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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
January 01, 2004 - patients being
transitioned in a “standard order” to guard against omissions; typically this
involved always … Furthermore, the patients flow in a “jumbled” fashion as they do not usually
follow a predetermined … The second is the number of patients involved (typically one, but
sometimes a few or many). … Physicians sometimes asserted that nursing handovers
concerned “softer” social issues that were of less … genre did not sufficiently represent the picture being constructed by the oncoming
party, there was always
-
psnet.ahrq.gov/node/33881/psn-pdf
August 01, 2019 - But they don't
have time to really reflect on what they should do, so sometimes they do things that … With IT—when the developer promises the earth and never delivers, it just makes it even
more complicated … Patient Safety Committee and we hear about cases, it strikes me that to change
anything now almost always … In fact, sometimes there are contradictory regulations. … called efficiency–thoroughness trade-off or ETTO, which means that people in
everyday work situations usually
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/3-case-mix-mode-adjustments-webcast-elliott.pdf
June 02, 2025 - surveys provide comparative information about the patient experience
dimension of health care quality
► Sometimes … (1 of 2)
• CMA , sometimes called patient-mix adjustment (PMA), adjusts patient
experience scores to … e.g., Phone respondents more likely than mail respondents to select the last option read
aloud (“never … , sometimes, usually, always”)
• Without appropriate adjustment, healthcare entities providing similar
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-user-guide.pdf
July 01, 2018 - Communication Openness
(Never, Rarely, Sometimes, Most of the Time, Always, Does Not Apply or Don’t … Patient Counseling
(Never, Rarely, Sometimes, Most of the Time, Always, Does Not Apply or Don’t Know … Staffing, Work Pressure, and Pace
(Never, Rarely, Sometimes, Most of the Time, Always, Does Not Apply … Communication About Prescriptions Across Shifts
(Never, Rarely, Sometimes, Most of the Time, Always, … Communication About Mistakes
(Never, Rarely, Sometimes, Most of the Time, Always, Does Not Apply or
-
meps.ahrq.gov/survey_comp/Helptext2022.html
January 01, 2022 - Osteoarthritis is sometimes called degenerative joint disease. … Your personal information will never be shared with anyone. … NEVER MARRIED –
A person is considered never married if s/he has never been legally married. … They are sometimes referred to as “metal plans”. … The Records Job Aid lists types of care that are not always thought of as health care.
-
meps.ahrq.gov/survey_comp/Helptext2023.html
January 01, 2023 - Osteoarthritis is
sometimes called degenerative joint disease. … Your
personal information will never be shared with anyone. … NEVER MARRIED –
A person is considered never married if s/he has never been legally married. … They are sometimes referred to as "metal plans". … Sometimes, survivors' benefits are available to a divorced spouse.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/mhs/cahps-outpatient-mental-health-guidance.pdf
December 01, 2024 - carefully train their staff and have strict protocols so that
treatment or diagnostic information is never … Response Options
• Never
• Sometimes
• Usually
• Always
Q14
How often did your main mental health … Response Options
• Never
• Sometimes
• Usually
• Always
Rating of Mental Health Counselor
Q22
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data_facnotes.docx
December 01, 2017 - Teams are sometimes surprised by the findings. You may find evidence that supports your suspicions. … The same core team members grow accustomed to reviewing the data, usually a leadership committee or management … Never underestimate how little others know about the data. Share widely and share often. … If you’re going to use NHSN data, always use NHSN data. … If you’re going to use NSQIP data, always use NSQIP data.
-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-fac-notes.html
December 01, 2017 - Teams are sometimes surprised by the findings. You may find evidence that supports your suspicions. … The same core team members grow accustomed to reviewing the data, usually a leadership committee or management … Never underestimate how little others know about the data. Share widely and share often. … If you’re going to use NHSN data, always use NHSN data. … If you’re going to use NSQIP data, always use NSQIP data.
-
psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - Usually, a
perfusionist is expected to be at bedside to monitor all aspects of the ECMO system as soon … The patient’s blood is then drained from a large
central vein (usually the inferior vena cava), passing … members would typically include physicians, surgeons, specialist nurses,
respiratory therapists, and sometimes … Rescue equipment should always accompany the patient during transport. … There is always risk of hypothermia, even indoors.
4. Tubing
i.
