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1121. Primary Care Practice Facilitation Curriculum Module 27: Helping Practices Optimize EHRs for Patient-Centered Medical Home Transformation and Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-27-ehr-and-pcmh.pdf
      January 15, 2025 - Just as daily practice huddles are a good way to plan for patient care, huddling with others who support … Clinical decision support (CDS) Clinical decision support: More than just alerts. … The person at the front desk just types away, pushing things to me over the countertop. … Clinical decision support: More than just alerts. Tipsheet.

1122. Documentation and Coding for Patient Safety Indicators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
      March 15, 2016 - Expert Coding Coders should be encouraged and empowered to focus on the quality of coding, not just … successfully used a variety of structures for their CDI program, depending on their specific needs and cultures … X PDI 10 Postoperative Sepsis X Negative or inconclusive blood cultures do not preclude a diagnosis … PSI 13 Postoperative Sepsis X Negative or inconclusive blood cultures do not preclude a diagnosis of

1123. Usability Testing and the Relation of Clinical Information Systems to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
      January 01, 2003 - Lab just called me… Mr. X’s Creatinine is 2.6, how much digoxin has he gotten?” … A program patch had been installed to eliminate unexpected side effects, just prior to the time the

1124. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
      July 01, 2018 - If you have no team members meeting these descriptions, just fill in as not applicable (N/A). … Why can’t we just move on to something else rather than spend time on something we have already "fixed

1125. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appa.html
      July 01, 2018 - If you have no team members meeting these descriptions, just fill in as not applicable (N/A). … Why can’t we just move on to something else rather than spend time on something we have already "fixed

1126. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiic.html
      June 01, 2010 - health nonclinical topics include immunization assessment, telehealth utilization, and organizational culture … May 2000 States Currently Using: Unknown Psychometric Testing: Measures not fully developed, just

1127. Diagnostic Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/diagnostic-safety-issue-brief-test-result-communication.pdf
      July 01, 2024 - (e.g., pharmacists,101 social workers,102,103 informatics professionals104) on their attitudes and beliefs … Both groups shared a belief that delayed release might be beneficial to certain patients and in certain … But we just can’t manage that by workflow. … that their organizations implemented the Cures Act with little guidance for clinicians despite the “culture … you have different communities that have vastly different demographics… social constructs, different cultures

1128. Improving Healthcare Safety by Enhancing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
      April 30, 2025 - [Grant] Preventing Medication Errors Due to Unsafe Electronic Prescription Transactions With Just-in-Time … culture in need of improvement, raise awareness of safety culture, evaluate the effectiveness of patient … educational and technical resources needed to understand and execute the practices that support reporting, just … , flexible, and learning cultures. … Participating in a learning network that required all participants to implement Nephrotoxic Injury Negated by Just

1129. Prenatal Care Screening (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-170-fullreport.pdf
      April 01, 2016 - bacteriuria has been linked to a greater risk for pyelonephritis and for low birth weight (< 2500 g); urine culture … diabetes diagnosed both prior to and during pregnancy), was reported at a rate of 42.3 per 1,000 women, (just … Screening for Asymptomatic Bacteriuria Pregnant women should have a urine culture to screen for asymptomatic … their feedback, the test site indicated that maternal serum alpha-fetoprotein (MSAFP) screening, urine culture

1130. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
      January 01, 2025 - recognized center for research in diagnosis error by developing team, infrastructure, experience, and culture … recognized center for research in diagnosis error by developing the team, infrastructure, experience, and culture … the ED to defer the test (meaning a wait of perhaps several months in the clinic), or would a more “just-in-time

1131. Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
      June 02, 2025 - – Usually occurs just superior to the internal stoma site on the anterior tracheal wall. … ■ Suprastomal collapse – Pressure on tracheal cartilage just superior to the stoma may cause chondritis … ■ Send swab for culture and treat with appropriate topical or systemic antibiotics. … ■ Obtain stool sample for culture. ■ Ask dietician to review feed and rate.

1132. Final Progress Report: Society for Pediatric Sedation Consensus Meeting: Great Expectations— Defining Quality in Pediatric Sedation (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/connors-report.pdf
      January 01, 2025 - In today’s 8 environment, true “effectiveness” requires more than just accomplishing the procedure … continue to limit children’s access to pediatric emergency and subspecialty care.21,22 Race, ethnicity, culture … children experience disparities in their procedural sedation care based on their race, ethnicity, or culture … procedural sedation, or a regimen with a different level of efficacy/safety for the same procedure, just

1133. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
      January 01, 2004 - errors in the dataset generated from the Web-based system had been placed in the “other” category, and just … within the medical center community and advanced the hospital’s movement toward patient safety-driven culture … Description and outcomes of a custom Web-based patient occurrence reporting system developed for Baylor … Going paperless with custom-built Web- based patient occurrence reporting.

1134. Final Progress Report: Medication Reconciliation: A Team Approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
      January 01, 2024 - The beliefs and attitudes of patients and their caregivers are influenced by their environments (i.e … institutional relationships (patients who receive their care from a particular clinic or hospital), just … and consolidating existing work, and recognizing the impact of team dynamics and organizational culture

1135. Final Progress Report: Understanding the implementation of new practices in healthcare organizations (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/nembhard-report.pdf
      January 01, 2024 - How would you characterize the organizational culture, the way people interact, what it feels like to … To assess our belief that these practices separate into two groups (role versus time changing), based … RE)  Invited and appreciated staff feedback (RE)  Created learning opportunities (ST)  Increased belief … ability of implementation leaders’ strategies/processes to serve as a challenge management strategy, not just … )  Data (e.g., performance data)  External environment (e.g., national attention) Belief about risk

1136. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
      January 01, 2024 - HRO case studies, including a few healthcare organizations,3 suggest that a robust safety culture enables … More tangibly, safety culture can be seen ‘coming to life’ in HROs through specific behavioral processes … Surgical Neonates Are Not Just Little Children. … Organizational error management culture and its impact on performance: a two-study replication. … The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in

1137. Chartbook on Person- and Family-Centered Care: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pcc-slides.html
      June 01, 2018 - Note: Person-centered care means defining success not just by the resolution of clinical symptoms but

1138. Highlight03 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight03.pdf
      September 08, 2015 - We’re changing that culture and identifying and flagging. … kinds of things when you get the [questionnaire] back that you wouldn’t have seen or heard about just

1139. Opportunities for Integrating MOC Part IV Requirements into PBRN Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/MOC-PIV-Field-Guide.pdf
      June 01, 2015 - benefits that may accrue if requirements for individuals can be integrated into the quality improvement culture … improvement and the importance of pursuing meaningful synergism of these activities within a broader culture … learning opportunities for improving the QI skills and competencies of individual physicians, not just … descriptions of how the sponsoring organization will improve QI knowledge and skills of the physician, not just … remember the requirement to document meaningful physician engagement in each phase of the activity, not just

1140. Chapter 3: Defining Categorization Needs for Race and Ethnicity Data (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3b.html
      May 01, 2018 - available for clinical decisions patient preferences such as language, religion, spiritual practices, and culture … were received in all data released and published by the Bureau. 21 All possible combinations of just