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2641. Implementation of Health IT in Long-Term Care Settings (pdf file)
      digital.ahrq.gov/sites/default/files/docs/lesson/08-0087-ef-lt-care.pdf
      October 01, 2009 - As the authors stated, “Long-term care is just like the rest of health care, only more so. 19 While … She noted “in long-term care, the key people are not just the clinical staff and the administrators … providers, local resistance to “outsiders, ” limited access to technology and the Internet, and local beliefs …  Home remedies for wounds seemed to be deeply meshed in the local culture and were sometimes hard … LLESSONS LEARNED:NS L  When responsibilities are delegated to an entire team as opposed to just the

2642. Implementation of Health IT in Long-Term Care Settings: Findings from the Health IT Portfolio (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/08-0087-EF.pdf
      October 01, 2009 - As the authors stated, “Long-term care is just like the rest of health care, only more so.”19 While … “include people across the board across all areas and involve all participating specialties – not just … She noted “in long-term care, the key people are not just the clinical staff and the administrators … providers, local resistance to “outsiders,” limited access to technology and the Internet, and local beliefs …  Home remedies for wounds seemed to be deeply meshed in the local culture and were sometimes hard

2643. Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
      January 01, 2024 - If the RRS was just shifting the occurrence of some cardiac arrests from the floor to the ICU, the … effect of the RRS during multiple years, which could identify reduced mortality and/or morbidity related just … provides insight into ways the RRS can, over time, change the interaction among staff and the hospital culture … A survey of nurses' beliefs about the medical emergency team system in a canadian tertiary hospital.

2644. Final Progress Report: Caregiver innovations to reduce harm in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
      January 01, 2025 - participants associated with the NICU and Parent Advisory Council (PAC) to examine perceptions, attitudes, beliefs … These initial insights were just the beginning of many stories with issues that surfaced and influenced … Use of parent-centered safety culture tool (PCSCT) assessment. … Just as new parents were being identified, the COVID-19 epidemic put a stop to all activities. … The unit culture improved as well to include verbal report of UPEs in different forums.

2645. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49872/psn-pdf
      August 08, 2019 - Clinicians should use their judgment and just keep a high suspicion for the diagnosis in patients with … systems should facilitate more effective teamwork in the diagnostic process as well as establish a culture

2646. Electronic Err | PSNet
      psnet.ahrq.gov/web-mm/electronic-err
      April 01, 2014 - It makes just as much sense in the outpatient setting, and in our experience at the Palo Alto Medical … event, performing a hazard analysis, and developing prevention strategies) indicate that a healthy culture

2647. Project Context | Agency for Healthcare Research and Quality
      www.ahrq.gov/data/apcd/envscan/context.html
      June 01, 2017 - These may include, for example, provider culture and supply, payer mix, regulation, and competitiveness … Collecting data from all payers includes all patients, and care is captured not just in the inpatient

2648. AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety | PSNet
      psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
      August 31, 2020 - in the use of PPE and infection control principles and practices, and a supportive workplace safety culture … the use of health IT to improve safety for both patients and providers, and strengthening the safety culture … Lastly, the field is just beginning to understand the burden for patients with prolonged symptoms related … weaknesses so that all critical components of the system will be better prepared for the future, not just

2649. The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
      March 03, 2008 - We chose just a few initial organization-wide adoption targets for our program to keep the organization … physicians were given the full financial reward ($500, $1,250, or $2,500 depending upon their wRVU tier) just … communications, (3) integrity r on 27 ut appropriate attention to our soil” (our organizational culture … Other components of that strategic planning included safety culture surveys, quality and safety leadership

2650. Final Progress Report: SAFER: Standardizing Admissions for Elderly residents (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
      January 01, 2024 - inquiry method •Provide technical assistance to nursing facilities regarding AHRQ Patient Safety Culture … (%) readmissions •nfection rate •Error rate •Score on handoffs/ transitions on AHRQ Patient Safety Culture … to nursing facilities to pilot their first trial of the AHRQ Nursing Home Survey on Patient Safety Culture … a forum for sharing implementation strategies; a venue for sharing tools and forms; and pertinent, just-in-time … Many acknowledged challenges in finding the common ground among unique workplace cultures and practices

2651. 3. Defining Categorization Needs for Race and Ethnicity Data | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3.html
      May 01, 2018 - Coverage and Quality in Cancer Registries The American Indian or Alaska Native population makes up just … aggregation of data on cancer incidence, an especially important task because unique circumstances of culture … Categorizing Diverse Populations A wide range of cultures, languages, and health-related behaviors

2652. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
      January 01, 2025 - The units were started at staggered times, and the pilot is just now ending, with the final few reports … survey addressing healthcare workers’ attitudes toward 1) medical errors in general, 2) the medical culture … Results Key Findings: Surveys are just beginning to be analyzed.

2653. Module-6-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
      June 02, 2025 - Care coordination requires an effective system and team—not just hiring a capable person. 4) Why … • Inclusive of all CR-eligible patients in your catchment area—not just … Others think of CR as just an exercise they can do on their own. … Or you can just select one or several of the listed areas where you know improvements are needed and

2654. Preventable Rash | PSNet
      psnet.ahrq.gov/web-mm/preventable-rash
      October 01, 2012 - Just as important, given a potentially transmissible disease, the case provides an opportunity to examine … system that flags a positive lab result (eg, a high titer syphilis serology, or a positive gonococcal culture

2655. Tracking Patient Outcomes | The Academy
      integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/monitor-patient-and-program-progress/tracking-patient-outcomes
      February 01, 2024 - They may just need changes to their treatment plan. … Started Understanding the Components of MAT Addressing Organizational Readiness and Culture

2656. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.pdf
      March 13, 2013 - This means telling patients’ stories, not just sharing statistics, when discussing successes and failures … clinicians and staff.(12) By sharing quality and safety data about the organization, leaders help create a culture … and support clinicians and hospital staff in patient and family engagement initiatives Creating a culture

2657. Too Tight Control | PSNet
      psnet.ahrq.gov/web-mm/too-tight-control
      March 20, 2013 - phagocytosis [3,4]), it is tempting to extrapolate that tight control will benefit medical, and not just … June 2, 2019 Evaluation of the culture of safety: survey of clinicians and managers in

2658. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability | PSNet
      psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
      May 27, 2020 - Transport continued, but just prior to reaching the OR, bradycardia recurred, with accompanying loss … May 18, 2022 Effect of a multispecialty faculty handoff initiative on safety culture

2659. Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
      January 01, 2023 - Workplace culture and human resource availability are common barriers to best practices. … Improving Patient Safety: Equipment and Resource Preparation (1) • Procedural sedation requires not just … • Numerous barriers to reporting exist including fear of consequences, a culture of blame, perception … errors in a user-friendly and non-punitive manner are needed, as are clear reporting guidelines and cultures … The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors

2660. Improving Customer Service and Access in a Surgical Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/Case_Study_Specialty_Practice_Updated.pdf
      October 01, 2011 - • Gave Holiday bonuses to all specialty practice staff, not just those affiliated with the department … to query the medical center operations systems and seek out the data; the practice did not have a culture … The culture of the specialty practice and of the hospital as it relates to outpatient practices did … Managed Care 101 for general staff Front office staff who just passed the assessment examination; … and higher than the FPG average of 92. 45 STEP 6: MONITOR IMPROVEMENTS FOR SUSTAINABILITY Just