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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - For easy access to the resources, keep the file open rather than printing it in hard copy because
many … Some resources are
duplicated and cross-referenced because they may apply to more than one composite … • Scientifically rooted in more than 20 years of research and lessons from the application
of teamwork
-
www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
January 01, 2024 - participants, but
the seminar did not specifically focus on the impact of design on safety outcomes; rather … However, attendees also thought that the roadmap in its current format was less than desirable
and made
-
www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Feasibility-Report.pdf
February 01, 2024 - National Plan
and Provider
Enumeration
System
(NPPES)
• Includes health providers
(spanning more than … Expand Providers
We recommend expanding the 3P-RD to include providers other than physicians (M.D. … Most data
harmonization and standardization conducted for the 3P-RD were rather straightforward (except … patient age, claims per month
and patients per month)
• Able to provide data at the ZIP-5 level
rather … than ZIP-3
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - Centers for Medicare & Medicaid Services (CMS), beginning in 2012, to penalize hospitals with higher-than-average … This approach involves working with patients and families rather than only doing something to or for
-
www.ahrq.gov/sites/default/files/2024-04/yang-report.pdf
January 01, 2024 - Scales of the comprehensive
checks are much greater than other checks. … Radiation Therapy), because
thousands more parameters and images need to be processed and checked than … successfully published papers for the new machine learning error detection
algorithms, our results were rather
-
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 - More people die each year from medical errors than from car
accidents (43,458), breast cancer (42,297 … report To Err Is Human argued that the majority of medical errors
are a result of systemic problems rather … than poor performance by individual
providers.1 Hospital discharge is an example of a systemic problem
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
January 01, 2004 - laying the foundation for all injury prevention
approaches.9 A focus on preventing medical injuries (rather … than identifying
errors) identifies more reliable data, avoids defensiveness, and encourages an
emphasis … any additional reporting burden for health care providers and may be
more comprehensive and feasible than
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/redtoolkitforms.docx
September 01, 2012 - you need it for
chest pain
Chest pain
NITROGLYCERIN
0.4 mg
1 pill every 5 minutes
(if need more than … But my weight is 142, 2 pounds more than when I left the hospital. … PATIENT: My son tells me I look much better than when I was in the hospital! … PATIENT: I’d rather not, because I don’t like having to get up at night to pee.
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-slides.pptx
December 31, 2022 - Despite proven benefits
25% of hospitals refer fewer than 20% of eligible patients to CR.*
ONLY 29% of … What happens to patients admitted to general medical floor rather than a cardiology floor? … diagnosis codes for AMI on the list we provided and if those codes were for a hospital stay that began less than … Staff set an ambitious goal of attempting to contact every referred patient in less than two business … patient survey respondents agreed that the CR program supported them, more men strongly agreed with this than
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/redtoolkitforms.pdf
September 01, 2012 - it for
chest pain
Chest pain NITROGLYCERIN
0.4 mg
1 pill every 5
minutes
(if need more
than … But
my weight is 142, 2 pounds more than when I left the hospital. … PATIENT: My son tells me I look much better than when I was in the hospital! … PATIENT: I’d rather not, because I don’t like having to get up at night to pee.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - Centers for Medicare &
Medicaid Services (CMS), beginning in 2012, to penalize hospitals with higher-than … This approach involves working with patients and
families rather than only doing something to or for
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp2.pdf
March 01, 2009 - For
situations that involve addressing more than a single, simple question, it is often useful to
construct … expertise in other nutrients in order to
consider issues that may be encountered in nutrition topics other than … A different biomarker of intake (plasma retinyl ester rather than serum
retinol) is considered when
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
March 01, 2020 - models.8-10 Lee et al. found that face-to-face management resulted in
significantly greater INR TTR than … that
all-cause mortality (HR=0.44; 95% CI, 0.25 to 0.77; p=0.004) was lower in the technician group than … Patient Safety Practices
Harms Due to Anticoagulants 7-7
7.1.5 Gaps and Future Directions
There is rather … State
INR TTR for face-to-face management was
significantly greater than for distance
management … Age
greater than 75 years (35%)
and off-label indication (5%)
were the most common
reasons for not
-
www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
July 01, 2022 - unique and specific to each facility, these cells are
open text fields, meaning you can enter data rather … than select options from a
preprogrammed list.
-
www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
January 01, 2024 - healthcare professionals, frequently creating a culture of inhibition and restraint in communication rather … than a sense of open, safe communication (psychological safety).
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
November 01, 2004 - collaborative was founded on the tenets that patient safety is a common goal of
health care institutions rather … than a competitive issue, and that, through
cooperation, Madison providers will be able to implement
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
February 04, 2022 - training structure:
� Consider rolling out each module across several meetings with your diagnostic
team, rather … than covering all the material during a single meeting.
� Keep presentations short, sharing no more … than 15 minutes of easy-to-
understand information at a time, and include focused time for group
discussion … This list is not exhaustive, but rather an example of how to
tailor messages for the greatest potential … Open-minded inquiry is not dogmatic; rather, it is open to
questioning and rethinking one’s assumptions
-
www.ahrq.gov/sites/default/files/publications/files/match.pdf
August 01, 2012 - ■ Leadership support should encompass more than an organizational endorsement; the support
requires … patient’s current
medication information during presurgical workups and medical clearance appointments, rather … than
trying to gather this type of information on the day the patient presents for surgery, when they … Different doses, routes, or frequency of medication listed on
the patient’s discharge instructions than … The workflow on
the medicine service may be quite different than it is in surgery.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/implementation.pdf
May 01, 2017 - The survey should be administered at intervals of no less than 1 year. … these technical
strategies have demonstrated that one single cause for an SSI is rarely the case; rather
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.html
May 01, 2024 - School of Medicine; Neurology Looks at using a “biopsychosocial” approach to treating chronic pain rather … than a “biopharmacologic” approach.