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Showing results for "issues".

3401. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
      February 01, 2024 - Improving the Safety of Diagnosis and Therapy in the Inpatient Setting Principal Investigators: Anuj K. Dalal, M.D., and David Bates, M.D., MSc., Brigham & Women’s Hospital, Boston, MA AHRQ Grant No.: HS26613 Project Period:  09/01/18-06/30/22 Description: The overall goal of this learning lab was to i…

3402. Presentation: Building Your SSI Prevention Bundle
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
      December 01, 2017 - morbidity observed versus expected ratios for colectomy procedures from NSQIP in 2009. 10 Safety Issues

3403. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/primary-care-research/results.html
      January 01, 2024 - Health/Substance Abuse and Primary Care in 2008. 81 This report identified that behavioral health issues … the research team about adoptability and sustainability of electronic standing orders, EHR technical issues … The USPSTF issues practice recommendations on clinical preventive services, based on systematic evidence

3404. Improving Patient Safety with the Military Electronic Health Record (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
      January 24, 2004 - access a patient’s prescription history using CHCS to better identify and prevent drug interaction issues … The system automatically issues distinct displays of test results or abnormalities to providers. … Order entry in a computer-based system eliminates legibility issues, while reducing duplication of … , and assess productivity and workflow issues. … The Deployment Operations Center further ensures prompt resolution of implementation issues and directs

3405. Making a Case for Organizational Change in Patient Safety Initiatives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
      January 01, 2003 - This paper discusses critical issues in effective change management, drawing attention to the unintended … It includes pointers from organizational change literature on critical issues in managing change, such … authors’ observations of 40 hospitals in southwestern Pennsylvania, to highlight change management issues … Patient safety through the looking glass of organizational change To discuss the organizational issues … Often this group has insufficient authority to tackle issues that cut across departmental boundaries

3406. Department of Veterans Affairs Emergency Airway Management Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
      February 23, 2008 - As a result of root cause analyses on issues encountered in airway management responses, the VA gathered … VA national policy, how it was implemented, support from national societies’ position papers, and issues … The Department of Veterans Affairs addressed these issues by rolling out a national initiative requiring … Thus, a nursing home facility without acute care issues might meet that standard by having personnel … We felt there were three key issues to consider in terms of who should be trained: 4 1.

3407. Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti.pdf
      January 01, 2019 - Communication About Mistakes Staff in this pharmacy discuss mistakes (B8) When patient safety issues … When patient safety issues occur in this pharmacy, staff discuss them.

3408. Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
      January 01, 2024 - ABSTRACT Purpose: Patient safety issues … Fundamentally, issues of definition and classification remain.

3409. Final Progress Report: Using an Electronic Health Record to Examine Nurse Continuity and Pressure Ulcers (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/stifter-report.pdf
      January 01, 2024 - Retrieved from: http://www.kaiseredu.org/Issues-Modules 2. U.S. … Shift work and its impact upon nurse performance: Current knowledge and research issues.

3410. Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
      January 01, 2024 - Others worried that, if asked about problems, patients would focus on trivial issues that would distract … How willing are patients to question healthcare staff on issues related to the quality and safety of

3411. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
      January 01, 2024 - That is, increased opportunities for pharmacy staff engagement with patients around medication safety issues … also being shorter in duration, covering a greater number of topics per encounter, and focusing on issues

3412. A Toolkit to Engage High-Risk Patients in Safe Transitions: Final Report (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
      November 01, 2017 - trained. 13 8 Staffing & Time Any mention of staffing or time limitations 29 9 Sustainability Issues … Online J Issues Nurs 2015 September:20(3). DOI: 10.3912/ OJIN.Vol20No03Man01 5.

3413. A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_toolkit.pdf
      December 01, 2017 - staff trained. 13 8 Staffing & Time Any mention of staffing or time limitations 29 9 Sustainability Issues … Online J Issues Nurs 2015 September:20(3). DOI: 10.3912/ OJIN.Vol20No03Man01 5.

3414. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
      December 01, 2014 - The facilitator helps with implementation issues. … facilitator will help the team during the next 3 months to train staff and to problem solve implementation issues … months, the facilitator’s role is to check in to identify obstacles that could occur and to troubleshoot issues … as needed, such as turnover of key staff, computer glitches, and implementation issues.

3415. Appendix A. Checklists for Assessing Executive and Physician Champion Potential | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-a.html
      October 01, 2015 - . __ Stays current on issues in patient safety, quality improvement, and risk-management through variety … administration. __ Easy to talk to or deal with, welcomes contact by others, makes time to attend to their issues … creating a mutual understanding of the needs of all parties, and facilitating a win-win solution to issues … others. __ Easy to talk to or deal with, welcomes contact by others, makes time to attend to their issues

3416. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
      August 24, 2015 - CANDOR Resolution: The actions associated with addressing the needs or issues of patients, families, … overall process can lead to a financial settlement, but might not always lead to resolution of all issues … important to recognize the importance of disclosure and resolution in addressing unresolved needs or issues … The malpractice climate is different in each State, so organizations should be knowledgeable of the issues

3417. Implementation-Guide-Appendix-A (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-a.docx
      January 01, 2008 - results · Spoken of in a positive, respectful manner by medical and hospital staff · Stays current on issues … administration · Easy to talk to or deal with, welcomes contact by others, makes time to attend to their issues … creating a mutual understanding of the needs of all parties, and facilitating a win-win solution to issues … for others · Easy to talk to or deal with, welcomes contact by others, makes time to attend to their issues

3418. Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/guide.html
      March 01, 2017 - team, focuses on the input of frontline staff, discusses the importance of a common goal, identifies issues … It builds the capacity to address safety issues by combining clinical best practices and the science … , it can provide data transparency throughout the facility and opportunities to troubleshoot if any issues … Assess what is currently working by reviewing cases of resident safety issues (e.g., CAUTI) each month

3419. Project Report - Lean Sigma (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
      January 01, 2012 - senior executive regularly attends safety meetings on my unit, and can identify the top three safety issues … safety team is currently working on: Very rarely attends and is out of touch with our unit safety issues … Intermittently attends, and is somewhat aware of our unit safety issues Attends whenever possible, … and is aware of our unit’s top three safety issues   3) By ensuring that your senior executive is

3420. Module 1- Component Kit (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
      May 01, 2017 - a scan of cases scheduled for the current day to anticipate any special needs or anticipated safety issues … fall into four rough groupings: (1) conformance with established protocols and procedures; (2) simple issues … that have an obvious “just fix it” solution; (3) issues that are symptomatic of a problem that is not … “Symptomatic” issues typically lead to a root cause analysis followed by small-scale testing of solutions