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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
November 01, 2017 - Sometimes when residents fall, they can never walk again. … We don’t always gain interdisciplinary input regarding fall risk interventions and we don’t always communicate … This was not always so easy here but we have worked hard to implement TeamSTEPPS and the culture of our … could refer to it while conducting her record reviews and then leave recommendations for us as she usually … Sometimes the solutions are simple.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-5-working-with-safety-net-practices.pdf
September 01, 2015 - Sometimes what central
leadership wants to change in the organization may be at odds with the needs … able to provide almost all care to its patients within 5 days of their request for an appointment,
usually … As a result, Clinica has a
waiting list sometimes reaching 4,000 patients, who would like to receive … Patients always have the option of
receiving care in a group or one-on-one. … In most health care organizations 10% of patients incur about 70% of health care costs; these are
usually
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www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
April 01, 2013 - Sometimes I ask myself the same question. … We found that reducing the CLABSI rate and improving safety is one the technical changes and that usually … Sustainability, some units will always have problems with inspections, and every time they think they … And, again, time sometimes keeps the unit from sharing with others or even a shift on a unit sharing … again was in the western part of the State, said “If you wait for everybody to be available, you will never
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
December 01, 2017 - Leader
“
”
Engage Senior Executives ‹#›
AHRQ Safety Program for Surgery – Onboarding
SAY:
Sometimes … surgical team had to open and process a tray that included more than 137 instruments, many of which were never … Real solutions almost always require input from everyone. … Executive partners usually do have that knowledge and hopefully working relationships with these different … Sometimes being able to share data that indicate vulnerabilities or opportunities to improve gives the
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/coach.html
June 01, 2023 - Formally defined coaches may perform it, although it is rare in hospitals and virtually never the case … to establish short- and long-term goals for performance on particular tasks:
Effective coaching sometimes … Although coaches don’t always control formal rewards, such as pay, perks, or promotions, they can make … Usually, the coach must have advanced knowledge and expertise in teamwork concepts and training.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
April 01, 2022 - in the presence of a catheter is frequently colonized by bacteria; this is called biofilm, which may never … fever is not initially obvious, it is important to understand that catheter-associated bacteriuria usually … Remember that education is always by itself a necessary but weak intervention. … Slide 20
Sometimes the discussion won’t really be about the facts, but about attitudes or other social
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
February 16, 2011 - In the past, pressure ulcer care has sometimes been seen as solely a nursing unit responsibility. … Poor skin turgor is sometimes found in persons who are older, dehydrated, or edematous, or have connective … Slightly Limited:
Responds to verbal commands, but cannot always communicate discomfort or need to be … Very Moist:
Skin is often, but not always, moist. … Never refuses a meal. Usually eats a total of 4 or more servings of meat and dairy products.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
April 01, 2013 - They never needed to use their hierarchy, never needed anybody to stand up for them, but this time they … But again, what came in to play here was the patient who was alert sometimes and oriented would say, … I can’t tell you how many times I find administration sets that are out of date, sometimes by only a … day but sometimes much older. … However, a femoral arterial line is typically considered a central line, because the IV line is usually
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-transcript.pdf
January 01, 2019 - Fry, Slide 14
Patient experience and patient satisfaction, sometimes are used interchangeably, but these … There is a concrete measurement using a frequency scale: never,
sometimes, usually, always or yes, definitely … We're always looking at our data to
see who are our best performers in different composites, or different … Edgman-Levitan, Slide 33
Then we see it in recognition programs where top performers get recognized and sometimes … Although I will also say that because we’re always doing our best to keep the CAHPS Surveys as short
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
January 25, 2008 - Currently, 16 of the 34 PSET classifications would sometimes benefit from a review of the report
by … Domain: Patient – Gender 99.8
Domain: Setting 98.6
PSET classifications for which values were sometimes … _________________________________________________
PSET classifications whose values could almost never … particularly valuable when near-miss
reports are added to sentinel event reports, since the former do not always … number of reports from each event type, some of which (e.g., adverse drug reactions and
complications) always
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www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
April 01, 2013 - The challenge that we all have, not just about this particular subject, but in hospitals there is always … It’s always good to have professional organization recommendations to back you up because physicians … We will never go away from it. It just seems to work well for us. … We have two patients per nurse, so usually we’ll have three nurses staff the shift. … and 4 pressure ulcers, talked about the importance of leadership, the importance of transparency and never
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www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
November 01, 2015 - We never figure out why they happen. We think it's part of being in the hospital. … She said: “I think they always agree with, you know, best practices. … Jane Johnston: Chronic retention, usually—
Dr. … Jane Johnston: It's usually with big prostates.
