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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/109-performing-premortem-project-assessment-fg.docx
April 01, 2025 - .
· Involve cross-functional teams: When you schedule your Premortem Project Assessment, make sure you
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www.ahrq.gov/sites/default/files/2024-01/lipowski-report.pdf
January 01, 2024 - Medication Use were
based on the assumptions that
• research needed to improve medication use would involve … management/clinical skills
Develop training on research methods
Develop training on grant writing
Involve … of research
Develop inclusion criteria
Explain global knowledge of research project
structure
Involve … Advertise the study
Enroll on site of employer
Integrate research into the pharmacy
experience
Involve
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apviia.html
June 01, 2010 - Directly involve representations from selected national associations representing state executive branch … Directly involve representations from selected national associations representing state executive branch … NASDDDS appreciates the decision of AHRQ to involve representatives of the affected state executive branch
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
January 01, 2004 - involved in responding
(e.g., is it necessary to include a mental health specialist; is it necessary to involve … PROCEDURE
A standard battery of questions is asked of each patient 4.11 4
Standard protocol to involve … It is important to involve clinicians and administrators from various
disciplines.
2.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Safety research in high-reliability industries, such as aviation, has shown that
accidents frequently involve … Critical incident studies in anesthesia
have found that around 80 percent of reported incidents involve … familiarity of
team for getting things done
• Intervenes without
informing/involving others
• Does not involve
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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-Dickerman_84.pdf
June 04, 2008 - When comparing the characteristics of health care building life
safety and patient safety, both involve … of hospital-acquired infections resulting from
construction operations, but those cases typically involve … Both types of
safety involve cultural issues or characteristics of health care institutions; neither
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
July 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 … suggest that about half of the perceived diagnostic shortfalls reported on population-based surveys involve … multiple settings, and 30 percent involve three or more settings.
10
Conclusions
Despite the importance
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www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - Thirteen taxonomy-derived constructs were analyzed to assess
types of events that involve patient harm … Among ASIPS events,
drug errors, delays in therapy, and communication errors were most likely to involve … similar processes but suggest different interpretations of which errors in primary care are likely
to involve … A diagnostic testing error, for example, may involve a failed
communication between a clinician … Prescription clarification calls made to primary care practices involve administrative
and clinical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.pdf
January 28, 2011 - The staff liaison helps recruit and train
advisors, identifies opportunities to involve advisors in … • As committee or workgroup chairs develop plans to involve patient and
family advisors, encourage … review
educational materials, share
their discharge stories at a
unit-based council meeting,
and involve … Senior leaders provide resources necessary to
involve patient and family advisors in
improvement. … When implementing a new patient safety or quality practice, it can be
helpful to involve experienced
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
April 01, 2022 - The CUSP Toolkit defines engagement as “to involve oneself or become occupied; to participate fully and … How can you engage and involve unit staff members in the initiative?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
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/talkingquality/distribute/promote/multiple/using-media.html
September 01, 2019 - Most reporting efforts involve at least a few fairly well-known "players" in a community; highlighting
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-examples-3.pdf
March 03, 2021 - Design (HCD) is a design and management framework for producing solutions to
issues or problems that involve
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-29-implementing-care-teams.pdf
September 01, 2015 - Care teams involve the efficient
delegation of responsibilities such that no team members perform duties … number of practices have demonstrated that many primary care visits, especially for
chronic disease, involve
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.pdf
October 01, 2016 - each participant
Note: Lesson plans are intended to guide discussions in staff meetings and should
involve … • Most infections involve the lower part of the urinary tract—the bladder and the urethra.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
September 03, 2014 - Team factors may involve issues with teamwork, communication, inadequate supervision, and training. … 25
Engagement Stages
Engagement: “To involve oneself or become occupied; to participate … Aversion
Uninvolved
26
As seen in CUSP®
Culture of Safety
SAY:
One definition of engagement is “to involve … ASK:
How can you involve facility staff members in the initiative? … may require interactions that take place inside the team (internal) or outside the team (external) or involve
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily5.html
July 01, 2018 - Include Testing and Evaluation of the Guide and Involve the Target Audiences in Its Development, Testing
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6c.pdf
March 01, 2017 - prepare for office visits
Dispel unfounded worries about what clinicians were finding or thinking
Involve
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
April 01, 2025 - Allergy Label
SAY:
This presentation has established that reported penicillin allergies are common and involve … Does it involve mucous membranes? … It is strongly encouraged to involve these groups in plans for safely administering effective antimicrobial
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
June 02, 2025 - Slide 8
SAY:
CUSP teams can involve patient and family advisors in their work by:
· Inviting advisors … Each hospital has policies and procedures for actions to take after an adverse event occurs, and most involve