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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap7.html
June 01, 2014 - Once you have identified areas for improvement, you may find the Medical Office Resource List beneficial … to strive to implement easier, smaller changes that are likely to have a positive impact rather than big
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/patient-safety-technology-resources.pdf
May 01, 2023 - Improving Health Information Technology (IT) Patient Safety: A Resource List for Users of the AHRQ Health … 1
Improving Health Information Technology (IT) Patient
Safety: A Resource List for Users of the … While this process is not easy and takes time, efficiently managed
workflow redesign can make a big … page_id=267
SOPS Health IT Patient Safety Supplemental Item Set Resource List 6
2. … How To Use This Resource List
III.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
February 01, 2017 - List contributing factors that make defects in care more likely to occur. … List all contributing factors and identify whether they harmed or protected the patient. … Senior executive’s big-picture view of the organization and knowledge of resources. … Image: List of interventions from weaker, such as vague warnings, to stronger, such as forcing functions
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - It is sometimes hard to see the big picture and appreciate the impact each of us has in improving patient … is a five-step process:
Educate ALL staff on the science of patient safety to help them develop a big-picture … The list of essential team members is primarily frontline staff. … List the major project tasks and, as a group, identify a point person, a supporting team member, and … Composite scores provide your big-picture overview.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
December 01, 2017 - It is sometimes hard to see the big picture and appreciate the impact each of us has in improving patient … Educate ALL staff on the science of patient safety to help them develop a big-picture perspective, referred … The list of essential team members is primarily frontline staff. … List the major project tasks and, as a group, identify a point person, a supporting team member, and … Composite scores provide your big-picture overview.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
July 23, 2008 - every clinic note, every
discharge summary on the computer, every radiologic procedure, medication list … vitals, or abnormal vitals for the last 24 hours, current medications, location
of patient, and a big … intervention
suggested Type Examples of interventions
Advance
practice nurses
“I have been a big … So that was just a big… they did not tell us. … Likewise, clinicians frequently recommended compiling a complete list of a patient’s
medications in
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - List all of the contributing factors and identify whether they harmed or protected the patient. … Say:
Many small defects often contribute to big system flaws. … In order to develop an action plan, you need to prioritize your list of factors. … With this latter approach, consider posting an oversized list of factors in a common area on the unit … Go back to your senior executive’s big-picture view of the organization and knowledge of and access to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - List all of the contributing factors and identify whether they harmed or protected the patient. … SAY:
Many small defects often contribute to big system flaws. … In order to develop an action plan, you need to prioritize your list of factors. … With this latter approach, consider posting an oversized list of factors in a common area on the unit … Go back to your senior executive’s big-picture view of the organization and knowledge of and access to
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
November 01, 2013 - It can become a big ‘ah ha’ moment.” … It can become a big ‘ah ha’ moment.”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfhandbook/Mod17App.pptx
June 20, 2013 - , making life easier for physicians and staff
Example 2 (rx refills): workflow mapping showed that big … We’ve already discussed how big of a change an EHR is to a practice. … workflow may not seem like a huge shock but for practices who function entirely with paper, this is a big … big change. … list and updates the list as needed.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfhandbook/Mod3App.pptx
September 01, 2002 - List specific goals in behavioral terms
2. List barriers and strategies to address barriers
3. … List all possible solutions.
3. Pick one.
4. Try it in the next testing cycle.
5. … Goals are too big to work on all at once, and need to be broken down into steps.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/urine-culture-practices-icu-transcript.html
December 01, 2017 - State leads will also be receiving a more comprehensive list of the attendees after the webinar. … He has a 2 big ICU teams with him today. Misty Wheeler, Lacey Spangler and Julie Retelski. … It's been a very big help on the first phase. … I'll list all of these as the wheels turn. … I think one of our big learns from this was noticing, or realizing, that when the order was put in to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/urine-culture-practices-icu-transcript.docx
January 01, 2015 - State leads will also be receiving a more comprehensive list of the attendees after the webinar. … He has a 2 big ICU teams with him today. Misty Wheeler, Lacey Spangler and Julie Retelski. … It's been a very big help on the first phase. … I'll list all of these as the wheels turn. … I think one of our big learns from this was noticing, or realizing, that when the order was put in to
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/conference/2011/jack/jack.pptx
January 01, 2011 - Beacon Communities
Focus on HIT in bringing transitional care interventions to scale
Public Sector
Many BIG … info written
Little instruction, few minutes with nurse/doctor
Personalized cover page
Updated list
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
September 08, 2015 - It can become a big ‘ah
ha’ moment.” … It can become a big ‘ah ha’
moment.”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
January 01, 2017 - session, you will be able to—
Describe difference between first-order and second-order problem solving
List … ultimately, patient outcomes
Develop a “system perspective” to see the hidden factors that led to the event
List … Senior executive’s big-picture view of the organization and knowledge of resources
Team members’ connections
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapd2.html
April 01, 2018 - OR nurse re-asks basic check list like allergies and medication then checks consent form and patient … The surgical assistant and the scrub tech or nurse will do the big drape. … Changed to wipes for surfaces, which dry really fast, changed to those in last 6 months, big change in
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www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.html
December 01, 2017 - is, when they have a sense of what’s going to happen, and when they understand how they fit into the big … The lack of a procedure to capture the evolution of equipment needs was leading to big teamwork issues … Regardless of surgeon, each common procedure pulled from this core list.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docx
December 01, 2017 - is, when they have a sense of what’s going to happen, and when they understand how they fit into the big … The lack of a procedure to capture the evolution of equipment needs was leading to big teamwork issues … Regardless of surgeon, each common procedure pulled from this core list.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
November 01, 2015 - First I'm just going to list to you the learning objectives. Each point is one speaker. … So Altecs, the ways they grow and CRE and the list of MPROs. … My part of the talk will focus on what else can happen, and obviously the big pathogen that we are troubling … if you have a patient who, yes they can void, but every time the patient uses the urinal they make a big … Jane Johnston: It's usually with big prostates.
Dr.