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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
December 10, 2013 - I know that each of you represents an important piece of a challenging health care puzzle, and I’m here … And so we talked about that being a factor in health care. … Karen Frush and I published an article back in 2005 about revolutionizing the health care system. … because of the ease of patient care sometimes. … offices to the acute care setting.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
December 01, 2017 - I know that each of you represents an important piece of a challenging health care puzzle, and I'm here … And so we talked about that being a factor in health care. … Karen Frush and I published an article back in 2005 about revolutionizing the health care system. … because of the ease of patient care sometimes. … offices to the acute care setting.
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www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
January 01, 2024 - Providing safe care requires leadership. … Medication error reporting in long term care. Long Term Care
Interface 2006;7(2):23-25. … J Nurs Care Qual 2005;20(1):36-42.
Barker KN, Flynn EA, Pepper GA. … Final report for Nursing Home Working Conditions & Quality of Care. … Medication error reporting in long term care. Long Term Care
Interface 2006;7(2):23-25.
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www.ahrq.gov/sites/default/files/publications/files/cdifftoolkit.pdf
September 01, 2012 - Restrictions on antibiotics impair my ability to
provide good patient care.
5. … Antimicrobial stewardship programs can improve
patient care.
2. … What is your primary work area or unit in this health care facility? … How long have you worked in this health care facility? … What is your staff position in this health care facility?
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www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
January 01, 2024 - Scope: (1) Re-engineer the system of monitoring hospitalized children on acute care wards, with a focus … Specific Aims:
Specific Aim 1: Re-engineer the system of monitoring hospitalized children on acute care … Analyze home care SpO2 monitor prescribing data: We examined and extracted relevant data from CHOP … Home Care records of prescribed pulse oximeters from the prior 3 years. … (routine care), or
elapsed after 10 min (nonresponse).
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www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
January 01, 2024 - Crit Care Med 2003; 31:2488-2494. … Qual Saf Health Care 2004; 13: 136-144. … Intensive Care Med 2002; 28: 535-546
28. … Crit Care Med 2004; 32: 2227-2233
29. … Crit Care Med 2003; 31: 2488-2494
34.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
January 01, 2024 - Research has shown unacceptable rates
of diagnostic errors in acute care, ambulatory care, and emergency … This randomized trial engaged 16 primary care
practices in a shared learning initiative to improve care … A prospective, mixed methods study in primary care. … Do attitudes and behavior of health care professionals exacerbate
health care disparities among immigrant … Reducing diagnostic errors in primary care.
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www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
January 01, 2024 - Intensive care units may be one of the most dangerous places in acute care settings with
respect … The rate of preventable ADEs in intensive care can be twice as much as in
non-intensive care units … on an intensive care unit. … (NICU, 26
beds), medical intensive care (MICU, 12 beds), surgical intensive care (SICU, 20 beds … and general care units.
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www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
January 01, 2024 - work activities in three different medical
residency cultures: trauma surgery, a medical intensive care … about or couching episodes of error or failure within the
context of the total surrounding system of care … Care for a range of patient diagnoses was observed, including severe traumas
that had been flown to … It seemed to infuse their
work with greater meaning, in the sense of feeling that good patient care, … It structured how residents
thought about and enacted their everyday roles, especially when taking care
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www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
January 01, 2025 - deviate from standard of care? … Qual Manag Health Care.
2004;13:88-92.
McNutt RA. … Qual Manag Health Care. 2004;13:183-7.
McNutt RA. … Organizational and cultural change for providing safe
care. … Medical Malpractice, Health Care Quality and Health Care Reform PNHP NY Metro
Forum Report, #4; May
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - and higher in
primary care settings. … quantitative research
findings on ED care for low back pain. … Another study had results suggesting that
differences in care provided in pediatric versus adult care … Nearly all (99%) responding staff felt the EPh
improved quality of care. … of the population of patients in the pediatric intensive care
unit.
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www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
January 01, 2024 - mmHg prior to or on
admission), need for mechanical ventilation, and admission to the Intensive Care … Video techniques and data compared with observation in
emergency care. … International Trauma
Care Meeting, Stavanger, Norway, May 22-26, 2002.
4. … Emergency Care. … Plenary presentation Trauma Care 2004, Sydney,
Australia. To be presented Oct. 16, 2004.
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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-Browne_5.pdf
January 20, 2008 - care policies for the nurse-call system. … Improvement, trust, and the health care
workforce. Qual Saf Health Care 2003; 12: 448-452.
6. … Medical care availability and reduction of error
(MCARE) Act; March 20, 2002. … J Health
Care Qual 2005; 27: 29-36.
15. Bagian JP, Gosbee J, Lee CZ et al. … Partnership for patient care.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/access/qrdr2015-chartbookaccess.pptx
January 01, 2020 - White (n=15) 21 14 12 7 4
Elements of Access to Health Care
Access to health care means having “the … People who were unable to get or delayed in getting needed medical care, dental care, or prescription … From 2002 to 2013, the percentage of adults who needed care right away who sometimes or never got care … care. … Access to health care in America.
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www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
January 01, 2024 - effective ways to
implement this intervention and improve medication safety during transitions of care … Though medication reconciliation practices are required at care transitions throughout hospitalization … We requested that sites target their QI efforts at medical-surgical non-critical-
care inpatient services … Patients
Patient subjects were drawn from the medical and surgical inpatient, non-critical-care units … Characteristics differ between usual care and
intervention arms and across time due to the nonrandom
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-design.pdf
February 18, 2021 - What is important to your clinic in improving
care? … • Advertise educational opportunities to care teams. … Emphasize the benefits to patients and care teams. … through tracking and monitoring data and to make care recommendations to the
primary care provider. … Will your clinic use care
coordinators? MAs?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
April 01, 2025 - Failure to remove the fluorescent marking from high-touch surfaces in the patient care environment means … Contributing factors from all levels of the healthcare system impact care delivery and, ultimately, patient … While interviewing the staff, the CUSP team discovered that several new employees were new to the care … rate in the preoperative area and there are several new nurse orientees who are not familiar with the care … Stressing the importance of patient actions to help prevent infection engages the patient in their care
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - unique barriers in the ICU population
Compare reduction of CAUTIs with other similar issues in the care … and outs’ every hour
There are so many other things to discuss on rounds
Slide 52
ICU care … in the ED is short
Time for care in the ICU is long
Slide 54
So why is it so hard to change … The data for Surgical ICU and No critical care consult available is highlighted. … Bag below bladder, use of securement device, seal not broken)
Nurse to complete when care on sheet
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
February 16, 2011 - Assessment of Pressure Ulcer Care Plan
Does the care plan for pressure ulcers address all the areas below … Start a skin care plan.
C. … Start a skin care plan.
C. … Wound Care Physician
· Directs patient care, orders tests and treatments, and reviews results
· Collaborates … Admitted to: _____ acute care ____ obs > 24 hr _____ intensive care _____ swing bed
_____other (STOP
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www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
January 01, 2024 - The IQIs are a set of measures designed to reflect the quality of care inside hospitals. … care sensitive conditions (27). … Conceptually, good outpatient care should prevent hospitalization. … Variation in anesthesia complications in
pregnancy as a maternal quality of care Indicator. … Care of Women in U.S. Hospitals, 2000.