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www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil1.html
April 01, 2018 - Terms
The terms used in discussing patient safety work can be open to individual interpretation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
June 05, 2008 - Thus, a
systematic study is needed of individual perceptions regarding medical error reporting,
mandatory … Errors as an individual-level phenomenon. … Although this focus at the
individual level is not completely without merit, it is the system that a … Thus, the perception of the system is one of individual rather than system
correction. … Perceived Solutions
A majority of journalists thought more support was needed for individual health
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
March 30, 2008 - Failure modes and effects analysis (FMEA) was used to assess how
individual components of the chemotherapy … Upon reaching consensus on the overall process-flow map and individual
detailed process-flow maps, each … Subprocesses include at least one redundant check to make certain that no
individual completes his/her … • Complex chemotherapy regimens often have 10 to 20 individual component orders, some of
which may … Risks associated with individual chemotherapy regimens can vary widely.
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www.ahrq.gov/funding/process/grant-app-basics/appover.html
October 01, 2014 - Fellowship Programs
F31
Predoctoral Individual National Research Service Award (Minority Program … F32
Postdoctoral Individual National Research Service Award
To provide postdoctoral research training
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - To the left of the drawing it says "individual". … Image: Same image as Slide 16, only on the left instead of individual, is says "organization". … Image: Same image as Slide 17, only on the left instead of individual, it says "society". … Image: Same image as Slide 18, only on the left instead of individual, it says "educate, engage, and … Organizational and team culture
Slide 44
Image: Same image as Slide 16, only without the word "individual
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.docx
May 01, 2017 - Slide 2
SAY:
Simulation can be used for individual and team training with respect to two distinct … that the focus of the simulation is on how teams communicate and perform as a unit, not on evaluating individual … The facilitator can clarify a policy question from participants if raised, but if an individual needs … The debrief can be used to clarify quick clinical/technical issues, but individual remediation should … vision, your team might—
be clear about the purpose of simulations--teamwork development as opposed to individual
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumkutn.html
October 01, 2014 - Progress to Date: The hospital and individual level datasets were constructed.
-
www.ahrq.gov/hai/tools/mvp/vae.html
December 01, 2017 - Educational Slide Sets for VAE and Objective Outcome Measures
These slide sets can be viewed by individual
-
www.ahrq.gov/hai/tools/mvp/technical-bundles-early-mobility.html
March 01, 2017 - Educational Slide Sets for Early Mobility
These slide sets can be viewed by individual users or presented
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-AC-4.pdf
December 16, 2010 - List of entity types currently using measure:
CDC, JCAHO, individual hospitals
IMPORTANCE
-
www.ahrq.gov/data/apcd/envscan/context.html
June 01, 2017 - cannot be used to make precise statements about care at the State or regional level, much less for individual … having adequate sample sizes to make precise statements about patterns of care in small areas or for individual … codes are sometimes used as the basis for public reports of cost, with reports describing cost data for individual … of health care services and their families or advocates who act on their behalf. 2
Purchaser: An individual
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/webinar_summary.pdf
August 02, 2017 - PRACTICE
FACILITATORS
help close this
gap
Performance data (individual)
Audit & feedback
Expert … information so it is “actionable” and disseminating this within the
organization
• Aggregate and individual … The PF can also help give the individual practice team
members a voice. … The PF can also help give the individual practice team members a voice.
-
www.ahrq.gov/research/findings/final-reports/stpra/stpra3.html
April 01, 2018 - Return to Contents
Importance Measures
Importance measures are used to rank the most significant individual … modeling include the criticality, Birnbaum, and Fussell-Vesely measures. 8 These measures anchor an individual … For example, the Birnbaum measure ranks the risks based upon the relative contribution of individual … contribution of a risk element to the total system for all scenarios under study, based upon the failure of an individual
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/evidence-now-webinar-learning-health-care-systems.pdf
August 02, 2017 - of
learning/knowledge pipeline
PRACTICE FACILITATORS
help close this gap
Performance data (individual … from &
for system
Create opportunities for
REFLECTING ON data &
DESIGNING changes
Aggregate & individual … change - “2 level” QI & PFP
ORGANIZED information so
it is “actionable” &
DISSEMINATED
• Created individual
-
www.ahrq.gov/research/findings/final-reports/ptflow/section2.html
July 01, 2018 - This individual will need sufficient time to devote to the improvement strategy.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/hrqa99.pdf
January 10, 2001 - of computer-based health records in all settings
for the development of personal health records for individual … appointed
under subsection (c)(2) does not serve the full term applicable
under subsection (d), the individual … fill the resulting
vacancy shall be appointed for the remainder of the term of the
predecessor of the individual … shall, from among the members of
the Advisory Council appointed under subsection (c)(2), designate
an individual … ‘‘(E) APPLICATION TO INDIVIDUAL HOSPITALS.
-
www.ahrq.gov/funding/training-grants/hsrguide/hsrguide6.html
October 01, 2014 - Possible sources of funding include your organization's overhead, individual research project funding … Look for funding for the research center via your organization's overhead, individual research project
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-slides.pptx
January 01, 2017 - providers to be perfect
We focus on individuals as opposed to systems
Most errors do not belong to individual … Patients
6
Safety
Institutional
Hospital
Departmental Factors
Work Environment
Team Factors
Individual
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-fetters.pdf
April 01, 2015 - physician organizations, were: Patient-Provider Partnership, Patient
Registry, Performance Reporting, Individual … Practices also initiated capabilities in the domains of Extended Access, Test
Tracking, Individual
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T3-Antibiogram_Specifications_Phase_2.pdf
May 01, 2014 - Small
sample sizes allow the individual resistance pattern of individuals to overly influence the estimate … If all specimens
from an individual are included in the antibiogram, the purported susceptibility would