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2881. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - Each facility had a unique history and culture with regard to warfarin care. … I think that patients on warfarin—whether it was cardiac, ortho, or whatever—I think we were just being … through the Palm Pilot, it would take close to an hour Advances in Patient Safety: Vol. 3 404 just

2882. Final Progress Report: Putting a Face on Hospital Medical Errors: Communication (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
      January 01, 2024 - Other information about demographics, knowledge, attitudes, beliefs, and previous experiences with the … However, receiving a letter seemed to instill greater trust in respondents when it was just a “close … Others described a disrespect based on ethnicity/culture.

2883. Trust and Patient-Centeredness Workgroup: Action Plan to Collect and Use Social Determinants of Health Data in Patient-Centered Clinical Decision Support (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-09/AHRQ%20Final%20TPC%20SDOH%20Action%20Plan.pdf
      January 01, 2024 - “Just thinking about the clinical guidelines that I teach and know for my work... … They just do it because it's part of what they have to do.” 17 The lack of closed-loop referral … Is it just data that you're going to put into this giant database? … systems can work with their EHR vendors to tailor standardized SDOH screening tools to include some custom … sociotechnical factors (e.g., personnel; workflow; communication; and organizational policies, procedures, and culture

2884. Arthritis and Nontraumatic Joint Disease (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/arthritis-horizon-scan-high-impact-13121.pdf
      December 05, 2013 - preliminary efficacy data in the target population are available) in the United States or that have just … from a tissue sample must be concentrated by centrifugation and/or expanded in vitro through the culture … the antibiotic doxycycline (which had been shipped in interstate commerce and was added to the cell culture

2885. Arthritis and Nontraumatic Joint Disease (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/arthritis-horizon-scan-high-impact-1306.pdf
      June 01, 2013 - preliminary efficacy data in the target population are available) in the United States or that have just … from a tissue sample must be concentrated by centrifugation and/or expanded in vitro through the culture … the antibiotic doxycycline (which had been shipped in interstate commerce and was added to the cell culture

2886. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
      August 01, 2010 - The Nurse Bedside Shift Report strategy is flexible and adaptable to each hospital’s environment and culture … nurses may be hesitant to disturb the patient, especially if the patient has been awake all night and just … Creating this new culture of bedside shift report for nurses was a process and a challenging one at … Culture change through patient engagement. Nursing 2010 Oct;40(10):50–2.

2887. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
      March 01, 2002 - More than 50 percent of the preventable adverse drug events in RMEES were associated with just 14 drugs … including reporters’ perceptions of the severity and extent of risk that the event poses, reporting culture … punishment, and liability concerns.49 Equally compelling is the notion that reporting could reflect the culture … This further supports the importance of local unit culture and individual attitudes in determining reporting

2888. Using Health IT: Eight Quality Improvement Stories (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/EightSuccessStories_092810.pdf
      September 01, 2010 - Success stories Final_Layout 1 9/28/10 11:45 AM Page 10 In addition, the team learned that changing the culture … growing recognition that the value of health IT comes from impacting clinical decisionmaking, not just … improving health care quality and safety, health care organizations have come to recognize that just … I just know from before, it’s a much less tedious process, more streamlined…the paper process … The Oklahoma City data exchange, one of the early operational networks in SMRTNET, has just begun to

2889. Quantifying Electronic Health Record Usability to Improve Clinical Workflow - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs021290-agha-final-report-2017.pdf
      January 01, 2017 - EHR is just one factor among many that influences workflow and perceived task load, other factors included … The resultant ecology, set of strategies and practice culture that has resulted from this situation … “ I mean it's- if it was just a paper note our life would be much easier. … But, yes, it just puts everything on your table.” … cognitive effort “I don't want to spend a lot of time reading a long comprehensive note when I can just

2890. Chapter-2 - Failure-To-Rescue (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
      March 01, 2020 - • Poor safety culture and hierarchies inherent in healthcare are barriers to successful implementation … positive perception of the RRT, suggesting that educational efforts, rather than time, drive lasting culture … response team in fear of the call being viewed “as an acknowledgment of inadequacy on their part.”10 Just … as a culture of clear communication and teamwork can help to facilitate successful RRT implementation

2891. How are CHIPRA Quality Demonstration States working to improve adolescent health care? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight03.html
      August 01, 2013 - We’re changing that culture and identifying and flagging. … all kinds of things when you get the [questionnaire] back that you wouldn't have seen or heard about just

2892. Presentation: Science of Improving Patient Safety and Identifying Defects
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
      December 01, 2017 - This requires a culture where frontline providers feel comfortable speaking up and have confidence their … Safety Assessment (PSSA) Four-question survey Completed by ALL staff members in the clinical area, not just

2893. Health Plan Patient Safety Initiatives | PSNet
      psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
      July 10, 2024 - Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting. … measures that allow you to look at all different aspects of data and the actual outcome, rather than just

2894. In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives | PSNet
      psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
      July 10, 2024 - measures that allow you to look at all different aspects of data and the actual outcome, rather than just … Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting.

2895. Pediatric Diagnostic Safety: State of the Science and Future Directions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
      September 01, 2023 - the Diagnostic Process and Missed Diagnostic Opportunities in Pediatric Care Settings We have only just … diagnostic uncertainty,134 ■ Teamwork and communication,135 ■ The clinical work environment and culture … Teamwork, team cognition, safety culture, communication, and patient/family-centeredness are some of … technologies, AI’s thoughtful implementation into complex clinical workflows must be carefully considered just … Patient Safety Culture, Health Information Technology Implementation, and Medical Office Problems That

2896. Final Progress Report: Evaluating the Impact of Simulated Team Training on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
      January 01, 2024 - Create a culture of safety by increasing vigilance and prevention of adverse events and outcomes through … Our center has just completed construction of a new dedicated virtual OR, such that we can continue

2897. Disposition of Comments Report for Childhood Obesity Prevention Programs: A Comparative Effectiveness Review and Meta-Analysis (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/obesity-child_disposition-comments.pdf
      June 10, 2013 - The SOE assessment includes all studies not just those included in the meta-analysis. … a mean, not a pooled estimate) just so the reader can get a sense for the effect size? … Perhaps it is just terminology, but I found it confusing. … used The analytic framework portrays relevant clinical concepts and the clinical logic underlying beliefs … It is not just stating the cost, it is cost-benefit and opportunity cost that we need.

2898. Delirium or Dementia? | PSNet
      psnet.ahrq.gov/web-mm/delirium-or-dementia
      September 27, 2023 - View More Related Resources WebM&M Cases I Just

2899. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees | PSNet
      psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
      February 22, 2017 - been given clear instructions on what to do in situations that feel extremely uncomfortable, if even just

2900. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60610/psn-pdf
      June 24, 2020 - Patients sometimes describe taking a “grand tour”17 of specialists including not just gastroenterologists