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psnet.ahrq.gov/issue/effectiveness-toyota-process-redesign-reducing-thyroid-gland-fine-needle-aspiration-error
May 31, 2006 - October 26, 2005
The "Big Dog" effect: variability assessing the causes of error in diagnoses … December 19, 2018
"Anybody on this list that you're more worried about?" … for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big … June 3, 2020
Serious misdiagnosis-related harms in malpractice claims: the "Big Three
-
psnet.ahrq.gov/issue/language-barriers-and-understanding-hospital-discharge-instructions
July 07, 2010 - for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big … June 3, 2020
Serious misdiagnosis-related harms in malpractice claims: the "Big Three … July 13, 2016
The "Big Dog" effect: variability assessing the causes of error in diagnoses
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - You might wonder how I pitched this to my boss, because this was a big engagement. … I ask you who do you think would be good to be on a team like this I bet you would make
a similar list … In preparation for this
webinar I just got out my list of managers' phone numbers where their offices … are, and I thought, well, I'll just go
down the list until I find a manager that is actually at his … We also have a
resource list that actually gives specific online free resources by survey composite
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - You might wonder how I pitched this to my boss, because this was a big engagement. … I ask you who do you think would be good to be on a team like this I bet you would make
a similar list … In preparation for this
webinar I just got out my list of managers' phone numbers where their offices … are, and I thought, well, I'll just go
down the list until I find a manager that is actually at his … We also have a
resource list that actually gives specific online free resources by survey composite
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - You might wonder how I pitched this to my boss, because this was a big engagement. … I ask you who do you think would be good to be on a team like this I bet you would make
a similar list … In preparation for this
webinar I just got out my list of managers' phone numbers where their offices … are, and I thought, well, I'll just go
down the list until I find a manager that is actually at his … We also have a
resource list that actually gives specific online free resources by survey composite
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - You might wonder how I pitched this to my boss, because this was a big engagement. … I ask you who do you think would be good to be on a team like this I bet you would make
a similar list … In preparation for this
webinar I just got out my list of managers' phone numbers where their offices … are, and I thought, well, I'll just go
down the list until I find a manager that is actually at his … We also have a
resource list that actually gives specific online free resources by survey composite
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - You might wonder how I pitched this to my boss, because this was a big engagement. … I ask you who do you think would be good to be on a team like this I bet you would make
a similar list … In preparation for this
webinar I just got out my list of managers' phone numbers where their offices … are, and I thought, well, I'll just go
down the list until I find a manager that is actually at his … We also have a
resource list that actually gives specific online free resources by survey composite
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - You might wonder how I pitched this to my boss, because this was a big engagement. … I ask you who do you think would be good to be on a team like this I bet you would make
a similar list … In preparation for this
webinar I just got out my list of managers' phone numbers where their offices … are, and I thought, well, I'll just go
down the list until I find a manager that is actually at his … We also have a
resource list that actually gives specific online free resources by survey composite
-
pbrn.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
-
pcmh.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
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-3-slides.pptx
February 28, 2022 - Situation Monitoring
Rules:
Same goals and rules as the earlier tower building exercise except one BIG … List components of STEP and other mnemonic tools.
4
4
Situation Monitoring…
Situation Monitoring … Process:
In your group, compile a list of factors that affect situation awareness in your team. … Create a list of ways other team members help or
hurt your situation awareness.
-
digital.ahrq.gov/sites/default/files/docs/survey/baseline-clinician-interview-script.pdf
September 13, 2016 - [list key steps on paper, to be used for later probes]
[after pilot testing this question, add probes … Probe: how big a role do expectations regarding patient adherence play?
." … Probe about use of "up-to-date" feature, PDR, Epocrates, MEDLINE, other
[make list of probes after pilot
-
psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine-learning-analysis
July 26, 2023 - for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big … August 13, 2014
Serious misdiagnosis-related harms in malpractice claims: the "Big Three … October 8, 2008
The "Big Dog" effect: variability assessing the causes of error in diagnoses … July 26, 2023
Identifying a list of healthcare 'never events' to effect system change
-
psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved-stressful-or
January 31, 2024 - November 26, 2014
Diagnostic performance dashboards: tracking diagnostic errors using big … May 1, 2019
Beyond medication reconciliation: the correct medication list. … for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big … January 23, 2019
Serious misdiagnosis-related harms in malpractice claims: the "Big Three
-
psnet.ahrq.gov/issue/diagnostic-error-stroke-reasons-and-proposed-solutions
March 01, 2023 - a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big … January 26, 2022
Indication alerts to improve problem list documentation. … Community validation of an approach to detect delayed diagnosis of appendicitis in big … July 31, 2019
Serious misdiagnosis-related harms in malpractice claims: the "Big Three
-
digital.ahrq.gov/sites/default/files/docs/20051201%20Getting%20Started%20with%20Health%20IT.pdf
December 01, 2005 - That's a big learning curve
for people. … It's useful to list the suggested
orders for follow-up labs. … So understanding how your firewall is working can
make a big difference in performance. … Now in terms of vendor selection,
that's a big part of the implementation process. … We're very quickly
able to get that list of patients.
-
www.ahrq.gov/news/blog/ahrqviews/vital-patient-safety-frontier.html
June 01, 2019 - Among a clinician’s long list of responsibilities, perhaps none is more consequential than the act of … We already know that large gains can be made by focusing our research on the “Big 3” disease categories
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
April 10, 2018 - Create a Safe Medicine List Together
Create a Safe
Medicine List Together
AHRQ
Guide to Improving … Our practice has chosen to adopt Create a Safe Medicine List Together and [list other strategies]. … together
• Documenting the list in the EHR
• Reviewing and reconciling the list
• Updating the EHR … Having knee pain when riding or walking is a big concern. … – Create safe medicine list
together.
-
psnet.ahrq.gov/issue/defining-and-measuring-diagnostic-uncertainty-medicine-systematic-review
May 02, 2018 - October 11, 2017
Computerized triggers of big data to detect delays in follow-up of chest … Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big … March 24, 2021
Problem list completeness in electronic health records: a multi-site study … April 11, 2018
Diagnostic performance dashboards: tracking diagnostic errors using big
-
psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events-hospitalised
May 02, 2018 - 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 21, 2021
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