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www.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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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
April 01, 2025 - All staff involved in the delivery of care related to a defect should be present when this defect is … For this investigation, put yourself in the place of those involved and in the middle of the event as … Determine factors that may have contributed to the defect and evaluate whether each one was involved. … If involved, did it negatively contribute (increase harm) or positively contribute (reduce impact of … Ask frontline staff involved in the defect whether the interventions reduced the likelihood of recurrence
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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-November_45.pdf
January 01, 2007 - Events
characterized as “none of the above” usually
involved administrative issues with no clinical … Seven events (9 percent) resulted in patient harm
(AEs), while most involved a potential AE
(46 percent … Numerous potential AEs involved lab work delays related to orders not
entered, orders not acknowledged … Eleven cases (11 percent) involved process issues in making a
Diagnosis, and the same number (11 cases … Although only a few minutes per day are involved,
this time has significant value for busy clinicians
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www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apa.html
August 01, 2022 - Identification of the clinical areas involved in the rollout and the key stakeholders, as well as the … Include a description of who needs to be involved to support the project; what is needed in terms of … Performance measures to be compared include:
Dollars involved in settlements. … Dollars involved in actual suits.
Median and average payment to claimants.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/worksheet2.html
August 01, 2022 - Identification of the clinical areas involved in the rollout and the key stakeholders, as well as the … Include a description of who needs to be involved to support the project; what is needed in terms of … Performance measures to be compared include:
Dollars involved in settlements. … Dollars involved in actual suits.
Median and average payment to claimants.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html
October 01, 2014 - Stakeholders should be involved during each stage of the program to build support for it, provide suggestions … Program champions are stakeholders actively involved in the care management program and influential among … Providers should be involved during the implementation stage to achieve early buy-in to the program. … Providers also should be involved during the evaluation stage to provide feedback on preliminary results … If legislators understand where the program is going and are involved in its development, they likely
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www.ahrq.gov/patient-safety/resources/liability/neumiller.html
August 01, 2017 - Medication classes most commonly involved in potential ADEs are displayed in Table 1. … Potential ADEs ascribed a significant rating often involved opioids, antihypertensives, anticoagulants … Medications commonly involved in discrepancies assessed to have insignificant consequences involved acetaminophen … Furthermore, our study involved patients discharged from hospital to home care, while the Gandhi study … The involved medicines were anticoagulants or antiplatelets (e.g., enoxaparin, warfarin, dipyridamole
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www.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - Medication classes most commonly involved in potential ADEs are displayed in Table 1. … Medication discrepancies determined to contribute to serious potential ADEs involved the antineoplastic … Potential ADEs ascribed a significant rating often involved opioids, antihypertensives, anticoagulants … Medications commonly involved in discrepancies assessed to have insignificant consequences involved acetaminophen … The involved medicines were anticoagulants or antiplatelets (e.g., enoxaparin, warfarin, dipyridamole
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/164-cusp-meeting-pre-work.docx
August 21, 2024 - There are many ways to keep the Senior Executive involved with your CUSP team and with your unit. … Also, invite the Senior Executive to visit the unit or to attend Executive Walk Rounds to keep them involved
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www.ahrq.gov/ncepcr/tools/healthier-pregnancy/presentations/questions.html
April 01, 2015 - Who will be involved in leading those changes? … Who will be involved in the day-to-day tasks of carrying them out?
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - First, it diverts attention away from factors in the system (other than the involved individual) that … The standard solution is to blame the people involved. … Consider interviewing others who were around, but not directly involved in the event. … This is especially important for individuals who were directly involved in the event. … Technology involved (e.g., any usability issues, downtime, individual knowledge gaps).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Johnson.pdf
January 01, 2004 - patient safety considerations are incorporated into medical
device purchasing decisions, individuals involved … First, individuals
involved in the purchasing decisions were questioned using a structured interview … All
subjects were involved, albeit to different extents, in the latest purchase of
infusion pumps at … Those directly involved in the decisions at Sites 1 and
2 felt the best decision was made. … This indicated
some awareness of the human factors issues involved with device use safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.docx
February 24, 2011 - How can you
get involved? … This brochure explains what nurse bedside shift report is and how you can get involved. … At [insert hospital name], we want you to be involved in shift changes to make sure you get high-quality
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www.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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www.ahrq.gov/ncepcr/funding/grants/impact/profiles/pa.html
March 01, 2017 - The Pennsylvania Spreading Primary Care Enhanced Delivery Infrastructure (PA SPREAD) initiative involved … Stage one involved convening stakeholders; stage two involved providing direct services to practices … via practice coaches; and stage three involved providing shared services through the general contractor … A second important component of the spread activities in the partner States involved bringing together
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-pa.html
April 01, 2015 - The Pennsylvania Spreading Primary Care Enhanced Delivery Infrastructure (PA SPREAD) initiative involved … Stage one involved convening stakeholders; stage two involved providing direct services to practices … via practice coaches; and stage three involved providing shared services through the general contractor … A second important component of the spread activities in the partner States involved bringing together
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-pa.pdf
April 01, 2015 - The Pennsylvania Spreading Primary Care Enhanced Delivery
Infrastructure (PA SPREAD) initiative involved … Stage one
involved convening stakeholders; stage two involved providing direct services to practices … via practice
coaches; and stage three involved providing shared services through the general contractor … A second important component of the spread activities in the partner States involved bringing together
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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool2a-1.html
April 01, 2018 - Your office is involved in a colorectal cancer screening program that involves sending stool tests to … Your office is involved in a colorectal cancer screening program that offers flexible sigmoidoscopy … For screening stool tests, who in your practice actually performs the activity involved in each step … For screening flexible sigmoidoscopy, who in your practice actually performs the activity involved … For screening colonoscopy, who in your practice actually performs the activity involved in each step
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
August 01, 2022 - Have the staff had training related to the vulnerabilities of caregivers involved in harm events? … Do individuals directly involved in events undergo a "fitness for work" assessment? … Is followup provided for staff involved in harm events?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/healthier-pregnancy/tools/screening.pdf
May 01, 2015 - Who will be involved in leading those changes?
c. … Who will be involved in the day-to-day tasks of carrying them out?
d.