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2421. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
      July 01, 2022 - Learn not just about safety events (Safety-I thinking) but also “good catches” and situations when things … � Building a culture of safety. … Safety culture � Your organization demonstrates commitment to safety culture (e.g., by conducting … effort prompted a pivot toward a broader strategy of learning from every patient experience, not just … � Cultivate a safe reporting culture.

2422. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
      July 01, 2022 - Learn not just about safety events (Safety-I thinking) but also “good catches” and situations when things … � Building a culture of safety. … Safety culture � Your organization demonstrates commitment to safety culture (e.g., by conducting … effort prompted a pivot toward a broader strategy of learning from every patient experience, not just … � Cultivate a safe reporting culture.

2423. Appendix M. Master Risk Factor List with Final Bolded | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiapm.html
      April 01, 2018 - Culture Type Map to Procedure Types Appendix F. Algorithms Appendix G. … Y D Electronic 1 Y Y Previous Surgical Site Infection   N Y     1   just

2424. In Conversation with...Patrick Tighe about Artificial Intelligence | PSNet
      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.

2425. Themes from HCBS Expert Call Discussions (pdf file)
      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).

2426. Infectious Disease Including HIV/AIDS #09 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/infectious-disease-horizon-scan-high-impact-1412.pdf
      December 22, 2014 - preliminary efficacy data in the target population are available) in the United States or that have just … Agreement between Xpert and culture was 98.5%. Sensitivity of microscopy was 17.6%. … Costs for testing the 7,000 specimens, with 2.7% of specimen cultures positive for M. tuberculosis, … , and 30 days for solid culture. … Samples were analyzed by a combination of acid-fast smear, solid culture, liquid culture, and Xpert

2427. The Unfamiliar Catheter | PSNet
      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

2428. Disposition of Comments for Screening of Methicillin-Resistant Staphylococcus Aureus (MRSA) (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mrsa-screening-2010_disposition-comments.pdf
      January 01, 2010 - Not sure if this is just a problem with pdf conversion. … Results Results: I don’t think it is inappropriate to downgrade study findings on a transmission outcome just … wards was statistically less likely in patients that were screened using rapid methods compared to culture … In facilities found to have a high prevalence on initial sampling, a facility-wide culture survey is … In facilities found to have a high prevalence on initial sampling, a facility-wide culture survey is

2429. Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
      January 01, 2007 - observability” of the innovation, (3) “compatibility” of the change with the current organizational culture … and personal belief systems, (4) level of “simplicity” of the innovation, and (5) “trialability” of … patient outcomes significantly, these initiatives are often perceived in a negative manner as being just … procedure modifications and educational inservices, with minimal consideration for organizational culture

2430. Safety in Radiology | PSNet
      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

2431. Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable Maternal Healthcare Delivery and Outcomes (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/respectful-maternity-care-protocol.pdf
      September 16, 2022 - Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable … Project Title: Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture … From 2018 to 2019, just ahead of the COVID-19 pandemic, maternal mortality rates in the US increased … bundle framework28,29 by emphasizing teamwork and communication to improve patient safety and the culture … framework,41 including populations that may vary by geographic location or residence, race/ethnicity/culture

2432. Microsoft Word - PSI report-revised to AHRQ_031208_rev.doc (pdf file)
      hcup-us.ahrq.gov/reports/methods/2008_02.pdf
      January 01, 2008 - associations, suggesting that higher PSI rates sometimes may reflect greater attention to coding, not just … When many correlations are being analyzed, just by chance, a relationship may be statistically significant … of hospitals complying with JCAHO goal for hand hygiene 0 NS NS NS NS NS NS NS NS NS Institutional Culture … Just under half of the significant associations in this category are with obstetric trauma PSIs (PSI … responses regarding teamwork across units that were positive in Hospital Survey on Patient Safety Culture

2433. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49414/psn-pdf
      September 01, 2003 - However, post-operatively, the patient developed fevers, and blood cultures grew Actinomyces. … The astute physician will remember that expertise lies not just in manual dexterity, careful surgical

2434. Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-8.html
      July 01, 2019 - RN and RD usually have a full daily schedule, but for urgent needs, an MA or LVN can call them for a just-in-time … These appointments are scheduled before or just after a clinical visit, if possible.  … Return to Contents Quality Methodist Healthcare Ministries has focused on developing a culture of … currently receive individual reports, but Methodist Healthcare Ministries is working toward a provider culture … Methodist Healthcare Ministries has begun to build a culture of quality improvement among all staff,

2435. Disposition of Comments_Comparative Effectiveness Review No. 264_Social and Structural Determinants of Maternal Morbidy and Mortality: An Evidence Map (pdf file)
      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.

2436. Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction.pptx
      July 01, 2023 - Continually improve patient safety in women’s healthcare through multidisciplinary collaboration that drives culture … continually improve patient safety in women's healthcare through multidisciplinary collaboration that drives culture … Technical Elements Clinical knowledge Clinical expertise Evidence-based best practices Adaptive Elements Culture … The remaining modules will draw from and build on the case scenario that we just walked through in order

2437. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49581/psn-pdf
      March 21, 2009 - The policy mandating that all new medications be given within 4 hours of being ordered had just been … Environment Dynamics: If the organization functions in a hierarchical model of patient care, move toward a culture

2438. Appendix D. Hotline Site Visit Interview Protocol | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/appd.html
      May 01, 2016 - your own unit, what challenges did you face that were different from the tasks or challenges that you just … Think about things like the  culture, preferences, and current work styles and practices.  

2439. Appendix D. Hotline Site Visit Interview Protocol (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixd.pdf
      February 01, 2014 - your own unit, what challenges did you face that were different from the tasks or challenges that you just … Think about things like the culture, preferences, and current work styles and practices. 2.

2440. Development and Usability Testing of EPC Evidence Review Dissemination Summaries for Health Systems Decisionmakers (pdf file)
      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