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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/reference/quickrefguide.html
March 01, 2014 - opportunity for improvement that will be targeted by your TeamSTEPPS intervention; and to identify the involved … during which the target problem, challenge, or opportunity occurs by stating what the process is, who is involved … each aim, state in one sentence in measurable terms what you hope will be achieved, who will be involved … Consider organization and frontline leaders, staff directly involved in the intervention, patients, and
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ce.effectivehealthcare.ahrq.gov/talkingquality/plan/environment.html
June 01, 2016 - It can be helpful to document what you know about them so that everyone involved is clear on who will … Questions about purchasers and regulators:
Among health care purchasers, who (if anyone) is most involved … Is a State agency or other regulatory body involved in quality measurement and reporting in your marketplace … Do you have the expertise in-house for all of the steps involved in effective reporting?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
April 01, 2016 - The standard solution is to blame the people involved. … This is especially important for individuals who were directly involved
in the event. … Technology involved (e.g., any usability issues, downtime, individual knowledge gaps)
3. … ■ Were any of the involved individuals
working extended shifts (longer than 12
hours)? … Disciplinary: actions taken toward involved staff members.
AHRQ Pub.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - in the error,” “error result on patient
care,” and “medical devices involved in the error.” … Of the actual events, 26
percent involved female patients, 22 percent involved male patients, and 52 … percent involved patients whose gender was not indicated by the individual who
made the report. … in medication errors
An analysis of drug products involved in inpatient medication error reports … Ranked top 10 inpatient products involved in errors that reached the patient,
Table 4.
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/essentials/implguide3.html
November 01, 2018 - opportunity for improvement that will be targeted by your TeamSTEPPS intervention; and to identify the involved … which the target problem, challenge or opportunity occurs by stating what the process is, who is involved … each aim, state in one sentence in measurable terms what you hope will be achieved, who will be involved … Consider organization and front-line leaders, staff directly involved in the intervention, patients,
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
May 01, 2016 - A
separate analysis of patient complaints indicated that 78% involved
an element of informed consent … Cases involved discharge from one of four hospital sites affiliated with the academic
medical center … This project also found that of the 13
claims judged to have potentially involved a suboptimal care … Notably, almost half (299 of 632) of reported near misses involved office processes. … Of the 566 potential ADEs, none involved
permanent disability or death, but almost half (278) involved
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/eval4.html
May 01, 2016 - The majority of reports (n=19) involved adult patients 18 to 64 years of age. … Fifteen reports involved patients with private insurance through an employer, three involved patients … with Medicare, and three involved patients with Medicaid. … Fifteen of the 20 safety concerns involved both mistakes and negative effects. n Seven reports involved … Seven of the safety concerns involved negative effects only.
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ce.effectivehealthcare.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - Blood and Blood Product Dashboard
Details the type of blood product involved, type of blood product … at a glance, including description of substance event, stage event originated, and type of substance involved … Substance events, including description of substance event, stage event originated, and type of substance involved
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/professional-tool.docx
May 01, 2017 - Who should use this tool:
All staff involved in the delivery of patient care in units with poor Safety … What happened during the shadowing exercise that involved multiple practice domains? … Did the clinicians involved seek help from a supervisor or peer?
6.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-section-2-tech-specs.pdf
December 01, 2012 - can be considered chronic, malignant, or progressive,
and whether multiple body systems are involved … To assign involved body system(s) and progressive status, Seattle Children's Research Institute … multiple lines (or single line) of individual claims for a person,
identifying body systems involved … one or more conditions are malignant
'Non-complex Chronic': 1) only one body system is involved … one or more conditions are malignant
'Non-complex Chronic': 1) only one body system is involved
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - While RPs do not routinely place PVCs, they are greatly involved in the direct daily care of patients … Team members involved: Nurse, resident physician, intravenous therapy team, and attending physician. … Team members involved: Resident physician, nurse, intravenous therapy team, and attending physician. … Team members involved: Resident physician, nurse, certified nurse’s assistant or technician, and attending … Team members involved: Resident physician, attending physician, nurse, and respiratory therapist.
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/patient-family-care-fac-guide.html
March 01, 2017 - activities might your team put on your family involvement menu to enable family members to be actively involved … providing care structured around the patient and family member allows family to feel more helpful and involved
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ce.effectivehealthcare.ahrq.gov/talkingquality/resources/index.html
September 01, 2019 - Organizations Involved in Quality Reporting
Review this list of key initiatives by the many organizations … involved in efforts to measure, report, and improve the quality of healthcare.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
December 01, 2017 - All staff involved in the care system that produced a defect should be present when that defect is evaluated … For this investigation, put yourself in the place of those involved – and in the middle of the event … Ask frontline staff involved in the defect whether the interventions improved care. … For this investigation, put yourself in the place of those involved – and in the middle of the event … Ask frontline staff involved in the defect whether the interventions improved care.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
January 01, 2010 - Who: Hospital to identify staff to be involved in
meeting, for example the nurse, doctor, patient
advocate … Patient identifies if family or friends need to be
involved. … goals
Explained medications to
patient and family
Morning
Noon
Evening
Bedtime
Other
Involved … goals
Explained medications to
patient and family
Morning
Noon
Evening
Bedtime
Other
Involved … goals
Explained medications to
patient and family
Morning
Noon
Evening
Bedtime
Other
Involved
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
January 01, 2010 - Who: Hospital to identify staff to be involved in meeting, for example the nurse, doctor, patient advocate … Patient identifies if family or friends need to be involved.
Offer to make followup appointments. … clinician goals
Explained medications to patient and family
Morning
Noon
Evening
Bedtime
Other
Involved … clinician goals
Explained medications to patient and family
Morning
Noon
Evening
Bedtime
Other
Involved … clinician goals
Explained medications to patient and family
Morning
Noon
Evening
Bedtime
Other
Involved
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex12.html
July 01, 2018 - of Web Sites Reviewed
Appendix D: Data Abstraction Protocol
Description
Who is involved … family advisory councils 107 , 131 , 169 , 207-216
Councils enable patients and family members to be involved
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
February 01, 2017 - you can see here, in 45 percent of these sessions, patients were able to exercise in bed. 25 percent involved … passive transfer to sitting, 11 percent involved sitting over the end of the bed—meaning their legs … dangled over the edge—11 percent involved patients standing at the bedside, 4 percent involved having … Slide 15: PT Reported Barriers to Early Mobilization
Say:
Physical therapists involved in the
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapc.html
April 01, 2018 - What are the potential risks or challenges involved with infection control in the operative stages of … What are the potential risks or challenges involved with infection control in the postoperative stages … The type of practice and all surgical specialties involved
The patient case mix
The patient case … Probe: : What are the steps involved in cleaning and caring for instruments and powered tools? … Probe: : What are the challenges involved with disposal of non-sterile equipment, instruments, devices
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module2/igteamstruct.html
March 01, 2014 - Team members:
Include anyone involved in the process of patient care who can take action, including … Asking patients how involved they prefer to be in their own care. … Discussion:
What members of each of the following teams were involved in this scenario? … The physician was not involved at all.
The Coordinating Team?
The clerk (Sheri). … What could the individuals involved in this scenario have done differently to produce a better outcome