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psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study
August 16, 2023 - Study
What are the experiences of team members involved in root cause analysis? … What are the experiences of team members involved in root cause analysis? A qualitative study. … What are the experiences of team members involved in root cause analysis? A qualitative study.
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psnet.ahrq.gov/node/854819/psn-pdf
October 25, 2023 - second-victim-syndrome-intensive-care-unit-healthcare-workers-systematic-
review-and-meta
Healthcare workers who are involved … recover at all, underscoring the
importance of organizational support programs for healthcare workers involved … second-victim-phenomenon-harsh-reality-health-care-professions
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-process-mapping.pdf
June 02, 2025 - improve communication among team members, and increase
accountability of each individual or department involved … Create "swimlanes" for each staff person involved to show their actions.
5. … Include representatives for all the types
of people involved in the process.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.pdf
June 02, 2025 - 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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psnet.ahrq.gov/node/47611/psn-pdf
January 23, 2019 - Drug and opioid-involved overdose deaths- United States,
2013-2017. … Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. … https://psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017
This Centers … https://psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017
https:/
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psnet.ahrq.gov/node/60306/psn-pdf
May 06, 2020 - The most common medication errors involved diphenhydramine and dextromethorphan. … Almost half of medication errors (45.8%) involved children between the ages of 2 and 5 years old and … involved administration by either a parent (45%) or alternative caregiver (28.8%).
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psnet.ahrq.gov/node/74267/psn-pdf
January 19, 2022 - support-opportunities-second-victims-lessons-learned-qualitative-study-top-20-
us-news-and
Many hospitals are implementing programs to support clinicians involved … evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
https
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hcup-us.ahrq.gov/reports/statbriefs/sb185-Hospital-Intensive-Care-Units-2011.jsp
December 01, 2014 - or comorbidity and 27.5% involved no complication or comorbidity. … or comorbidity and 12.2% involved no complication or comorbidity. … or comorbidity and 40.0% involved no complication or comorbidity. … and 26.7% involved no complication or comorbidity. … and 6.2% involved no complication or comorbidity.
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integrationacademy.ahrq.gov/news-and-events/news/opioid-use-disorder-news-2019-updates
October 04, 2019 - OUD) and medication-assisted treatment (MAT): Department of Health and Human Services Drug and Opioid-Involved … the Centers for Disease Control and Prevention (CDC) finds that nearly two-thirds of overdose deaths involved … opioids in 2017 and that synthetic opioid-involved overdose mortality increased 45.2 percent between … Drugs Most Frequently Involved in Drug Overdose Deaths: United States, 2011–2016 (PDF—335 KB) This … CDC report examines the specific drugs involved most frequently in drug overdose deaths between 2011
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psnet.ahrq.gov/issue/why-are-patients-not-more-involved-their-own-safety-questionnaire-based-survey-multi-ethnic
September 22, 2021 - Study
Why are patients not more involved in their own safety? … Why are patients not more involved in their own safety? … Why are patients not more involved in their own safety?
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www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
January 01, 2024 - If a case is certified, the involved physician licensee or healthcare organization acting on
their behalf … Finally, it is possible that the involved states may not be representative of all state medical
boards … Seventy percent of the Washington
cases involved severe harm, including nine death cases. … Two thirds of the cases involved severe harm, including two death cases. … in any of this discussion and one of my
observations is that the discussion has involved a variety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.docx
June 02, 2025 - 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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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/mississippi
January 01, 2023 - How to get involved
Ways for stakeholders to be involved in this project include the following: … Identify barriers and propose practical solutions to sharing electronic health information
To become involved
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www.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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cdsic.ahrq.gov/cdsic/pghd_dashboard_manuscript
September 13, 2023 - and Coordinating CDS
Resources
News
CDSiC Leadership Viewpoints
Get Involved … shares findings from a scoping review of studies of patient-generated health data (PGHD) dashboards that involved … GET INVOLVED IN CDSiC BY:
Signing up for the CDSiC Insider newsletter
Expressing interest … joining a CDSiC Workgroup
Sharing your feedback and/or questions with the CDSiC team
Get Involved
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psnet.ahrq.gov/node/48176/psn-pdf
July 31, 2019 - duration-second-victim-symptoms-aftermath-patient-safety-incident-and-
association-level
Clinicians may experience distress after being involved … The authors call for organizations to provide support for
clinicians involved in adverse events. … duration-second-victim-symptoms-aftermath-patient-safety-incident-and-association-level
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-10.html
October 01, 2013 - clinician-patient
Instrument:
Wrap-Around Observation Manual – Second Version
Purpose:
For families involved … resource/intervention (e.g., A.A, vocational rehab, Teammates) to the parent or asks if the parent is involved … “Yes” if the team mentions or asks if the parent is involved in resources/interventions. … “Yes” if the team asks about or mentions resources/interventions and the parent is already involved or
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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/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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psnet.ahrq.gov/node/42068/psn-pdf
April 09, 2013 - themselves as having increased compassion, humility, and tolerance for
uncertainty as a result of being involved … This
study illustrates the second victim phenomenon that affects many clinicians who are involved in … resident-uncertainty-clinical-decision-making-and-impact-patient-care-qualitative-study
https://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event … https://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event