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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - In some cases, just taking that second look at a problem with this set of AI-fueled lenses leads us to … First, we have a patient who is hypotensive, tachycardic with fever, and positive blood cultures immediately … It really humbled us and made us realize that just being able to predict an outcome is not the same as … It’s a really exciting opportunity to not just keep an eye on the patient, but quantify certain aspects … It’s not just what we did, it’s the how we care for somebody.
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psnet.ahrq.gov/node/49828/psn-pdf
May 01, 2018 - Although a variety of approaches might be effective depending on local
practice culture and EHR capabilities … However, patients desire more than just access to test results—they also want to know their
clinicians … Improving test result follow-up through electronic health records requires more than
just an alert.
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psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - can tailor components to align with
their organizational needs, priorities, available resources, and culture … root-cause-analysis
https://psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name … https://psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name
https
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - We’ve seen setbacks in safety culture scores, engagement, and feeling valued, as well as attrition from … It’s about ensuring that the work environment, cultures of safety and equity, safety systems, competencies … The first foundational area is culture, leadership, and governance—ensuring that there is a core value … support and reflect healthcare workers’ workflow, and the conditions in which they work, and people are just … and items related to workplace culture of safety .
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - many healthcare workers noted an overall downward shift in the results of surveys of patient safety culture … and items related to workplace culture of safety . … It’s about ensuring that the work environment, cultures of safety and equity, safety systems, competencies … The first foundational area is culture, leadership, and governance—ensuring that there is a core value … support and reflect healthcare workers’ workflow, and the conditions in which they work, and people are just
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
January 01, 2003 - detailing
messages and ensures the messages are consistent with the physicians’ values,
attitudes, and beliefs … initiatives like hypertension control … and we’re
treating 85-year-olds with drugs that will knock them out just … One respondent said, “You probably haven’t seen a patient in
a while and you just automatically refill … guidelines and other decision support tools, establishing common
monitoring practices, and changing the culture … magnitude of medical errors.11–13 One explanation for this difference is that we
framed the issues not just
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psnet.ahrq.gov/node/846975/psn-pdf
March 28, 2023 - Can you please tell us just a little bit about yourself and your current
role? … Celebrities have spoken about it, and
the culture of social media has normalized talking about mental … I experienced a perinatal mental health condition myself, and I remember thinking that I must just not
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integrationacademy.ahrq.gov/products/topic-briefs/community-engagement-for-whole-person-care
February 01, 2025 - of allied health services, it is difficult to translate American medicine to people from different cultural … backgrounds. … The Foundation also supported a flexible funding account to help with just-in-time needs, such as transportation … Results Over 3,000 newborns and children have access to this program, with the ECSS interacting with just
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/healthteamworks.pdf
August 01, 2014 - relationship building, complex adaptive change
(adapting to multiple changes occurring at the same time), and culture … management and relationship-building skills needed to successfully
facilitate transformation to a culture … “[Coaching] is not something [that
just] anyone can do. … relationship building, complex
adaptive change (adapting to multiple changes occurring at the same time), and culture … buy-in to an idea or process, and motivating people to achieve practice transformation goals are
just
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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - Essentially we're imaging the chest three or four times, when we used to just image it once. … The brain perfusion scan had just become a common study type, even for patients who should not have had … One is the effect that you see right away, and it means the doses are just really high so you see the … We just received a Patient Centered Outcomes Research Institute grant focused on this topic, and our … August 22, 2018
Improving patient safety: effects of a safety program on performance and culture
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - Grantees
who sought to improve communication learned that the beliefs, preferences, and behaviors of … Observations
As a group, these grantees learned that the beliefs, preferences, and behaviors of physicians … The grantee identified numerous barriers to adoption (e.g., the belief that new patient
materials would … to implement an intervention process that promotes professional self-governance, fosters a fair
and just … One barrier identified by the survey is the belief, on the part of
patients (38%) and clinicians (51%
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www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
May 01, 2016 - Grantees
who sought to improve communication learned that the beliefs, preferences, and behaviors of … Observations
As a group, these grantees learned that the beliefs, preferences, and behaviors of physicians … The grantee identified numerous barriers to adoption (e.g., the belief that new patient
materials would … to implement an intervention process that promotes professional self-governance, fosters a fair
and just … One barrier identified by the survey is the belief, on the part of
patients (38%) and clinicians (51%
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - A simulation-based "just in time" and "just in place" central venous catheter education program. … Patient Safety
March 27, 2024
WebM&M Cases
Culture
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1B_Details_of_Expert_Panel_Calls.pdf
January 01, 2012 - It is hard enough to train staff just to support ADLs. … These included:
These indicators represent just a small part of the health and well-being for HCBS … support person was present, would the patient never end up in the
hospital for the QI event, or would it just … Use of restraint in the emergency department varies according to practice characteristics
and local culture … (Cultures are rarely performed).
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/procalcitonin-future_research.pdf
August 01, 2014 - Legal mandates or clinical
culture may impede randomization to new
interventions or supersede trial … This is just ripe for
clinical study because we have
two markers that can be
correlated for supporting … EDs where differences in medical culture, regulation and
practice exist. … This is just ‘ripe’ for clinical study because we have two markers
that can be correlated for … Just started.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-264-maternal-morbidity-mortality-disposition-comments.pdf
December 21, 2023 - The populations of interest
were people during
pregnancy and people at the
time just prior to, during … That is just one example. Many
missing for Hispanic/Latinos too. … Most women with postpartum does not always
get treated or bc of belief s do not go forth with treatment … Bias I would
say is higher now then what it was just watch the news its terrible. Reference? … Its important to me and I take it just as ser6 as you do .
Thank you for the comment.
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www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
January 01, 2024 - Our primary clinician outcome of interest was safety, specifically
actions consistent with a safety culture … safety scores, with registered nurses reporting higher use of behaviors consistent with a safety
culture … In a linear regression model examining factors associated with actions consistent with a safety
culture … infusion floor caring
for their patients:
“I know that [prescribers are] very busy…But if they would just … that in
their note…their progress note has not been typed up yet, or some of the progress notes
are just
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - to teach faculty supervisors the I-PASS Method and to do assessment observations;
A process- and culture-change … Because handoff processes become entrenched in institutional culture, efforts to improve them require … more than just training, assessment, and feedback.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-usability-testing.pdf
November 01, 2018 - I don’t know if
I just had a bad day. … Maybe
there was just too many sub-bullets to them or
something, but they just really lacked clarity … I just looked at
it and moved on.” … documentation) and metabolic
monitoring over time
Low
Program to improve organizational
climate and culture … satisfaction and patient
mental health symptoms
Low
Program to improve organizational climate
and culture
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psnet.ahrq.gov/primer/measurement-patient-safety
September 15, 2024 - May 31, 2023
The barriers and enhancers to trust in a just culture in hospital