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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state4.html
January 01, 2024 - However, application of the research to clinical practice and operational safety improvement is lagging
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www.ahrq.gov/ncepcr/tools/pcmh/implement/section-1.html
November 01, 2021 - In addition, some operational and quality improvement changes can be assessed through locally managed
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table2.html
August 01, 2022 - Operational approach
Staff needed to serve as patient advocates, aid in reporting, triage reports
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www.ahrq.gov/hai/cusp/modules/identify/identify.html
December 01, 2012 - Defects
Return to Contents
Slide 11: Staff Safety Assessment
Step 1: What are clinical or operational … Defects or failures are clinical or operational events that you do not want to happen again.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
August 08, 2012 - A defect is any clinical or operational event or situation that you would not want to have happen again … Was there adequate operational (administrative and managerial) support?
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt3.html
September 01, 2014 - design process can facilitate a productive working relationship between them and the CME once it is operational … Reviewing child-serving agency operational plans that discuss cross-agency coordination, out-of-home
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/091-decolonization-implementation-fg.docx
April 01, 2025 - and spinal fusion surgeries; identify key strategies for MRSA decolonization; identify challenges and operational … Slide 7
Challenges and Operational Issues
SAY:
Challenges and operational issues for implementing
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/joseph1-report.pdf
January 01, 2012 - identified high-priority design
activities for patient safety: articulation of project mission/vision, operational … focusing on patient safety issues during the
predesign phase (strategic planning, master planning, operational … Attendees identified the importance of assessing different design and operational solutions using
8 … Operational/future state planning – Attendees identified the importance of clearly defining
future states … Participants also identified
an operational plan that documents key processes in the new facility as
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
August 01, 2022 - item or Action Plan
Business plan for implementation of a support team infrastructure, including operational … YES NO
Operational Elements
Method for providing second-victim support to individuals
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication5.html
July 01, 2024 - Only one study used administrative and operational data sources such as patient complaints to identify
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/hospital-efficiency-resources.pdf
May 01, 2023 - hospital
frontline clinical staff, members of the financial team, and leaders to identify clinical and
operational … The Framework for Safe, Reliable, and Effective Care describes the key strategic, clinical, and
operational … components involved in achieving safe and reliable operational excellence—a
“system of safety,” not
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/psychological-safety-slides.pdf
March 18, 2025 - health system
• Leader training on positive interactions and rounding
• Part of a Safety, Communication, Operational … Impact of leadership walkrounds on operational, cultural and clinical outcomes: a
systematic review
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/culture-checkup-tool.html
July 01, 2023 - of meetings by using specific survey questions that are both diagnostic and related to clinical or operational
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www.ahrq.gov/patient-safety/resources/consumer-exp/reporting/table2.html
October 01, 2014 - Operational approach
Staff needed to serve as patient advocates, aid in reporting, triage reports
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence2.html
April 01, 2025 - The need for flexibility can put the funding of CEs from the healthcare system’s operational budgets
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www.ahrq.gov/patient-safety/reports/issue-briefs/nurse-role-dxsafety3.html
September 01, 2022 - Improving surveillance and reducing operational barriers to nurse participation in the diagnostic process … Domain 2: Improving Surveillance and Reducing Operational Barriers
System surveillance is the “purposeful
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety3.html
September 01, 2022 - Improving surveillance and reducing operational barriers to nurse participation in the diagnostic process … Domain 2: Improving Surveillance and Reducing Operational Barriers
System surveillance is the “purposeful
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www.ahrq.gov/patient-safety/about/chesapeake-regional-healthcare.html
February 01, 2024 - In 2022, inpatient fall prevention was CRH’s top operational strategic goal.
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www.ahrq.gov/sites/default/files/publications/files/ambulatory-safety.pdf
July 01, 2010 - patients in ambulatory settings,
emergency departments, and transitions
of care
Type of Health IT: Operational … Focus Area(s): Coronary artery disease
and heart failure measures
Type of Health IT: Operational decision … Focus Area(s): Colonoscopy pre-
procedure, procedure, and post-
procedure measures
Type of Health IT: Operational … Focus Area(s): Measuring potential
diagnostic errors in primary care
Type of Health IT: Operational decision … Area(s): Improved use of effective
alert strategies for decision support
Type of Health IT: Clinical/operational
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Steele_100.pdf
March 18, 2008 - The team developed policies and procedures to
support new operational workflow changes. … The improvements in operational efficiency strongly support these efforts. … The team recognized that success would involve:
• Enabling existing systems to become 100 percent operational