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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/index.html
June 01, 2023 - Section 2: Explanation of Mutual Support Key Concepts and Tools
This section contains explanations and illustrations to help you better understand and appreciate the importance of TeamSTEPPS mutual support concepts and tools. If you teach this content or want additional insights into how the material can be mor…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-5-table-2.pdf
May 01, 2010 - CHIPRA 241: Section 5, Table 2
Table 2: Evidence for Communication of Weight Classification of Children Who Are Overweight or Obese
Type of Evidence
Key Findings
Level of
Evidence
(USPSTF
Ranking*)
Citations
Expert
recommendation
In 2007, the AAP, AMA, and CDC collaborated
to form an expert c…
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab5-1.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
Table 5.1. Intervention Steps and Implementation Tools
Previous Page Next Page
Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening Tests
Executive Summary
1. Introduction
2. Description of the Interve…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
June 01, 2023 - diagnostic
momentum, anchoring bias, and early closure can result from poor handoff communication, lack … of shared
mental models, and lack of shared understanding between handoff senders and receivers. … High patient complexity AI/ML prediction tools
Diagnostic uncertainty Patient and family involvement
Lack … of structured handoffs Standardized communication tools
Lack of family engagement Explicitly mentioning … of shared mental model Standardized communication tools
Lack of structured handoffs Patient and family
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/rittenhouse.html
October 01, 2015 - challenge of balancing comprehensive care management with maintaining access to services for new patients, lack
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www.ahrq.gov/hai/cusp/toolkit/shadowing.html
December 01, 2012 - Were there obstacles that prevented effective handling of the situation (e.g., lack of staff, equipment
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - Physician Worklife :
Limited Time
Attend at Several Hospitals
Not Hospital Employees
Not Aware of Projects
Lack … Resources and Data/outcomes
Connect with Early Adopters
Craft a Communication plan
Physician Champion Lack … champions
Leverage CDC CAUTI Expert videos
Provide scripts as needed
Individual Physicians : Non-Surgeons Lack
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-rabson.pdf
January 01, 2017 - Broad collection of patient comments requires electronic
survey modes, but there are barriers:
Lack
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html
December 01, 2017 - Insecure toilet seat or handrail
Hard-to-reach personal items
Unstable wheels
Low toilet seat
Lack
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/newman-toker-summit2016.pdf
September 28, 2016 - Barriers include lack of chief complaint reporting,
problem-oriented records, routine follow-up
3.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - Common errors when administering it are typically dose related and
sometimes involve a lack of timely … Hospital management noticed that this lack of
consistency led to a lack of communication, which in turn … and near-misses (events that did not produce patient injury) revealed that 60 percent
were due to lack … poor
communication is no longer a root cause; in fact, near-misses and adverse events attributed to
lack
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - Competing priorities and distractions, as well as a
lack of leadership support from physicians were … Through this
direct contact, we were able to identify barriers to data collection, such as a lack of … of understanding how to upload the data to the
online Web portal, and lack of access to raw survey … Interview respondents recited
examples that reinforced the lack of anonymity in a small work group. … One pattern from a few sites was indicative of a lack of engagement.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-intro.html
November 01, 2014 - We found that the majority of studies about Lean lack data on key areas and domains important for understanding … This lack of research warrants additional investigation of the implementation of and outcomes related … Currently, most health care organizations lack this expertise in-house, so typically they are in the … in organizations), and b) understand the relationship among these levels. 5 , 10–12 For example, a lack
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
January 01, 2004 - The initial findings
revealed a lack of standardization of patient flow and process for ambulatory … Following the investigation of the initial event, the regulatory compliance
department cited a lack … This lack of communication often resulted
in postponing or canceling procedures, based upon the lack
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
June 01, 2015 - Lack of capital funding. … Lack of urgency among staff. … Systems that currently lack such resources must expend significant human capital or
create elaborate … Some, but not all sites, are also challenged by lack of
experience with financial controls and lack … Examples of limitations range from lack of capital funding for electronic data systems to
lack of resources
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www.ahrq.gov/patient-safety/reports/engage/faq.html
April 01, 2018 - Time in primary care, or the lack of it, is a major barrier to improvement activities. … Lack of time seems to be a perpetual issue in primary care. Consider starting small.
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-6.html
November 01, 2017 - represented in these surveys and tools, nearly all of the PHDS items were newly developed due to a lack … Lack of more reliable, valid, or efficient way to measure the topic.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
March 01, 2004 - Paper forms had the advantage of
being easy to store in health care institutions that lack a large number … content
An examination of the literature on elements common to existing reporting
systems revealed a lack … Given the lack of consensus in the
literature concerning response format, the advisory board recommended … The lack of consensus about contributing factors played a part in the richest
experience of the present
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - are primarily related to deficiencies in nontechnical
(cognitive and social) skills, rather than a lack … changes in the clinical situation (n = 5), having to assist directly
with patient care (n = 3), and lack … Those who found difficulty or were unable to use the ANTS
System reported lack of opportunity as the … Another reason was
lack of time to use the system.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
June 04, 2008 - One example is the lack of clinical data on how the pediatric population responds to
treatment with … adults, but once a device is cleared for marketing, it might also be used on
children because of the lack … Common barriers to reporting include:
• A lack of awareness by clinicians of the need to identify … • A lack of feedback from the FDA.