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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - questions
prevent team/system
Mobile device Minimize Individual, � A clinical communication process intervention … This intervention significantly reduced
Sloane et al: Managing Interruptions to Improve Diagnostic … One popular, albeit somewhat
controversial, intervention to reduce errors caused by
interruptions is … interruptions by 75% and the number of medication
administration errors by 66%,10 suggesting this intervention … diagnosis for when these
interventions should be implemented and upon which mem-
ber(s) of the team the intervention
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
June 12, 2008 - A mediocre intervention would
make a mistake visible. … A weaker intervention would
mitigate harm. … The weakest but most common intervention would be to create a policy or
procedure or to educate staff … Although multiple interventions are often used, a strong
intervention is clearly the most desirable. … Evaluating the effectiveness of an intervention is inversely related to the intervention’s strength;
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
January 01, 2003 - Hackworth
Abstract
Objectives: The researchers sought to assess the impact of pharmacologic
intervention … Therefore, a more direct patient intervention entailed having
pharmacists, in the course of their normal … as receiving
suboptimal monotherapy
Previous
Drug
Dose/
Day
Current
Therapy
Dose/
Day Intervention
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal.pptx
April 01, 2022 - Journal of Hospital Medicine.
6
Keystone ICU Project: Prompt Removal3-5
Keystone CLABSI Bundle Intervention … 12,14,16
CVC Removal ׀ 12
AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI
Intervention Professional … An intervention to decrease catheter-related bloodstream infections in the ICU. … Quantitative results of a national intervention to prevent central line-associated bloodstream infection
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/engage/implications.html
March 01, 2017 - This innovative and comprehensive approach to intervention and Guide development should yield sustainable
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/engage/intro.html
March 01, 2017 - We selected the TRiP model because it emphasizes intervention adoption and sustainability.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
July 01, 2023 - Remember that achieving the goals of the intervention rests with the team. … The team is tailored to include members based on the specific L&D intervention. … The team has access to resources necessary for the intervention. … within the unit, whether the intervention is successful or must be delayed, and the general direction … Slide 23: Engage Team Members Using the 4 Es
Say:
Execute
Execution of a sustainable intervention
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1txt.html
December 01, 2017 - monitoring of resident
investigation of fall circumstances
documentation of fall
immediate intervention … In the event a new intervention has been unsuccessful, revisions of the care plan and subsequent progress … After a resident falls, documentation should reflect a new intervention added within 24 hours, increased … New intervention added within 24 hours of each fall?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
January 01, 2014 - The patient safety program intervention
included formation of a patient safety
council, hiring of … The PICU had 21 events in the nine-month
pre-intervention period, 14 events in the
eight-month intervention … period, and 5
events in the seven-month post-intervention
period. … The CICU experienced 11, 4, and 0
events in the pre-intervention, intervention,
and post-intervention … for immediate pharmacy
intervention.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pptx
January 01, 2006 - issues that you know are likely to be on the minds of your front-line staff (e.g. time demands of a new intervention … Your involvement is critical to help us ensure that:
We design an intervention that we can effectively … We provide appropriate training and support for you to implement the intervention.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-northwest.pdf
November 01, 2017 - Practices randomized to the educational outreach
intervention learned about team-based implementation … Practices were randomized to one of four intervention arms
of the study using a two-by-two factorial … NAPCRG, 2017]
• Using the principles of academic detailing to develop a
virtual educational outreach intervention
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-midwest.pdf
November 01, 2017 - • Each cohort (wave) spans a 12-month intervention
followed by a 6-month maintenance period, with … In this design,
care sites are enrolled and then randomly assigned to the
intervention in cohorts, … with all sites receiving an intervention.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-va.pdf
November 01, 2017 - Components
Support Strategy
The Virginia Cooperative offers practice facilitation in an
intensive intervention … Evaluation
The Virginia Cooperative is using a stepped-wedge
design with three intervention cohorts … support),
with practices stratified by geographic region and then
randomized to a specific wedge and intervention
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-h.pdf
July 07, 2017 - The Intervention
Health plans, medical groups, and physician practices can help patients improve their … Proponents believe that this intervention has the potential to increase compliance,
improve patient … This intervention is simple, requires few
resources, and is effective at generating communication and … The Intervention
6.H.2.a. Record Sharing
6.H.2.b. Patient Question Lists (a.k.a.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-april2015.pptx
January 01, 2015 - training and TeamSTEPPS tools are being implemented
Present data measuring the effectiveness of the intervention … Code Blue Teams
Slide ‹#›
16
Identifying Areas for Improvement
Four Items Identified
Issue Intervention … Code Blue Teams
Slide ‹#›
18
Identifying Areas for Improvement
Four Items Identified
Issue Intervention … noted during nurse-to-primary MD communication and during primary MD-to-Code Blue Team communication
Intervention
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/action-plan-trip-fac-guide.html
February 01, 2017 - You will be prepared to pilot a test of change and collect data to evaluate a potential intervention … First, summarize the evidence supporting your intervention (future modules will provide evidence on the … The second step is to identify any local barriers to implementing your intervention. … Collect data from baseline, throughout implementation, and after the initial intervention period ends
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
December 01, 2014 - However, the intervention did not change the rate of ED
return. … , along with
assessment of the costs versus benefits of the intervention. … Metrics are also important for evaluating the impact of any intervention
implemented. … If it is an article about an
intervention, answer the interventions questions. … Etc… Generally speaking, intervention/risk factor articles will also have an
outcome.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
October 01, 2016 - They are available at the
time of a primary care visit for assessment, triage, and intervention for … Using brief
intervention strategies in conjunction with primary care physician visits, Dr. … BHCs make rapid working diagnoses and deliver a brief
intervention in the course of the visit. … Physicians told us they want to know the BHC’s
diagnosis, intervention plan, and what is needed from … PCPs recognized that behavioral health intervention had positive effects for many
patients who would
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
December 01, 2017 - Ask them about the obstacles that impede compliance with the intervention. … SAY:
Be prepared to provide data that show the compliance with intervention, or how many patients are … If the devices are all damaged, it is highly unlikely that the care team can comply with the intervention … If that coworker could answer a question or two about the team or intervention at a staff meeting, both … Slide 30
Briefings and Debriefings
SAY:
After you have built your intervention bundle around the areas
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
March 22, 2008 - Physicians with an index
greater than the 95th percentile are candidates for peer-to-peer intervention … Once messenger training is complete, “awareness intervention” materials are assembled and
distributed … improved 195 (58.0)
Complaint indexes unimproved or worse 70 (20.8)
Departed after Level 1 intervention … Such individuals require what we refer to as a “Level 2” or
“authority-based” intervention. … Unfortunately, failure to respond to the “authority-based” intervention raises
the specter of voluntary