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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
March 27, 2008 - Code 912 cases frequently involved radiology. … Almost half of the cases involved the incorrect
procedure, sometimes varying widely from what had been … Of the remaining bedside cases, three
involved infusion of the wrong medication into various body cavities … Corrective actions frequently involved strengthening the policy or policing it more
6
effectively … Two cases involved
failure to properly describe lesions; the NYSSIPP protocol dictates that such confusion
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www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
January 01, 2022 - operational roles in their organizations, had expertise in
healthcare quality and safety, and were involved … Participants were reminded
to maintain privacy and confidentiality of involved patients and pro-
viders … in-
formation that is not reliably documented in the medical re-
cord (e.g., whether a trainee was involved … Other participants were more optimistic that clinicians could
and should be heavily involved in reporting … Diagnostic events
usually involved multiple encounters between patients, clinicians,
and the health
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - One method involved voting and prioritizing by steering committee members and physicians. … However, the delay in the IT/IS upgrade caused great frustration for all staff involved. … He noted that the experience has been positive for all involved.
Clinical knowledge improved. … The hospital involved staff at many levels in the weeklong RCI events. … Departmental leadership was not initially involved on the Lean teams in their departments.
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www.ahrq.gov/prevention/chronic-care/decision/research-centers/rce_profile_wretling.html
August 01, 2014 - Wretling was pleasantly surprised at how involved she was able to be in the toolkit's development.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/stories-transcript.html
June 01, 2017 - Nursing
Audubon Surgery Center, CO
Carol: Well, sharing stories with not only my team but with other involved
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www.ahrq.gov/news/newsroom/case-studies/ktcquips89.html
October 01, 2014 - Using MATCH tools, the hospital redefined the responsibilities of all disciplines involved in the medication
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily6.html
July 01, 2018 - further outline support and guidance on an individual level to help people understand how to become involved
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/new_model_thinking.pdf
February 01, 2014 - clinicians to discuss harms with patients
Help patients and the public better understand the trade-offs involved
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T1-Background_final.docx
October 01, 2016 - · Antibiograms are important tools for health care professionals involved in prescribing empiric antibiotics
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www.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
December 01, 2023 - seconds)
Alternative audio-described version (2 minutes, 12 seconds)
Ways You Can Get Involved
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - Approximately three-quarters (860,043 / 1,139,124; 75.5%) of the reports submitted involved
Incidents … Red blood cells were involved in 70.1% (1,600 / 2,284) of all Incidents shown in this figure, which … Despite having the largest number of Incidents
resulting in harm that involved Red blood cells, the … Medical equipment (e.g., walker, hearing aid) (3,542 / 6,460; 54.8%) was reported to be involved in … The most frequently reported category of HIT-RELATED DEVICE Incidents shown in this figure
involved
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www.ahrq.gov/cpi/about/otherwebsites/pso.ahrq.gov/index.html
November 01, 2024 - Settings of Care PSOs can be involved in any healthcare setting where licensed professionals deliver
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Campbell_47.pdf
March 11, 2008 - When providers were in patient rooms, the provider was assumed to be
involved in direct patient care … When a provider was involved
in simultaneous activities, one of which involved direct patient care ( … total
of 195 observations were
obtained over the two
study periods:
61.5 percent of
observations involved … nurses; 31.8 percent
involved residents; the
remaining 6.7 percent
involved medical faculty.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
April 01, 2016 - in the project, and that their work
assignments will be covered while they attend meetings or are involved … effectively implement the process, the organization must provide sufficient
training and education to staff involved … – Identification of the clinical areas involved in
the rollout and the key stakeholders, as well … ■ Include a description of who needs to be involved
to support the project; what is needed in terms … Performance
measures to be compared include:
– Dollars involved in settlements
– Dollars involved
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4.html
October 01, 2014 - Exhibit 4.1 shows the interventions described in this section and the number of States involved in the … Ten of the 13 States involved in the initial AHRQ Medicaid Care Management Learning Network have provided … Because provider involvement is key to the success of profiles, providers should be involved in choosing … The State also involved consumers through the Consumer Advisory Subcommittee, Regional Advisory Committees … Activated patients are involved in their own care, set goals, and develop problem-solving skills.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.docx
January 01, 2013 - The costs involved in implementing improvement actions may be incurred at different stages of the implementation … Assembling the ROI Team
Four groups of hospital staff, in particular, are likely to be involved in estimating … the ROI, although others may be involved in some cases.
1. … Effects Identified
A Comparison Period
B Implementation Period
Net Change
(Description of Effects Involved … Training includes training of clinical, financial, or other staff involved in the quality improvement
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.pdf
February 08, 2018 - Patients should be allowed to define who their “family”
is and how they want them involved. … In
this case, hospital leaders may already be involved. … If senior leadership is not already involved, it is helpful to develop a succinct
explanation of what … and family engagement and help inform dialogue in the
board room.15 A good way to get board members involved … chief executive officer, the chief medical officer, the
chief nursing officer) may not need to be involved
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
January 01, 2013 - The costs involved in implementing improvement actions may be incurred at different stages of the implementation … Assembling the ROI Team
Four groups of hospital staff, in particular, are likely to be involved in estimating … the ROI, although others may be involved in some cases.
1. … Effects Identified
A Comparison Period
B Implementation Period
Net Change
(Description of Effects Involved … Training includes training of clinical, financial, or other staff involved in the quality improvement
-
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 - The “Plan” stage involved development of the
workgroup and review of the existing site policies. … “Do” involved creation of a
recommended response policy. … “Study” involved analysis of study features and
implementation and evaluation of the policy. … The features were divided into five
domains: Personnel (who should be involved in responding to a suicidal … The personnel involved
came from various facilities, ranging from relatively large inpatient medical
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
March 01, 2023 - Who needs to be involved? … • It’s quite possible the physicians involved are themselves unsure about this, which can
result in a … (This is especially important if IT
professionals were not involved during the workflow mapping process … Create a one-pager describing the purpose, value, and use of AR to educate all
involved staff and to … Who needs to be involved?