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www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
January 01, 2024 - The three big-box pharmacists and one retail pharmacist rated their confidence level to be
below 75% … box
40% Big box
30% Big box
* Pharmacist recruited because patient had few medication
discrepancies … their
medications
25% (2) (2) Independent
Disadvantages Time consuming 100% (8) (2) Retail
(3) Big … Organizational-level
management
50% (4) (2) Retail
(2) Big box
Perceived and actual
behavioral … Care coordinators 67.5% (5) (1) Retail
(1) Big box
(2) Independent
(1) Long-term care
Patient is a
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitresourcelist.pdf
January 01, 2019 - HIT Resource List
Improving Health Information Technology Patient
Safety: A Resource List for Users … Purpose
This document provides a list of references to websites and other publicly available practical … How To Use This Resource List
Resources are listed in alphabetical order, organized by the Surveys on … While this process is not easy and takes time, efficiently managed
workflow redesign can make a big difference … Rather, the list reflects ECRI’s judgment about which risks should receive
priority now.
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-d.html
June 01, 2020 - List of Other Research Gaps Identified by Study Participants
Health Services and Primary Care … Policy
Organization of Care
Impact of big policy changes
There is not enough definitive … research done on the impacts of big policy changes on the health care system (i.e., the impact of the … data on privacy, especially for information on behavioral health and substance abuse, and the role of big
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
June 02, 2025 - 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.
-
www.ahrq.gov/news/newsroom/case-studies/202401.html
February 01, 2024 - Simulation Dictionary , which international simulation experts developed to standardize the growing list … It’s a big outfit, with 24 full-time and 120 part-time employees,” he said.
-
www.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 … A red arrow points to the right, to a circle captioned "Processes" and the following list:
Inside
-
www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
July 01, 2018 - Action Checklist
Obtain a list of all shuttered hospitals in the area (likely available from State … Select best candidates for surge use from list of shuttered hospitals. … If a new target surge facility or facilities are needed, the team will reassess the list of shuttered … However, there should also be big-picture management team oversight to ensure that nothing is missed … However, there should also be big-picture management team oversight to ensure that smooth operations
-
www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/newman-toker-summit2016.pdf
September 28, 2016 - administrative data or clinical data
warehouses (+/- supported by NLP)
HELP MEASURE & TRACK PROBLEMS
BIG … SAFETY DOMAINS
NUMERATOR-ONLY Methods
NUMERATOR-DENOMINATOR Methods
NUMERATOR-DENOMINATOR Methods
Big … rows in each column
Summary Passed Tables must have a summary
Lists
Rule Name Status Description
List
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-roleplay-final508.pdf
June 02, 2025 - Create a Safe Medicine List Together: Role Play Scenarios
The Guide to Improving Patient Safety in … The staff member will create a
safe medicine list together with the patient.
4. … Tell the volunteer that the goal is to create a complete and accurate medicine list. … Having knee pain when riding or walking is a big concern. … The staff member will create a
safe medicine list together with the patient.
3.
-
www.ahrq.gov/cahps/consumer-reporting/guidelines/design/index.html
October 01, 2018 - Offer Summary Comparison Charts
It is important to give consumers a way to see the "big picture" so … Another is to list health care organizations in rank order, from highest to lowest. 1
For more guidance … Related Resources
To see how individual items are grouped into composite measures, review an archived list
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-3-slides.pptx
June 02, 2025 - 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.
-
www.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/ncepcr/tools/self-mgmt/what-script.html
February 01, 2016 - patients to try to try to get them to take more responsibility for their own care, we have this huge list … providing support, helping people transition to adulthood, and then staying healthy in adulthood, making big
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
June 02, 2025 - Our practice has chosen to adopt Create a Safe Medicine List Together and [list other strategies]. … List the target patient populations here. … together
Documenting the list in the EHR
Reviewing and reconciling the list
Updating the EHR
Customize … Having knee pain when riding or walking is a big concern. … Create safe medicine list together.
-
www.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.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar1/aspire_webinar1.ppt
January 01, 2011 - Reach Out to Collaborate With Cross-Continuum Providers
Enhance Services for High-Risk Patients
List … highest rates of readmissions
Patients with readmission risks are not limited to the “penalty condition” list … Whole-Person Approach
Successful readmission reduction teams state:
“We look at the whole person, the big
-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
December 01, 2017 - Learning From Defects
Slide 9: Learning From Defects 2,3,4
Image: Four numbered blue boxes list … List all contributing factors and identify whether they harmed or protected the patient. … Leverage senior executive’s big-picture view of the organization and both knowledge of and access to … Error Reduction Strategies 5
Image: Chart captioned "Strength of Interventions" showing ranked list
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
June 02, 2025 - list surprising diagnoses here Look for sepsis, behavioral health diagnosis. … list surprising observations here Compare and contrast the top diagnoses for Medicare vs. … See the big picture when it comes to readmissions at your hospital. … list surprising diagnoses here Look for sepsis, behavioral health diagnosis
Examine list of top discharge … See the big picture when it comes to readmissions at your hospital.
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/psychological-safety.pdf
June 02, 2025 - 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