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psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
March 01, 2012 - and the concept behind the American judicial system is that, with vigorous advocates on both sides, usually … RB : Actually, the cost savings were never a doubt in my mind. … Do we always get it right? … People won't report if they believe it will always be disciplinary. … So it's a complex and not always easy thing to do.
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psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
September 27, 2023 - When a patient returns with infection of a traumatic wound, retained foreign material should always be … delayed wound infection. 2 Wounds due to a patient sliding into dirt or gravel (as in this case) almost always … 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 in
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psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - 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. … One nursing staff pulls the carriage with emergency equipment and blood products that never separates
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psnet.ahrq.gov/node/867986/psn-pdf
March 24, 2025 - A person can have thoughts of killing themselves but say that they never intended to act on them. … There is always a
decisional balance there. … That takes time and effort, so you would never want to do
that unless you really had to. … Sometimes they will use something that they
brought with them or a visitor brought in with them. … It is often because they
never really retained the information to begin with.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/instructions-for-analyzing-data-50.pdf
June 01, 2025 - 2=Sometimes
3=Usually
4=Always
. … 2=Sometimes
3=Usually
4=Always
. … 2=Sometimes
3=Usually
4=Always
. … 2=Sometimes
3=Usually
4=Always
. … 2=Sometimes
3=Usually
4=Always
.
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psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
February 26, 2025 - 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 … They all do it with the best of intentions, but sometimes they should reflect a little more on their
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www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-transcript.html
December 01, 2017 - And then sometimes what we're looking at is maybe not beliefs versus behaviors, but less structured behaviors … reverse worded, then the positive thing will be to disagree or strongly disagree or, say, rarely or never … You always want a higher score. … And it is to respond, disagree, or rarely never.
Mary: Thank you.
Dr. … You always want the score to be higher.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-transcript.doc
October 08, 2013 - And then sometimes what we're looking at is maybe not beliefs versus behaviors, but less structured behaviors … reverse worded, then the positive thing will be to disagree or strongly disagree or, say, rarely or never … You always want a higher score. … And it is to respond, disagree, or rarely never.
Mary:
Thank you.
Dr. … You always want the score to be higher.
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/index.html
February 01, 2020 - The proportional score for the best possible response option (e.g., "always" or "yes, definitely") is … For example, the 4-point response scale of "always," "usually," "sometimes," and "never" is translated … This analysis of the "importance" of topics in the CAHPS survey—sometimes referred to as a "key driver … This is unusual in a CAHPS survey unless the response options are reversed, in that "never" is the most
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effectivehealthcare.ahrq.gov/sites/default/files/deliberative-methods-facilitation-transcript.pdf
May 29, 2025 - Mark Rosenberg: I guess I’ve always assumed that much of childhood and young adulthood
is preparing … As a next step, facilitators can hold an informal deliberative group, and this is usually with
family … Marge Ginsburg: I find groups any smaller than eight are probably not as productive;
usually I say a … And I’d perhaps like to finish by saying I think when I’m facilitating for
public deliberations I’m always … I’ve never ceased to be
surprised, and never ceased to be amazed by some of the things that I learn,
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/2020-instructions-for-analyzing-data.pdf
January 01, 2020 - 2=Sometimes
3=Usually
4=Always
. … 2=Sometimes
3=Usually
4=Always
. … 2=Sometimes
3=Usually
4=Always
. … 2=Sometimes
3=Usually
4=Always
. … 2=Sometimes
3=Usually
4=Always
.
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psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - gurney, the OR team noticed that the electrocardiogram cable that enables synchronized cardioversion was never … Patients with significant aortic stenosis usually develop left ventricular hypertrophy, which makes the … There is never any guarantee that shocking the ventricle will terminate VF. … There should never be any delay with cardioversion or defibrillation because staff cannot find the defibrillator … However, VF can sometimes be refractory to defibrillation.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6f.pdf
March 01, 2017 - illness, injury or
condition as soon as needed
Response Frequency
Responses
in 2015
Database
Never … Sometimes Usually Always (N)
Medicare Managed Care
Health Plan Survey 4.0 2% 9% 21% 68% 50,687 … 9% 13% 77% 31,321
Analyses of survey results also indicate that, while the majority of adults are usually … or
always able to obtain urgent medical care when needed, the experience with timely
access to care … or always able to get needed medical
2 The results for the Medicaid sector were obtained from data
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Identifying_Areas_to_Improve_2012_03_01_Transcript.pdf
January 01, 2012 - We’re all very results driven, and always
anxious to jump to the “Do” part of the cycles. … Sometimes that’s pretty hard to do for issues with patient experience of care, because
many factors … Identifying Areas to Improve
March 2012 Podcast
March 2012 www.cahps.ahrq.gov | 3 of 5
Sometimes … And it never could, because so much of this information is operational and very specific
to individual … - believe it or not, until you know you’re hearing the same thing over and over
again because that usually
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
May 01, 2017 - The
proportional score for the best possible
response option (e.g., “always” or “yes,
definitely”) … For example, the 4-point
response scale of “always”, “usually”,
“sometimes,”, and “never” is translated … This is unusual in a CAHPS survey unless the
response options are reversed, in that “never” is the most … Try to act as if you have never been there before. Follow the signs. … month, usually over dinner, and participation on one
committee.
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psnet.ahrq.gov/node/33728/psn-pdf
May 01, 2012 - One of the reasons may be that we focused on a lot of errors that never impact a
patient. … Some never impact a patient and some can
dramatically impact a patient. … occurred in the
Medicare study—more than a quarter of the patients had them and minor events were sometimes … So
we'll always have a human review to assess and validate its accuracy. … DC: The feedback loop is usually that air traffic controller having access to the patient information
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - This can sometimes get lost in translation. … This type of communication should always be discouraged, but unfortunately it does happen. … Sometimes, clear and open communication will help prevent this from happening. … The medication was never stopped upon transfer to the long-term care facility because it was incorrectly … This nurse usually works only on the weekends.
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www.ahrq.gov/research/findings/final-reports/diabetesnetwork/diabnet4a.html
October 01, 2014 - When champion is mid-level provider, physicians do not always follow lead even when success is demonstrated … Community agencies sometimes work together to develop or fund promotora program and may even share time … Unfortunately, they usually do not discuss any differences of opinions with the clinician because he … However, clinicians should never intimate that patients who maintain good control will never have to … The priority of the former is usually to find interpreters and bilingual staff.
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - , the OR team noticed that the electrocardiogram cable that enables
synchronized cardioversion was never … heart from beating during bypass.
12
Background (5)
• Patients with significant aortic stenosis usually … • There is never any guarantee that shocking the ventricle will terminate VF. … • There should never be any delay with cardioversion or defibrillation because staff
cannot find … • However, VF can sometimes be refractory to defibrillation.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AHRQFINALREPORTVHI.pdf
December 01, 2009 - Usually after that discussion, an email was sent
with additional follow-up items (see Attachment 4). … This hospital
system was never able to provide lab data due to system conversion. … While this unique identifier was usually
___________________________________________________________ … We usually provided an immediate email back to the sender to indicate that the
POA counts were within … Hospitals were always willing to send even
when it cost them money.
e.