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psnet.ahrq.gov/node/73709/psn-pdf
September 15, 2021 - healthcare organizations – particularly the surgical community – can leverage these approaches in
operational
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psnet.ahrq.gov/node/867337/psn-pdf
December 11, 2024 - emphasizes
resilience and clinicians’ adaptability, while Safety III integrates system design and operational
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psnet.ahrq.gov/node/866907/psn-pdf
October 09, 2024 - errors (e.g., failure to address patient deterioration), problems with the physical environment, and
operational
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psnet.ahrq.gov/node/44770/psn-pdf
September 24, 2016 - issue/interruptions-and-distractions-healthcare-review-and-reappraisal
https://psnet.ahrq.gov/issue/operational-failures-and-interruptions-hospital-nursing
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psnet.ahrq.gov/node/35188/psn-pdf
August 16, 2016 - handbook-patient-safety-compliance-practical-guide-health-care-organizations
This well-referenced and up-to-date handbook covers many of the regulatory and operational
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-burnout-slides.pdf
December 10, 2024 - COMPASS Group Operational Points
• Virtual vs. in-person
• Mandatory vs. voluntary
• Intact team vs. … COMPASS Groups
COMPASS Group Trials
COMPASS Group Topics
COMPASS Study Conclusions
COMPASS Group Operational
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www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - Patients are
generated by the model at the beginning of this operational time interval and accumulate … processing patients
continuously, 24 hours a day (around the clock), ambulatory units have fixed operational … To reflect this schedule constraint,
we established a 12-hour operational time interval for the model … Any patients remaining in the
queue at the end of the 12-hour operational time interval remained unprocessed … Detailed examination of traces reveal that, over longer operational intervals,
exceedance is disproportionately
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digital.ahrq.gov/ahrq-funded-projects/health-information-exchange-frontier-model
January 01, 2023 - The three primary goals of the project were:
To develop an operational entity and incorporate a regional … The evaluation identified several other findings including: 1) achieving a fully operational health information
-
www.ahrq.gov/action-alliance/webinars/workforce-safety-well-being.html
October 01, 2024 - are equipped with the skills and tools needed to make these interactions meaningful, detailing the operational
-
www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
December 01, 2017 - Operational Dashboard.
Portfolio Presentation.
Conditions of Participation Handout. … Slide 24: Establish an Operational Dashboard to Track Implementation and Outcomes (Tool 6)
Image: … Two screencaps display Implementation and Outcome pages from the Operational Dashboard Tool.
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23293
May 29, 2025 - report, Improving Primary Care Valuation Processes for the Physician Fee Schedule, and economic and operational
-
integrationacademy.ahrq.gov/sites/default/files/2020-07/cj_peek.docx
January 01, 2020 - But behind that, there’s an operational world also running. How are we providing that care?
-
www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - Detailed process data relating to abnormal event sequences, non-standard operational conditions,
failure … We then conducted a series of
systematic observations in an existing, fully operational system of care … To illustrate the value of the
mission timeline decomposition and specification of operational time … Within each of these
major mission phases, moreover, there are specific operational time intervals during … A data-based method for assessing and reducing human error to improve
operational performance.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
January 01, 2006 - What are clinical or operational problems that have or could have jeopardized patient safety? … Defects
Identify defects and Sensemaking share several common themes
Defects or failures are clinical or operational
-
psnet.ahrq.gov/node/47289/psn-pdf
October 24, 2018 - Recommendations include conducting operational assessments, establishing a drug shortage team, and
communicating
-
psnet.ahrq.gov/node/45011/psn-pdf
May 25, 2016 - psnet.ahrq.gov/primer/high-reliability
https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-operational-advice-hospital-leaders
-
psnet.ahrq.gov/node/40181/psn-pdf
September 25, 2011 - study, hospitalized patients experiencing serious injuries from falls were associated with higher
operational
-
psnet.ahrq.gov/node/33882/psn-pdf
June 01, 2019 - interventions that follow—new rules, training, or worse, disciplinary action—sometimes undermine the
operational … For instance, organizations
under financial pressure often stress operational efficiency. … Therefore, a key role of learning is to enhance integrated understanding and shared awareness between
the operational
-
www.ahrq.gov/cahps/cahps-database/hcbs-database/index.html
January 01, 2025 - This database became operational in early 2020; it is a joint project between the Agency for Healthcare
-
psnet.ahrq.gov/issue/patient-safety-19
August 14, 2019 - This series of commentaries discusses a wide range of policy , legal, and operational topics related