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www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
January 01, 2024 - NTMx-AKI is
usually nonoliguric in nature,46 so we did not use the KDIGO urine output criteria. … Patient safety never
sacrificed to get work done
1-5 4.12 2.29
Item A18. … It is also possible to identify variables that are “almost always
necessary.” … study hospitals; that is to say, the absence of strong network participation usually, but not
always … ,
usually, or sometimes necessary, and coverage, which assesses the empiric relevance of the necessary
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
July 01, 2023 - Although patient and family conceptions of adverse events do not always conform to clinical
definitions … past findings have relevance for future research in diagnostic safety:
■ Patient Experiences Must Sometimes … I never saw the surgeon again after I left the hospital the first time. … A person going from state to state may have
much information the new doctor never becomes aware of. … that emerge from interactions with a regular source of primary care, since patients
and family can usually
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/chcanys-qi-primer.pdf
August 01, 2017 - In the research literature, PF is sometimes called quality
improvement coaching or practice enhancement … support multiple practices and don’t face the same
competing demands as internal facilitators, who sometimes … When thinking about SMAART goals, always begin by referencing the Model for
Improvement and identify … Note: Don’t confuse aim drift, or backing away from a stretch goal (which
usually isn’t a good tactic … alternate text Passed Figures require alternate text
Nested alternate text Passed Alternate text that will never
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-implementation-guide.pdf
March 01, 2023 - o Sometimes needed data are not available. … o Sometimes a seemingly minor task takes longer than expected or is not yet
possible to complete. … Tips for Workflow Process Mapping
• The mapping process is usually iterative. … on whether the data are good enough to support the team needs: all data have limitations
and are NEVER … occur (e.g., patient safety errors) or always occur (e.g., attempting to contact each person that
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
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/cahps/news-and-events/events/webinars/recent-insights-transcript.pdf
January 01, 2020 - www.ahrq.gov/cahps | 4 of 22
Elliott, Slide 14
And the standard survey approaches using mail and phone usually … the state, we explored it
and questioned and the bottom line was it was just unfeasible, we would never … didn't complete the web survey, they
tended to just, they saw the introduction screen and then just never … It's sometimes in mail we often do passive consent. … , though not always, between a layout that's clear and one that's longer.
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/empowerment.html
April 01, 2013 - Sometimes they’re at the beginning of the shift or mid-shift. … Usually what I do prior to the meeting, I hear a zillion concerns over the course of a month, and the … So you never developed an expertise on a certain kind of care nor did the nurses have an opportunity … And too often, from what I’ve observed, is sometimes the physicians get defensive because they think … That meeting usually goes for about an hour.
-
www.ahrq.gov/sites/default/files/2024-05/wendel-hummell-report.pdf
January 01, 2024 - Provider interviews sometimes included more than one respondent, to include people equally involved … A few self-directed workers reported never receiving PPE
from their consumer-employer or the FMS agency … or usually agreed on the safety practices that should be followed during the delivery of
home care. … HCAs also sometimes struggled to set and enforce safety expectations in this politicized environment. … my own masks so I'd just wear them to a client's house … Yeah, other than that, [payroll
provider] never
-
www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
January 01, 2024 - you’re trying to give, you know, how much
diluents and how fast you should give it, that’s what we usually … our unit, so
sometimes, it’s probably lazy, but I’ll just go ask somebody. … experience, they
still have days where it’s just off-kilter, and they kind of work like a novice
sometimes … Red usually means
stop and read. It draws attention to it. … What would
alert you the most is if it was a drug you never gave and you’re thinking, well why
-
www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool4.html
March 01, 2025 - Patients who are usually proficient in English may find themselves needing language assistance. … Agreeability: Finally, some patients always seem to agree, nod, and smile in response to everything … Never use a child under the age of 18 to interpret. … Remember to always look toward the patient when you are speaking, not toward the qualified medical interpreter … Sometimes, these changes can jeopardize the success of the discharge plan.