Dr. … It's usually the reason why it's there, it's the inability to drain.
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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 - We never figure out why they happen. We think it’s part of being in the hospital. … She said: “I think they always agree with, you know, best practices. … Jane Johnston:
Chronic retention, usually—
Dr. … Jane Johnston:
It’s usually with big prostates.
Dr. … It’s usually the reason why it’s there, it’s the inability to drain.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
June 02, 2025 - Sometimes when residents
fall, they can never walk again. … We don’t always gain interdisciplinary input regarding fall risk interventions
and we don’t always … This was not always so easy here but we have worked hard to implement TeamSTEPPS and
the culture of … could refer to it while conducting her record
reviews and then leave recommendations for us as she usually … Sometimes
the solutions are simple.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - A debriefing that never occurs cannot benefit subsequent patients. … Team members should never memorize the checklist. … Sometimes an operation is different from the one initially planned. … These are usually the most difficult items for teams to perform consistently, and they are the most commonly … Always have an implementation team member in the room to collect feedback about changes.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/nursing-home/nursinghome-users-guide.pdf
April 01, 2022 - items use 5-point agreement scales (“Strongly disagree” to “Strongly agree”) or
frequency scales (“Never … ” to “Always”) and include a “Does not apply or Don’t know” response
option. … If you usually administer paper surveys, it might
be better to continue with that data collection method … Agree or Most of the time 4
Neither agree nor disagree or Sometimes 3
Disagree or Rarely 2
Strongly … The midpoints of
the scales are reported as a separate category (Neither Agree nor Disagree or Sometimes
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/AHRQ-Hospital-Survey-2.0-Users-Guide-5.26.2021.pdf
January 01, 2021 - ” to “Always”) and also include a “Does not apply or Don’t know”
response option. … If you usually administer paper surveys, it might be
better to continue with that data collection method … Agree or Most of the time 4
Neither agree nor disagree or Sometimes 3
Disagree or Rarely 2
Strongly … disagree or Never 1
Does not apply/Don’t know 9
Clean the Data
Paper Surveys. … The midpoints
of the scales are reported as a separate category (Neither Agree nor Disagree or Sometimes
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - The executive sponsor is usually the director of the department implementing Lean and is also on the … A facilitator also felt the outcomes never reached the desired level. … Solutions generated in RCI events sometimes required the use of capital resources. … Staff who were close to the work were not always those making the changes. … interviewees, especially from the ED, noted that when staff outside the work area defined solutions, there was usually
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www.ahrq.gov/workingforquality/events/webinar-2014-qdr-working-together-to-improve-health-care.html
November 01, 2016 - workforce development, or measurement and feedback, whether it's in quality improvement work, there's always … worse access to care compared with reference group, 2012 [Slide 20]
Ernest Moy: And we, of course, always … Sometimes people find that to be informative and help them understand the importance of these gaps and … We usually have standard reference populations, so, we usually compare everything to the majority population … For primary care providers I know it's a challenge, because probably people are coming in now who never
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-users-guide-2.0.pdf
March 01, 2025 - ” to “Always”) and include a “Does Not Apply or Don’t Know”
response option. … If you usually administer paper
surveys, it might be better to continue with that data collection method … Agree or Most of the time 4
Neither Agree nor Disagree or Sometimes 3
Disagree or Rarely 2
Strongly … Disagree or Never 1
Does Not Apply or Don’t Know 9
Clean the Data
Paper surveys. … The midpoints
of the scales are reported as a separate category (Neither Agree nor Disagree or Sometimes