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psnet.ahrq.gov/node/74252/psn-pdf
January 12, 2022 - RD: For me, this is too big a question for one single answer because the pandemic has been hugely
impactful … PS: I think there has been a big impact on mental health, fatigue, and burnout.
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psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
September 26, 2012 - A critical component of the communication is an escalation list of who should be called until a responsible … with a clinician with more urgency because the final value of the 24-hour urine protein was not on a list … often leads to prematurity, and in most cases demands inpatient management; furthermore, there is a big
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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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psnet.ahrq.gov/node/50931/psn-pdf
February 26, 2020 - “iterative hypothesis testing”: periodic re-evaluation of the available information
to refine the list … Serious misdiagnosis-related harms in
malpractice claims: the "Big Three" - vascular events, infections
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digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-qa-020717.pdf
February 07, 2017 - Li Zhou:
There are ongoing efforts to look at problems with notes that were not on the structured list … Once the technology
gets more mature and people know how to use it, it will make a big change. … ANSWER:
We represent the problem list entries using SNOWMED CT rather than ICD, since we have
evidence … opennotes.org
Users have the option to encode problem list
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www.uspreventiveservicestaskforce.org/uspstf/document/published-comment---will-recommendations-against-spirometry-make-chronic-obstructive-pulmonary-disease-harder-to-treat/chronic-obstructive-pulmonary-disease-copd-screening-2008
November 15, 2008 - This could be a big blow (no pun intended) to a nationwide effort to diagnose and treat chronic obstructive … We would add to this list people who are at increased risk for COPD (adults older than 40 years with
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psnet.ahrq.gov/node/33649/psn-pdf
May 01, 2007 - The big breakthrough in
airline safety was made when the field came to understand systems causation … Getting financial compensation comes lower down the list. … In short, the big picture points on
reporting systems are how do we decide what to do at local level
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
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. … Composite scores provide your big-picture overview. … 52
Premortem Exercise
Step 3
Prioritize your list of potential reasons for failure.
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psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
February 26, 2025 - The beginning of the Never Events list was AHRQ commissioning a report called Making Health Care Safer … In the safety world, NQF's involvement probably got on the map with the Never Events list. … they're not as unambiguously neverish as the original list was. … How do you see the evolution of the list over time, and do you see the list growing in both number and … A big driver of frustration with the whole quality paradigm today is that it's really hard to get the
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www.ahrq.gov/workingforquality/events/webinar-using-payment-to-improve-health-and-health-care-quality.html
November 01, 2016 - We really see this as wherever you are in your organization, looking at this list and saying, "Oh, well … So, the National Quality Strategy is just – it's a big deal and we need to keep it in front of us all … And that's what produces the big problems. … answer is to what measure set you should have, but it just lays out all the different factors in one big … It's being used by the big private payers. It's being used by the health plans.
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - But a question on everyone's mind that follows from that is the big picture: Are we safer today? … The latter study is the first big study that looked at patient harm prospectively in outpatient settings … The other big change is that we are now using triggers to find adverse events, which were not used in … Adverse drug events are still at the top of the list, both inside and outside the hospital. … They are useful because if you have a dashboard, you can see where you are having a big problem right
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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - But a question on everyone's mind that follows from that is the big picture: Are we safer today? … The latter study is the first big study that looked at patient harm prospectively in outpatient settings … The other big change is that we are now using triggers to find adverse events, which were not used in … Adverse drug events are still at the top of the list, both inside and outside the hospital. … They are useful because if you have a dashboard, you can see where you are having a big problem right
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
September 09, 2014 - 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.
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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.
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - and safety culture are too often treated as things that can be accomplished and then crossed off the list … A big part of the high reliability mindset is the nature of the talk, the openness, the vulnerability … We need to experiment and try different types of interventions, which is a big barrier. … So, those are some of the big barriers. … Tim Vogus: I am not going to give big, sweeping pronouncements here because of the limitations we talked
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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - and safety culture are too often treated as things that can be accomplished and then crossed off the list … A big part of the high reliability mindset is the nature of the talk, the openness, the vulnerability … We need to experiment and try different types of interventions, which is a big barrier. … So, those are some of the big barriers. … Tim Vogus: I am not going to give big, sweeping pronouncements here because of the limitations we talked
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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/cahps/news-and-events/events/webinars/cahps-cancer-care-transcript.pdf
June 01, 2017 - And this is actually not an exhaustive list. … And I'll just add some to that list. … I just quickly want to just show them or list them out for you. … And they tended to have pretty big ceiling effects. … So, to all of our speakers, a big thank you.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
December 01, 2024 - Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient … Safety Culture
SOPS Hospital Survey Version 2.0 Resource List
1
Improving Patient Safety … in Hospitals: A Resource List
for Users of the AHRQ Hospital Survey on Patient
I. … many to
be addressed) and failure to get an accurate view of the “big picture”—common themes and
issues … How To Use This Resource List
III. Contents
IV.
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psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
November 01, 2008 - RW : One of the big policy interventions recently has been Medicare's decision, now being followed by … Nosocomial urinary tract infection is on that list. Should it be on that list? … The other concern about catheter-related urinary tract infection being on this list is that it differs … The Joint Commission recently came out with 2009 safety goals, and preventing infection is a very big