-
psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - One important tenet of PA catheter use has always been strict avoidance of permanent wedging, usually … Major accidents virtually always involve two or more variations from normal, coincident in time. … These often occur in a manner creating a situation never seen before by the involved personnel, thus … Cognitive aids in the past have sometimes been in the form of mnemonics (e.g. iSoBAR ( 5 ), a handover … tempting to look at a case like this and focus only on understaffing or production pressures, there will always
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
July 01, 2023 - member to “stop the line” if he or she senses or
discovers a breach of safety
• This is an action never … This is an action that should never be taken lightly but requires immediate
cessation of the process … • Interpersonal conflict stems from interpersonal compatibility and is not usually
task related. … Module 3)
• Demonstrate gratitude
• Sort feedback for relevancy
23
SCRIPT
I recognize it’s never … I know our
work is not always easy.
Your response to Ms.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
July 01, 2023 - team member to “stop the line” if he or she senses or discovers a breach of safety
This is an action never … This is an action that should never be taken lightly but requires immediate cessation of the process … Interpersonal conflict stems from interpersonal compatibility and is not usually task related. … gratitude
Sort feedback for relevancy
23
Hospital AIM Team
Leads
SPPC-II
SCRIPT
I recognize it’s never … I know our work is not always easy.
Your response to Ms.
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion.html
April 01, 2013 - It’s usually done in kind of an unprofessional way. … You know that I’m usually available to you, but today I’m afraid I can’t” or whatever you need to say … Assertion is also not demeaning or condescending, so it would never go into the area of suggesting that … Sometimes it’s nursing; sometimes it’s a physician. And then, reassert as necessary. … I don’t know how long it will take to be posted but it’s usually a matter of a few days.
-
psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - When a patient returns with infection of a traumatic wound,
retained foreign material should always … delayed wound
infection.2 Wounds due to a patient sliding into dirt or gravel (as in this case) almost always … be considered because damage to important structures (e.g., arteries, nerves, tendons) may
occur.10 Sometimes … Undoubtedly, some foreign
bodies (especially small ones made of inert material) are simply never detected … Delayed (tertiary) closure
or healing by secondary intention is acceptable and sometimes preferable
-
psnet.ahrq.gov/node/33688/psn-pdf
October 01, 2009 - If you're a hospital leader, sometimes you have to face up to the harsh reality that a mistake
was made … Sometimes bad systems
allow for bad people to do bad things. … the right thing is, you can make sure that they have the skills, but the
bottom line is you cannot always … I always held out hope that they would be able to improve while they remained
open. … We never got a chance
to do that.
-
psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - before: The checks and
balances provided by autopsies have almost vanished, and a diagnostic error may never … heuristics known to affect subconscious processing, such as advice to offset the availability heuristic by
always … appropriate
cognitive review, and this persists because physicians are highly confident in their diagnoses, sometimes … The patient is usually right. I bet her ulcer is
back! She should have stayed on that omeprazole. … The patient is usually right. I bet her ulcer
is back! She should have stayed on that
omeprazole.
-
psnet.ahrq.gov/node/33867/psn-pdf
October 01, 2018 - Because the patient usually would have
something in their hand, in most cases at least they could read … We don't always give
the patient a printout. … MC: They've gotten busier, and the staffing hasn't always kept up with the increase in the number of … are involved in an error or
even if they have a concern about something that might lead to an error, usually … So, patients would go home, see their name on the outside of their bag, never look at the label
itself
-
psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
October 24, 2021 - Because the patient usually would have something in their hand, in most cases at least they could read … We don't always give the patient a printout. … MC : They've gotten busier, and the staffing hasn't always kept up with the increase in the number of … are involved in an error or even if they have a concern about something that might lead to an error, usually … So, patients would go home, see their name on the outside of their bag, never look at the label itself
-
www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
January 01, 2024 - Response
options included no problems during hospitalization, always felt comfortable speaking up, usually … felt
comfortable speaking up, sometimes felt comfortable speaking up, and never felt comfortable speaking … (Never, Sometimes, Usually, Always, Did not have any
problems), we analyzed responses of 8399 patients … Of these, 51% indicated no problems; 34% always felt
comfortable speaking up; and 16% usually/ … sometimes/never felt comfortable speaking up.