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pbrn.ahrq.gov/healthsystemsresearch/hspc-research-study/overlap-and-coordination.html
June 01, 2020 - All of our agencies are big. … For example, NIA and PCORI co-manage the big initiative on falls and NIA has done a number of planned … really thinking about, you know, what are the different strengths . . . as we look at that long list … One of the obvious one is it’s a big department, and so there’s lots of activity happening every day. … And being able to track all that is always a challenge in a big organization.
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pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/overlap-and-coordination.html
June 01, 2020 - All of our agencies are big. … For example, NIA and PCORI co-manage the big initiative on falls and NIA has done a number of planned … really thinking about, you know, what are the different strengths . . . as we look at that long list … One of the obvious one is it’s a big department, and so there’s lots of activity happening every day. … And being able to track all that is always a challenge in a big organization.
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psnet.ahrq.gov/issue/no-pay-never-event-errors-becoming-standard
June 23, 2010 - November 9, 2011
CMS seeks to add 9 hospital-acquired conditions to no-pay list. … January 21, 2009
Small patients, big consequences in medical errors. … June 4, 2008
COVID-19 dominates annual list of patient safety concerns. … 2024
Health tech hazards: at-home medical devices, AI governance on ECRI's new list … The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big
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psnet.ahrq.gov/issue/electronic-detection-delayed-test-result-follow-patients-hypothyroidism
September 27, 2017 - Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big … November 29, 2017
Computerized triggers of big data to detect delays in follow-up of … April 12, 2023
Problem list completeness in electronic health records: a multi-site study … Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20110511/talkingquality-audience-webcast-20110511-transcript.pdf
May 24, 2011 - If you subscribe to the TalkingQuality list, which you can do by clicking at that little red envelope … So that was their big challenge. … It
was a big part of this. … The second big point here is because there's a change in health status. … That's
what the big difference was.
-
www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/TalkingQuality_Audience_Webcast_2011_05_11_Transcript.pdf
January 01, 2011 - If you subscribe to the TalkingQuality list, which you can do by clicking at that little red envelope … So that was their big challenge. … It
was a big part of this. … The second big point here is because there's a change in health status. … That's
what the big difference was.
-
digital.ahrq.gov/sites/default/files/docs/page/10152008%20TEP%20SFQD%20Middleton%20CDSC%20Abridged_508.pdf
November 19, 2008 - months)
< 0.00111/46 (23.9%)21/339 (6.2%)Smoking status documented in health
maintenance or problem list … capture of
structured data
• Positive changes in clinician behavior
• May impact on clinical inertia
• Big
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psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room
March 27, 2013 - Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big … October 5, 2016
Computerized triggers of big data to detect delays in follow-up of chest
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psnet.ahrq.gov/issue/use-only-directed-isnt-easy
October 07, 2015 - February 4, 2009
For patients, a list of hospital hazards. … March 22, 2006
Small patients, big consequences in medical errors. … March 14, 2018
The other big drug problem: older people taking too many pills.
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psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical
November 16, 2022 - October 12, 2022
Serious misdiagnosis-related harms in malpractice claims: the "Big Three … for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big … September 1, 2021
"It's a big part of being good surgeons": surgical trainees' perceptions
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-0
May 09, 2018 - December 1, 2021
Home medical device safety tops ECRI'S list of healthcare technology … April 11, 2018
Diagnostic performance dashboards: tracking diagnostic errors using big … a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
January 01, 2023 - superiors for help
because … in the past, nothing
has been done regarding
issues until something big … Reporting
54
“We [can’t] report [issues]
because of feared retaliation
and upper management are
super big … Improving Patient Safety Resource Lists
Improving Workplace Safety in Nursing Homes:
A Resource List … While this resource list is not exhaustive,
it is designed t o give initial guidance to nursing homes … How To Use This Resource List
Resources are listed in alphabetical order, organized by the Surveys
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
January 01, 2023 - superiors for help
because … in the past, nothing
has been done regarding
issues until something big … Reporting
54
“We [can’t] report [issues]
because of feared retaliation
and upper management are
super big … Improving Patient Safety Resource Lists
Improving Workplace Safety in Nursing Homes:
A Resource List … While this resource list is not exhaustive,
it is designed t o give initial guidance to nursing homes … How To Use This Resource List
Resources are listed in alphabetical order, organized by the Surveys
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
January 01, 2023 - superiors for help
because … in the past, nothing
has been done regarding
issues until something big … Reporting
54
“We [can’t] report [issues]
because of feared retaliation
and upper management are
super big … Improving Patient Safety Resource Lists
Improving Workplace Safety in Nursing Homes:
A Resource List … While this resource list is not exhaustive,
it is designed t o give initial guidance to nursing homes … How To Use This Resource List
Resources are listed in alphabetical order, organized by the Surveys
-
www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_denver_health.pdf
April 01, 2019 - Denver Health’s culture of learning encourages staff to speak up and offer ideas both big and
small. … These
whiteboards list everything that’s being tracked at that clinic—from numbers of patients seen … Both committees reinforce the health system’s recognition that improvements
can happen in big and small
-
psnet.ahrq.gov/issue/remote-video-auditing-real-time-feedback-academic-surgical-suite-improves-safety-and
August 04, 2021 - March 1, 2017
Indication alerts to improve problem list documentation. … for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big … November 15, 2017
Serious misdiagnosis-related harms in malpractice claims: the "Big … September 21, 2016
Diagnostic performance dashboards: tracking diagnostic errors using big
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/psychological-safety.pdf
October 14, 2018 - You just saved me from a big blunder.”
• “I’m not sure we’re following the protocol correctly. … rows in each column
Summary Skipped Tables must have a summary
Lists
Rule Name Status Description
List
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healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
July 01, 2023 - characteristics include maintaining a positive outlook, emphasizing dedication to project aims, focusing on the "big … characteristics include maintaining a positive outlook, emphasizing dedication to project aims, focusing on the "big … characteristics include maintaining a positive outlook, emphasizing dedication to project aims, focusing on the "big … A red arrow points to the right, to a circle captioned "Processes" and the following list:
Inside team … List team member names and contact information on the Background Quality Improvement Team Information
-
cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
July 01, 2023 - characteristics include maintaining a positive outlook, emphasizing dedication to project aims, focusing on the "big … characteristics include maintaining a positive outlook, emphasizing dedication to project aims, focusing on the "big … characteristics include maintaining a positive outlook, emphasizing dedication to project aims, focusing on the "big … A red arrow points to the right, to a circle captioned "Processes" and the following list:
Inside team … List team member names and contact information on the Background Quality Improvement Team Information
-
monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
July 01, 2023 - characteristics include maintaining a positive outlook, emphasizing dedication to project aims, focusing on the "big … characteristics include maintaining a positive outlook, emphasizing dedication to project aims, focusing on the "big … characteristics include maintaining a positive outlook, emphasizing dedication to project aims, focusing on the "big … A red arrow points to the right, to a circle captioned "Processes" and the following list:
Inside team … List team member names and contact information on the Background Quality Improvement Team Information