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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
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 … team
Followup
Filtered all debriefing comments related to x-ray delay
Presented Radiology management list … 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/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
July 01, 2019 - It is investing in research to improve diagnosis in each of the “Big Three” conditions: cancer, vascular
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Use the Learning From Defects tool to create a list of all contributing factors. … List them; write them down. … Using the team’s list of contributing factors, rate each factor. … That’s where you’ll get the big impact. … Post the compiled list of possible interventions.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_4.pdf
October 01, 2016 - The staff makes and prints a
list of gaps in care for patients with visits the next day, makes reminder … Reviewing and
reconciling problem list
MAs, physicians, and NP/PA, and care managers perform this … “Our team works well because we have different points of view—some are big picture,
some are point and
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023694-schiff-final-report-2018.pdf
January 01, 2018 - transformative CPOE system that would incorporate medication indications into the prescription (see list … One major
benefit of this workflow is that it allowed us to design a system that could present a list … The list of medication
options for any given indication was presented as Suggested Choice (in green) … beneficial
• Clinical autonomy concerns
o Need to transform indications from hindrance to help
o “Big … In addition, providing a list of drugs
of choice that proactively considered patient specific factors
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit3.html
March 01, 2014 - List of Tools
Step 1: Establish Motivation and Interest of Practice
Literature on … assistance, make sure your support of the project is visible to the entire practice; it can make a big … Develop a list outlining your research ( Tool 5 ). … One clinician and her care team in the AHRQ pilot project queried their EHR system to generate a list … put the list on the exam room chair or table.
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psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
August 01, 2015 - There was a big one here [at UCSF] where we gave a boy a 39-fold overdose of a medicine in a completely … RW : It's interesting because it would probably come up very high on the list of solutions and causes … I don't think we used the term big data. There certainly weren't wearable patient sensors. … Clinical research will be transformed through big data type approaches.
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psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
July 01, 2017 - It's a big idea to take to a big country like the United States, and understandably there has been a … RW : When people look at the costs of the current malpractice system, two big targets are contingency … events—unsolicited patient complaints, disciplinary action by medical boards, and malpractice claims—belong on this list
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psnet.ahrq.gov/perspective/conversation-charles-ornstein
October 01, 2009 - And in fact, after we wrote a big five-part series about the hospital in 2004, we ran a big, long piece … Looking back at the big, mediagenic errors over the past 25 years ( Table ), a striking pattern emerges
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - Looking back at the big, mediagenic errors over the past 25 years ( Table ), a striking pattern emerges … And in fact, after we wrote a big five-part series about the hospital in 2004, we ran a big, long piece
-
psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - events—unsolicited patient complaints, disciplinary action by medical boards, and malpractice claims—belong on this list … It's a big idea to take to a big country like the United States, and understandably there has been a … RW : When people look at the costs of the current malpractice system, two big targets are contingency
-
www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
January 01, 2024 - Culture."
5
Identification of key skills
The first key step in this project was to develop a list … RN: “It
wasn’t a little mistake, it was big.” (laughter) Coach: “Yes. … At the end of the
disclosure you said, “Obviously, It was a big mistake”. … It also makes the patient a little bit more nervous, because
when a big group of people comes in, it … LIST OF PUBLICATION AND PRODUCTS
Peer-reviewed journal articles
1.
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - We launched a newsletter, hired full-time staff, and developed our high-alert drug list. … elsewhere in the hospitals, in the country, elsewhere in the world, and all of a sudden it became this big … So that's obviously been a big help.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti-transcript.html
November 01, 2015 - Obviously a review of policy and procedures, and I'm really a big plan of a demonstrated insertion competency … in an active learning style, and it really cements their learning in a way that just reading off a list
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-transcript.html
December 01, 2017 - Obviously a review of policy and procedures, and I'm really a big plan of a demonstrated insertion competency … in an active learning style, and it really cements their learning in a way that just reading off a list
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/No_More_CAUTI_Preventing_CAUTI_transcript.docx
May 05, 2015 - Obviously a review of policy and procedures, and I'm really a big plan of a demonstrated insertion competency … in an active learning style, and it really cements their learning in a way that just reading off a list
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-systems-research.pdf
October 01, 2017 - community health-systems, as well as health-system collaborative
organizations (see Table 1 for a list … within a consortium of health-systems to compare
and contrast their processes which was seen as a big … They were interested in the most reasonable actions, not
necessarily a list of options, to use in patient … Remember that the way it works is, we don’t just come and search the list just looking for
something … Because, we know
what the big topics are, typically.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/women-hiv_disposition-comments.pdf
November 21, 2016 - Rather broad problems and an
amalgam of interventions, each of which might focus
on a small piece of a big … Finally while a list of resources found on
line, or through the various DOHs, is useful, it doesn’t … We have moved the first vignette to the end of
the list, to highlight the relative importance of
the … Christie s Place is found on the
resource list within the link thebody.com and appears
on
the first … also be incredibly time
consuming
We have added this language:
Traveling even a few miles in a big
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psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - NEMSIS has done a really good job at partnering with all of the
vendors to come up with a suggested list … I'm a big fan of Don Norman and his book, The Design of Everyday
Things, but you don't notice when something … Remle Crowe: I think we covered the big things for me, this notion of using electronic data purposefully
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/ambulatory-safety_disposition-comments.pdf
October 19, 2016 - Again the extreme time pressures seem to be a
big factor here and lack of time to both be fully
attentive … Is this a big
problem affecting patients? Which issues cause the
most patient harm? … The list of Key Informants will be included in the
final report. … tables with derived from the Key informant
their interviews with their conceptual layout and their
big … This contributes to
the diagnostic errors identified in the PSP list.