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psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - Quality improvement is a crucial
aspect of ASN. … Then, the ASN was funded through a grant program. … 2026) is enabling CEBI investigators to assess the impact of
disseminating the radiology safety net program … Getting Started with This Innovation
Deploying a small pilot program to test minor changes prior to … the radiologist did not indicate a timeframe for imaging
follow-up, it was especially challenging to measure
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - Review of Existing System Structures using a Quality Improvement Lens
The occurrence of this error and … on the
case-mix of patients) and enough experienced nurses and supervisors to provide oversight.10 Programs … to anxiety and insomnia in hospitalized patients should start with non-pharmacologic sleep
hygiene measures … The impact of new graduate nurse transition programs on
competency development and patient safety: An … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
February 28, 2024 - I have managed a variety of domestic and global health programs and overseen a range of patient safety … At AHRQ, I serve as a program officer in the General Patient Safety Division. … Therefore, when I joined AHRQ, the TeamSTEPPS program was a natural fit. … TeamSTEPPS is a program designed for healthcare professionals. … Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
February 28, 2024 - Agency for Healthcare Research and Quality. … I have managed a variety of domestic and global health programs and overseen a range of patient safety … At AHRQ, I serve as a program officer in the General Patient Safety Division. … Therefore, when I joined AHRQ, the TeamSTEPPS program was a natural fit. … TeamSTEPPS is a program designed for healthcare professionals.
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psnet.ahrq.gov/node/49401/psn-pdf
May 01, 2003 - Halfway measures such as locking up or hiding a gun at home are often inadequate. … Simon, MD Clinical Professor of Psychiatry Director, Program in Psychiatry and Law Georgetown
University … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/node/49837/psn-pdf
August 01, 2018 - There have been reports of successful aneurysm
screening programs across large patient populations by … Jeffrey Jim, MD, MPHS Associate Professor of Surgery Program Director, Vascular Surgery Training
Programs … Implementation of an aortic screening program
in clinical practice: implications for the Screen for … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
January 01, 2019 - consensus in cases where there is dissention
15
Health Profession Reluctance
• Tracking of mortality quality … measures can have a chilling effect on a
surgeon’s willingness to perform procedures
– An example is … to discuss code status and ACP
17
Helpful Tools
• VITALTalk and Ariadne Labs’ Serious Illness Program
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psnet.ahrq.gov/node/33719/psn-pdf
October 01, 2011 - For example,
elements of the checklist in the central line infections prevention program in Michigan … Some research is moving into the arena occupied by quality
improvement project teams, and provides change
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - Quantitative monitors that can measure the TOF ratio more accurately than is possible with visual and … Quantitative assessment of the degree of paralysis by either electromyography or acceleromyography can measure … Quantitative monitors can now measure the TOF ratio precisely and are recommended by the American Society … Patient Safety and Quality Healthcare . December 2019. … The Procedureless Elipse Gastric Balloon Program: multicenter experience in 1770 consecutive patients
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psnet.ahrq.gov/node/49547/psn-pdf
October 01, 2007 - and ergonomically designed resuscitation equipment
saves valuable time.(12) Hospitals must institute measures … Asheville, NC:
Quality America; 2007. … Follow American
Heart Association (AHA) Public Access
Defibrillation (PAD) program policies
Expensive … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - Patient Safety and Quality,
1–14. … CMS EHR Incentive Program. 2013. … “Eligible Professional Meaningful Use Menu Set Measures
Measure 7 of 10.” … “Rehospitalizations among
Patients in the Medicare Fee-for-Service Program.” … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - Castle : Most of my work in nursing homes has revolved around assessing quality: what makes a quality … nursing home and measures of quality. … measures whereby a consumer can compare one place to another. … Most have programs that transmit data to the states because it's mandated. … The MDS has to be transmitted to the state's central repositories; there's a computer program for that
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … A study that examined the American College of Surgeons National Surgical Quality Improvement Program … This protocol sets expectations, minimizes variability of care, and improves quality through the application … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
September 01, 2016 - For instance, the heart failure telemonitoring program (Connected Cardiac Care Program) at Partners Healthcare … than in those who did.( 4 ) Similar reductions in medication errors have been reported in telepharmacy programs … Although some telemedicine programs can prevent medical errors, known and emerging threats to patient … Use of an interactive, telephone-based self-management support program to identify adverse events among … December 19, 2018
Changes in medical errors after implementation of a handoff program
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psnet.ahrq.gov/node/852698/psn-pdf
August 30, 2023 - an
innovation designed to compile cases of specific populations of patients and diagnoses that have quality … errors include voluntary reporting, malpractice claims,
patient complaints, physician surveys, random quality … Following these findings, the SureNet system, as well as a screening
program based on a Best Practice … In 2020, this program
successfully identified 686 patients diagnosed with AAA and did not have appropriate … Kanter MH, Jones JP. eAutopsy: using structured hybrid manual/electronic mortality
reviews to identify quality
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psnet.ahrq.gov/node/49610/psn-pdf
October 01, 2010 - Surgeons must take the lead in developing new methods to measure and improve competency. … Negative appendectomy and imaging accuracy in the
Washington State Surgical Care and Outcomes Assessment Program … Operative experience of residents in US general surgery
programs: a gap between expectation and experience … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/node/49505/psn-pdf
March 01, 2006 - The patient subsequently had
progressive hypotension, did not respond to resuscitative measures, and … sue them, claiming that
privilege restrictions were placed for motives other than the assurance of quality … All
hospitals should have robust programs to thoroughly educate members of credentialing and peer review … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.179_slideshow.ppt
July 01, 2008 - treatments
Appreciate the stigma associated with opioid dependence and the potential impact on the quality … in the outpatient setting in methadone treatment facilities (licensed Opioid Agonist Therapy [OAT] programs … available, and providers should appropriately screen, identify, and treat these patients
Improving Quality … education in substance abuse disorders for trainees and practicing clinicians may also improve the quality … treatable medical condition
The clinical opioid withdrawal scale (COWS) can be a useful objective measure
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psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
November 01, 2017 - "( 1 ) Technology, with its array of capabilities to measure data, manage information, and automate processes … outcomes, and follow-up activities empower them to improve the way health care providers deliver care and measure … intensive care unit (ICU), implementation of a structured patient-centered care and engagement training program … Crossing the Quality Chasm: A New Health System for the 21st Century. … Measuring patient-perceived quality of care in US hospitals using Twitter.
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - Response Team did not readily know the cause of the respiratory
problem
19
SYSTEMS CHANGE NEEDED/QUALITY … IMPROVEMENT APPROACH
20
Systems Change Needed/Quality Improvement Approach (1)
• Multiple complicating … frequently but was stretched too thin providing care to
other patients
21
Systems Change Needed/Quality … Approach to anxiety & insomnia in hospitalized patients starts with
non-pharmacologic sleep hygiene measures … The impact of new graduate nurse transition programs on competency development and
patient safety: