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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - These included no-fault errors (e.g., atypical presentation of disease), systems-related errors (e.g., organizational
-
psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - characterized as good catches, thus rewarding staff who recognize and report, facilitating greater organizational
-
www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
October 01, 2014 - The goal is to identify barriers and facilitators to successful organizational change.
-
www.ahrq.gov/news/events/nac/2016-04-nac/nacmtg0416-minutes.html
August 01, 2016 - That requires fitting different organizational/business models.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/monitoring-programs-rapid-research.pdf
April 01, 2025 - consolidation
from multiple platforms to a single one
Barriers in preparing for
implementation
Organizational … management
• Feeling isolated
Immediate challenges, related to:
• Rapid timelines
• Individual and organizational … and governance
structures based on prior emergencies
(e.g., wildfires, severe flooding)
provided "organizational … If organizational policies
require permission to adapt or use these materials, AHRQ will provide such
-
digital.ahrq.gov/sites/default/files/docs/page/health-information-technology-evaluation-toolkit-2009-update.pdf
January 01, 2009 - improve the financial position of the hospital; to be seen by our
patients as making patient safety an organizational … (3) Goal: To be
seen by our patients as making patient safety an organizational priority. … Barriers may be organizational, financial, or legal, among many
other areas. … Organizational Research Methods 1998;1(1):104-21.
2.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/breastfeeding_research-protocol.pdf
January 01, 2020 - Assistance”[Mesh] OR “Food assistance”[All
Fields] OR “Health Education”[Mesh] OR “House Calls”[Mesh] OR “Organizational … OR "Cohort Studies"[MeSH] OR "Epidemiologic
Studies"[MeSH] OR "Cross-Sectional Studies"[MeSH] OR "Organizational
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs022086-carayon-final-report-2019.pdf
January 01, 2019 - Checklist
Organizational
culture
Ensure open/transparent culture where anyone
(including physicians-in-training … Paper presented at the Organizational Design and Management (ODAM)
Conference, Banff, CA.
-
www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
January 01, 2024 - were then compiled into an Excel file, and two nursing homes in
each state were chosen based on organizational … on the processes by which normalization does and does not take place in different
clinical and organizational
-
www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
January 01, 2025 - Managing the Risks of Organizational Accidents. … Activating the Informational Capabilities of Information Technology for
Organizational Change.
-
www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
January 01, 2024 - Our analytic strategy was based on the literature on patient safety and
organizational behavior. … Repenning, Disaster Dynamics: Understanding the Role
of Quantity in Organizational Collapse.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal-notes.docx
April 01, 2022 - InvolvementTechnical or AdaptiveInclude prompts to remove CVC in maintenance checklists or in EHRsPhysicians & organizational … Technical or Adaptive
Include prompts to remove CVC in maintenance checklists or in EHRs
Physicians & organizational
-
www.ahrq.gov/research/shuttered/acfselection/appendixa.html
July 01, 2018 - The incident command system provides an organizational structure at the agency, discipline, or jurisdiction … Organizational lapses, including inadequate medical and operational planning, understaffing of medical
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
January 01, 2005 - of people.36 Qualitative approaches are
especially useful for addressing questions of process (e.g. organizational … It progresses from special causes in clinical processes to common
causes in organizational processes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
January 22, 2008 - The organizational structure of the ward team is depicted in Figure 1.
Figure 1. … The organizational structure of the ward teams
Sign-out for these wards takes place in the pediatric
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
May 05, 2008 - The clinicians, the local
clinical context, and the organizational institutional culture represent psychosocial … Organizational patient safety leaders will be
extremely supportive of in situ simulation as a proactive
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015054-keenan-final-report-2008.pdf
January 01, 2008 - Organizational responses to crisis:
The role of mutual trust and top management teams. … Organizational responses to crisis-
The centrality of trust.
-
psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
September 01, 2003 - Organizational culture should encourage health care providers to communicate and collaborate with each
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-deprescribing.pdf
February 01, 2024 - professional
educational
interventions,
clinical decision
support
systems,
multifaceted
interventions,
organizational … categorized barriers and enablers
using the socio-ecological model, which includes patient, interpersonal,
organizational … If organizational policies
require permission to adapt or use these materials, AHRQ will provide such
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017018-lehmann-final-report-2010.pdf
January 01, 2010 - and safety
in the ambulatory setting, using a set of national consensus measures and identify the
organizational … setting, the time is ripe to explore the utility of using EHRs to
accomplish this and identify the organizational