated phone calls.
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psnet.ahrq.gov/node/865531/psn-pdf
April 10, 2024 - the
evaluation of a simulation training designed to help emergency medicine and pediatric learners identify … The simulation objectives were for the learners to (1) identify that the case was not concerning for … non-accidental trauma, (2) identify that the resident was displaying bias, and (3) communicate with
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psnet.ahrq.gov/node/849317/psn-pdf
May 24, 2023 - higher-than-average HAPI rates, conducted a root cause analysis to determine contributing factors and
identify … A root cause analysis was completed for each HAPI to
identify trends and implement improvements. … implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired
https://psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure
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psnet.ahrq.gov/node/73687/psn-pdf
September 08, 2021 - leveraged “Great Catches” as part of an existing handshake antimicrobial stewardship program
(HS-ASP) to identify … recommendations often flagged
diagnostic errors, this suggests that the HS-ASP model can be leveraged to identify … psnet.ahrq.gov/issue/antimicrobial-stewardship
https://psnet.ahrq.gov/issue/accuracy-safer-dx-instrument-identify-diagnostic-errors-primary-care
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digital.ahrq.gov/location/usa-md-bethesda
January 01, 2023 - cutting edge and complex topics at the intersection of health care and informatics with the goal to identify … challenges with current policies, make recommendations for future policies, and identify research needs … Oral Health Care through Health Information Technology
Description
This project helped to identify
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psnet.ahrq.gov/print/pdf/node/838351
July 01, 2024 - Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. … Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. … Patient complaints are increasingly used to identify opportunities for patient safety improvement and … Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. … Application of electronic trigger tools to identify targets for improving diagnostic safety.