-
www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
March 01, 2025 - Patients who are usually proficient in English may find themselves needing language assistance. … Agreeability: Finally, some patients always seem to agree, nod, and smile in response to everything … Never use a child under the age of 18 to interpret. … Remember to always look toward the patient when you are speaking, not toward the qualified medical interpreter … Sometimes, these changes can jeopardize the success of the discharge plan.
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
January 01, 2020 - As you implement changes, there will always be issues to address and challenges to manage; things are … never perfect. … satisfaction for their staff rises with improved patient experiences because the new, better practices usually … Sometimes, the facilitator is the ability of a change to help achieve secondary goals.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
July 02, 2008 - Sometimes the therapeutic risk is audacious, such as
when a patient’s heart is lifted, chilled, cut, … Provision of care almost always
requires health care workers to cross significant personal boundaries … A missed diagnosis of meningococcal
meningitis, for example, usually results in patient death. … This is not because errors will not be made and adverse events
will never happen, but because the health … Adopting the idea that the immediate
cause of an event is almost always the end result of multiple systems
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Gershon_88.pdf
January 01, 2012 - Such responsibilities usually do not entail providing medical
or nursing care, although in practice … this is not always the case. … where the client
received care, a sizeable percentage (21 percent), nevertheless, reported that this sometimes … testing, 19 percent reporting
twice-yearly testing, and
only 2 percent reporting that
they were never … percent reported this to their supervisor, but 13 percent did not, and the remainder
stated that they sometimes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - He was always supportive of
me, and removed barriers. … I learned from the experience that big change is hard, and sometimes it takes a long time, and
it can … We have never created specific training
for frontline staff.
Mayer, Slide 25
Next slide. … results on that particular item within the three items in that composite, we do see that
that item is always … I would like
to see an increased percent positive, and we use the data to always be evaluating ourselves
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
November 01, 2014 - consultant, activities such as value stream mapping with stakeholders, process preparation events (usually … If progress slips, one of these individuals, usually the process owner, must alert the others, and a … At Heights, the Lean project leader usually comes from outside the department of focus to reduce the … [This] is something that never, ever…happened regularly to resolve patients' needs. … Comments were not always positive about staff morale and willingness to participate in Lean.
-
www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
January 01, 2024 - verification of the marked site to limit that risk, yet all agreed that
redundant verifications were not always … Sometimes,
bands were taped to a chart or a gurney as opposed to being secured around the patient’s … Nurses are usually the first professionals involved in conducting the preoperative assessment in
the … Walls were used to display the working charts and were not always amenable
for use. … risks associated with the preoperative nursing assessment
process used in freestanding ASCs but was never
-
www.ahrq.gov/sites/default/files/2024-07/cox-carayon-report.pdf
January 01, 2024 - frequencies of FCR concerns (14 items) and teaching
experiences (17 items), with five response options (1 = never … , 2 = rarely, 3 = occasionally, 4 = usually, 5 =
always, dichotomized with "frequent" being usually … for rounds,” which was not evaluated because this often occurred before rounds and
therefore was not always … distributions of these items and ceiling effects (e.g.,
over 90% of parents reported that HCT members always … is a huge source of frustration for patients
and families”) and absence of nurses during rounds (“sometimes
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys.pdf
January 01, 2020 - and
electronic, which comes in lots of different variations, either with an email notification or sometimes … And
then, we recognize that CAHPS data are always not sufficient in themselves to tell you what are … they'll question dealing with
nurse communication, and the percentage of patients that have responded always … , or usually, or sometimes, or
never to the question about how often nurses communicated well. … Some of the research we've done has
actually shown that that's not always true.
-
www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
June 01, 2020 - As one participant noted, “Interventions are adapted and evolve over time as they’re implemented,” sometimes … In the words of one study participant, “There is always a very local component to implementation.” … In really controlled settings, they’re often so controlled that they never translate into real meaningful … As one researcher explained, agencies are not usually interested in funding research on such broad questions … be as well understood as in the natural or physical sciences:
Now I’ve always felt in health services