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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - Review how to balance systems thinking with individual accountability in health care. … Describe two examples of well-defined processes to identify individual accountability for adverse events … In our opinion, the appropriate response of the individual clinician and the health care system should … Overemphasizing individual contributions risks overlooking faulty and obsolete systems. … Balancing systems and individual accountability in a safety culture.
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psnet.ahrq.gov/node/44689/psn-pdf
February 24, 2018 - What is the role of individual accountability in patient
safety? A multi-site ethnographic study. … What is the role of individual accountability in patient safety? A
multi-site ethnographic study. … https://psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study … The concept of a just culture has become popular for balancing individual accountability with a systems … https://psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/engage/brochure.html
March 01, 2017 - Take an active role in your individual care or in the care of your family member. … More attention to individual preferences and needs (e.g., what activities are offered, the time when
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - For example, research in pediatric settings has indicated that the contribution
of individual clinician … For example, an individual-level factor such as being rushed or taking shortcuts in making
a diagnosis … In making a diagnosis and choosing a treatment plan, clinicians may need to
balance individual versus … At the individual practitioner level, diagnostic mnemonics have been developed to prompt clinicians … Causes of misdiagnosis
can often stem from a complex web of factors ranging from individual to system
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - Voluntary medication error reporting systems rely on the
ability and willingness of individual physicians … Individual hospitals were
responsible for deciding which units and nurses received the surveys. … Psychometric properties
Scale development
The unit of analysis was the individual nurse. … Individual items needed a factor loading of .40 or greater to be
included in the factor. … Table 3 identifies the individual items for each
factor.
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily1.html
July 01, 2018 - and patient safety through patient and family engagement and (2) the external, organizational, and individual … The framework also highlights the existing individual, organizational, and environmental contexts in … An intervention will have an impact on the individual characteristics of patients, families, and health … As a hospital-based intervention, the Guide will focus on organizational and individual behaviors that … framework, we identified five main topic areas for further investigation in the environmental scan:
Individual
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datatools.ahrq.gov/hcupnet/
January 01, 2022 - Please note, HCUPnet no longer offers the option to query individual ICD-9-CM or ICD-10-CM/PCS codes. … Please note, HCUPnet no longer offers the option to query individual ICD-9-CM or ICD-10-CM/PCS codes. … Please note, HCUPnet no longer offers the option to query individual ICD-9-CM or ICD-10-CM/PCS codes. … Please note, HCUPnet no longer offers the option to query individual ICD-9-CM or ICD-10-CM codes. … Please note, HCUPnet no longer offers the option to query individual ICD-9-CM or ICD-10-CM codes.
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3-1.html
October 01, 2013 - Domain
Accessibility (clinic/clinician)
Data source
Patient/individual survey
Calculation … Calculation method
This measure may be assessed at the level of an individual clinic/clinician, or … Clinic/clinician survey
Calculation method
This measure may be assessed at the level of an individual … Clinic/clinician survey
Calculation method
This measure may be assessed at the level of an individual … Calculation method
This measure may be assessed at the level of an individual clinic/clinician, or
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide164.html
October 01, 2014 - Treatments may be made more intense by increasing (a) the length of individual treatment sessions and … Individual, group, and telephone counseling are effective tobacco use treatment formats.
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psnet.ahrq.gov/node/38149/psn-pdf
October 15, 2008 - Health-Care-Associated Infections in Hospitals: An
Overview of State Reporting Programs and Individual … psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-overview-state-reporting-programs-
and-individual … psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-overview-state-reporting-programs-and-individual … psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-overview-state-reporting-programs-and-individual
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
December 01, 2012 - In quarters when an individual does not meet our HCBS population definition, that individual is excluded … We note that one validated numerator exclusion, same-day admissions to a hospital for the same individual … their current state of development, they are not appropriate for use in establishing accountability of individual
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psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - tension between the no-blame culture espoused in the early years of the safety movement and the
need for individual … New articles
exploring the role of individual skill in safety have heightened the need for an approach … As the public and professionals call for individual
accountability for certain types of unsafe acts, … However, some adverse events result from at-risk behaviors, such as taking short cuts, or from individual … Nevertheless, the scope of behaviors that fall under individual accountability is still controversial
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psnet.ahrq.gov/issue/stressful-intensive-care-unit-medical-crises-how-individual-responses-impact-team-performance
May 26, 2010 - Study
Stressful intensive care unit medical crises: how individual responses impact … Stressful intensive care unit medical crises: How individual responses impact on team performance. … Stressful intensive care unit medical crises: How individual responses impact on team performance.
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www.ahrq.gov/ncepcr/tools/confid-report/app-1.html
March 01, 2016 - leaders, unblinded peer performance information may facilitate developing a group norm around which individual … Although physicians may be uncomfortable with their team, practice, or network colleagues seeing their individual … Most individual physicians were comfortable with this transparency among their immediate peers but not
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www.ahrq.gov/talkingquality/measures/understand/index.html
July 01, 2018 - population they serve as well as their use of services and charges for those services, often at the level of individual … Comments from Individual Patients
Comments from individual patients, often referred to as anecdotal … Learn more about the influence and use of individual patient comments .
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www.ahrq.gov/prevention/resources/vision/visfig3.html
October 01, 2002 - rehabilitation services are represented predominantly in the lower two rows of the framework (i.e., "individual … Rehabilitation for AMD focuses on services such as individual skills training (e.g., use of a long-cane
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www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Text-Descrip-PCPI-eSpec.pdf
January 01, 2012 - Individual Characteristic Patient Characteristic Gender HL7 (2.16.840.1.113883.5.1) 2.16.840.1.113883.1.11.1 … Individual Characteristic Patient Characteristic Race CDC 2.16.840.1.114222.4.11.836 during measurement … Individual Characteristic Patient Characteristic Ethnicity CDC 2.16.840.1.114222.4.11.837 during measurement … Individual Characteristic Patient Characteristic Preferred Language CDC 2.16.840.1.114222.4.11.831 during … Individual Characteristic Patient Characteristic Payer Source of Payment Typology 2.16.840.1.113883.221.5
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digital.ahrq.gov/ahrq-funded-projects/improving-missing-data-analysis-distributed-research-networks
January 01, 2023 - methods to handle missing and misclassified data across databases without the need to share data on the individual … One important challenge to this approach is missing data in any one of the individual databases. … example, the provider did not ask about smoking status, or 2) it was misclassified—for instance, an individual … refined methods, which included the use of ML and predictive modeling, did not require the sharing of individual-level
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psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events
January 22, 2017 - Error disclosure policies for events that affect individual patients have traditionally focused on what … information to share and how to share it; of course, discussions about individual disclosure occur … endoscope used on scores of patients), which harm or carry a potential to harm groups of patients, and how individual
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - Many health care systems reinforce a focus on individual behaviors designed to prevent mistakes and fail … The rationale for a systems approach to Event Investigation and Analysis is that managing individual … blame.
11
System And Individual Accountability2
Module 4
12
Why did the event happen? … As discussed in Module 2 of the CANDOR Toolkit, individual staff must also hold themselves accountable … Managing behavioral choices should be a responsibility of the individual and the organization.