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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
October 01, 2024 - This may involve reviewing event reports and data sources such as electronic medical records. … For wipes replacement, the metric would involve EVS interviews conducted by the Infection Control Practitioner … would be recorded at the nursing station and along with weekly followups, corrective actions would involve
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/154-performing-pre-mortem-project-assessment.pptx
October 01, 2024 - 6
Gain prospective hindsight5
Reduce overconfidence
Involve cross-functional teams
Align team on project
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/108-performing-premortem-project-assessment.pptx
April 01, 2025 - 6
Gain prospective hindsight5
Reduce overconfidence
Involve cross-functional teams
Align team on project
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/144-cusp-tip-sheet-engaging-surgeons.docx
April 01, 2025 - .
· Involve surgeons in the Learning From Defects process when an infection occurs.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
December 01, 2017 - Second, involve the frontline staff and recognize them for their contributions. … Involve surgeons both on staff and with privileges, anesthesiologists, nurse anesthetists, circulating … Other ideas involve posts in the break room, posts in the restrooms, and treats to celebrate successes … Other evaluation methods involve evidence-based auditing and SSI investigation tools, or tracking process
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keller.pdf
January 01, 2004 - stages of a product’s life cycle; monitoring of
hazards, recalls, and other safety concerns that may involve … The ventilator reports, which typically
involve a breathing circuit failure or alarm problem that can … The bids may involve
one type of device or system to be used at one specific Air Force facility, or … This research may involve obtaining
verification that a recall-related device upgrade has been installed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-1.pdf
May 01, 2016 - The goals are to
improve provider-patient communication and involve
patients and families more actively … OpenNotes aims to improve communication between
the provider and the patient and to involve patients … For organizations with Patient and
Family Advisory Councils (PFACs), it can be beneficial to
involve
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
June 01, 2023 - Because diagnostic problems more frequently involve multiple clinicians across multiple settings, the … willingness or readiness to fully describe all aspects of the event, even for patient experiences that involve
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
June 02, 2025 - 2/3
of primary
care visits
involve medicines
3.2 billion
ordered or prescribed
160 million … the Centers for Disease Control and Prevention, more than two-thirds of primary care office visits involve
-
www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/issues.html
August 01, 2022 - Meanwhile, national data pipelines on patient safety and malpractice outcomes are limited and involve
-
www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Form-a-Project-Team.html
December 01, 2019 - Serving as a point of contact for questions once the survey results have been published (which may involve
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
October 01, 2014 - Interventions to minimize further falls usually involve several changes, and they should be tailored
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-engagement-ed.pptx
September 01, 2014 - evidence-based care
Informed patients often prefer lower-cost and less intensive treatments
Build trust
Involve
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.html
March 01, 2017 - Involve unit leadership, quality assurance/performance improvement, infection prevention, bedside caregivers
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/casalino.ppt
February 16, 2011 - it is implemented and on the context within which it is implemented
most attempts to improve care involve
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-3-slides.pptx
June 02, 2025 - Involve the patient whenever relevant.
20
20
Cross-Monitoring Example
Situation Monitoring
What
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-english-557a.pdf
June 02, 2025 - Since your cancer was diagnosed, did a doctor or other health
professional at this cancer center involve
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - Each hospital has policies and procedures for actions to take after an adverse event occurs, and most involve … L&D staff can involve patients and families in day-to-day care, welcoming and engaging them as members
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
August 01, 2023 - pediatric patients. 69
Unsurprisingly, ED studies consistently indicate that adverse events frequently involve … attention as possible MDOs, 74,75 although return visits resulting in admission are more likely to involve
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-emerging-strategies-cr.pdf
January 01, 2021 - to conduct education sessions in a group format; now,
they are shorter, more “concentrated,” and involve … Tricia urged CR staff to foster a sense of
community virtually, which might involve
distributing