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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
January 01, 2014 - We never want to cause harm when someone comes in to the hospital. … Change requires respect and when you think about how you've always done things and how you were taught … People are a part of it, but usually it's a process. … If you fix the process, you usually fix the problem. … Use data to generate awareness, never to inflame.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017202-bove-final-report-2011.pdf
January 01, 2011 - answer was recorded as a positive response in questions with a binary
response, and a response of “usually … ” or “always” was recorded as a positive response in
questions with a 4 point response (always, usually … , sometimes, never). … For questions with a graded response, the values are the % of subjects who responded
with either “usually … ” or “always.”
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - Memory of this type of event after the operation is uncommon because patients usually start moving in … The clinical signs of depth of anesthesia should therefore always be assessed, and processed EEG monitors … Patients usually resent their care team if nobody believes them and if staff belittle the suffering they … Sometimes a confused patient receives a spinal anesthetic during surgery for a hip fracture. … Production pressure in the operating room should never lead clinicians to deliver suboptimal care to
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
December 01, 2017 - We never want to cause harm when someone comes in to the hospital. … Change requires respect and when you think about how you've always done things and how you were taught … People are a part of it, but usually it's a process. … If you fix the process, you usually fix the problem. … Use data to generate awareness, never to inflame.
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www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
January 01, 2024 - Patients rated the frequency of their nausea, vomiting, diarrhea,
and pain (1 = never, 5 = almost constantly … Preparation usually entailed looking at the next day’s scheduled patients to assess
laboratory values … “I think another challenge is sometimes trying to figure out what’s on the doctor’s mind. … That doesn’t always happen, and we find ourselves at the last-minute standing in front
of a patient … As our findings suggest, plans of care are not always up to date on the day of infusion
appointments
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digital.ahrq.gov/sites/default/files/docs/HOW%20HEALTH%20IT%20CAN%20REDUCE%20UNNECESSARY%20REHOSPITALIZATION.pdf
June 16, 2021 - perspective of a clinician who accepts patients back into their clinic who have been in the hospital
not always … There was never really anything similar to that for patients leaving the hospital, and that what the … Sometimes you might see two names listed
here. … She explains more and doctors are always
in a hurry.” … We have allies as never before.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017046-krist-final-report-2011.pdf
January 01, 2011 - Each question was scored as 1=”never,” 2=”almost never,” 3=”sometimes,”
4=”usually,” 5=”almost always … ,” and 6=”always.” … The composite score included the proportion
responding never, sometimes, usually, or always. … non-significant net difference
of 3.4% (p=0.120) between intervention and control patients reporting “almost always … ” or
16
“always” to the patient-centered composite score at baseline and 4-months.
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www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
January 01, 2024 - Adherence was
assessed on a five-point frequency scale (never, rarely, sometimes, usually, always), … with
responses reported as the percentage in which responses were usually or always adhering to
all … Reported as percentage of observed handoffs usually or always adhering
to all five elements. … Reported as
percentage of observed handoffs usually or always adhering to all five elements. … Reported as percentage of written
handoffs usually or always adhering to all five elements.
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www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
January 01, 2025 - though they assigned high priority to patient safety in terms of their
beliefs, best practices are not always … Communication is sometimes inconsistent, fragmented, or (unintentionally) unclear. … they assigned a high priority to patient safety in terms of their beliefs, best practices are
not always … (circle all that apply)
I’ve never heard of it.
I’ve heard the name.
I’ve seen the website. … Usually, more specifics are
provided (e.g., who oversees whom and when, who contacts who in an
emergency
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effectivehealthcare.ahrq.gov/sites/default/files/transcript_deliberativemethodswebinar.pdf
April 19, 2012 - that can be
justified or preferred for policy projects as well, but not
always. … I have no research proving this, but I can tell you
that I’m not the only one who will usually say … Their fellow deliberators, these are, you know, for the
most part, people who have never met each other … And I should say that it’s not
always conflicting experts. … I think that, you know, issue learning
sometimes is less interesting.
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psnet.ahrq.gov/perspective/suicide-prevention
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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psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 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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effectivehealthcare.ahrq.gov/sites/default/files/pdf/benefits-harms-modeling_research.pdf
November 19, 2009 - The effect of treatments is usually studied in clinical trials, and
the prevalence of disease conditions … Nontransferability of Diagnostic Performance Across
Studies
Studies of medical test performance are not always … quality-adjusted life expectancy requires
information on utilities associated with health states, which are not always … Modeling facilitates comparisons across testing strategies that have never been, and may
never be, contrasted … Randomised comparisons of medical
tests: sometimes invalid, not always
efficient.
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www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
January 01, 2024 - during direct observation of an event in real time.
5
Observability Rating Scale
We could not always … The frequency rating is usually a 3 or 4. … The attending may never
come, but the threat (understaffing) could still be managed. … In other situations, practices among
physicians differed, sometimes substantially. … They show that
Information Sharing, Inquiry, Vigilance, and Workload Management were always observable
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150917/introducing_the_new_cahps_c&g_survey3.0.pdf
September 01, 2015 - Sometimes, it seems like your computer freezes during the presentations and you can hit your F5 button … I find the need sometimes to do that. … In other words, if
they’re asking a question “never,” “sometimes,” “usually,” “always,” then “always … I think that one’s always concerned about recall. … I mean it never is a perfect match because we’re dealing different kinds of data for sampling.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/003-clabsi-prevention-webinar-fg.docx
October 01, 2024 - Central lines are usually inserted by physicians, nurse practitioners, or physician assistants. … This is well known, but sometimes forgotten. … Slide 19
Maximal Sterile Barrier Precautions
SAY:
Maximal sterile barrier precautions must always … This is sometimes referred to as “scrubbing the hub.” … Ensure that a new swab is used for each hub; swabs should never be reused.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-transcript.html
December 01, 2017 - In some places, catheters are inserted by techs and not licensed providers, so we can always require … I know HRAT has spent a lot of time and energy on this, but it's always worth repeating, I think, to … may not even be aware yourself that aseptic technique was violated, and off the patient goes and you never … It's a tube going into a natural orifice, usually there isn't the blood, the spurting all of that sort … They felt as if sometimes they didn't insert Foleys all the time.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-transcript.docx
May 12, 2015 - In some places, catheters are inserted by techs and not licensed providers, so we can always require … I know HRAT has spent a lot of time and energy on this, but it's always worth repeating, I think, to … may not even be aware yourself that aseptic technique was violated, and off the patient goes and you never … It's a tube going into a natural orifice, usually there isn't the blood, the spurting all of that sort … They felt as if sometimes they didn't insert Foleys all the time.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - other entities have enacted
legislation or taken administrative action to require reporting of these “never … of a highly
complex and imperfect health care delivery system, in which individual minor
mishaps sometimes … occur—what has been commonly referred to as the “never
events”—in early 2002.4
Methods
About the … To qualify for this core list of serious reportable events, an event had to be
unambiguous, usually … Requiring that an event be usually preventable recognizes that some of these
events are not always avoidable
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/rapid-reviews-end-user_white-paper.pdf
April 01, 2016 - A
gap search is sometimes done. … ‘We’re usually hoping we find something within the last
two to three years” [guideline developer]
“ … [payer]
“The strength of the evidence I always find valuable as
well.” … One KI (provider)
noted that it is never possible to eliminate uncertainty, so it just needs to be … that a rapid product might give
the wrong answer and indicated that reviews “narrow uncertainty but never