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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.pdf
June 02, 2025 - This pharmacy places more emphasis on sales
than on patient safety ................................ … This pharmacy helps staff learn from their mistakes
rather than punishing them .................... … Less than 6 months
b. 6 months to less than 1 year
c. 1 year to less than 3 years
d. 3 years … to less than 6 years
e. 6 years to less than 12 years
f. 12 years or more
2. … More than 40 hours per week
3. What is your position in this pharmacy?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Second-order problem solving focuses on identifying system issues rather than one-time solutions. … He wrote that rather than being the main instigators of an accident, operators or the frontline staff … SAY:
If the patient was part of the defect process (e.g., alert, rather than under anesthesia), ask the … Isolate how the providers were in the position to make a mistake, rather than approaching the defect … NOTE:
This is a great opportunity to involve entire staff rather than just the surgical quality improvement
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Second-order problem solving focuses on identifying system issues rather than one-time solutions. … He wrote that rather than being the main instigators of an accident, operators or the frontline staff … Say:
If the patient was part of the defect process (e.g., alert, rather than under anesthesia), ask … Isolate how the providers were in the position to make a mistake, rather than approaching the defect … Note:
This is a great opportunity to involve entire staff rather than just the surgical quality improvement
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
March 05, 2008 - The majority of reports (85 percent, N = 68) were of near misses rather than AEs (15 percent,
N = 12 … As in our study, most of their reports were of near misses rather than AEs.4
Limited prior research … Resar26 has noted that the goal of
patient safety should be a focus on harm reduction rather than on
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pdf
June 02, 2025 - family advisors help us provide care and
services based on patient- and family-identified needs
rather … than our assumptions
• Patient and family advisors offer
– Insight on our strengths and areas where … partners in their care
– Feedback that is timely and gives a fuller picture of the
care experience than … families
• Research shows patient-centered communication can
improve:
– Patient safety
• More than
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www.ahrq.gov/news/events/ahrq-research-summit-learning-health-system-summary.html
October 01, 2020 - An LHS should not be about individual projects but rather about a larger structure. … Define most LHS activities as normal operations rather than research.
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
December 01, 2017 - Rather than expecting staff to complete yet another task with the information falling into a black hole … several multisite studies that found preoperative briefings to be effective when done as intended, rather … than perfunctory ticking off the boxes. … than the checklist. … If a protocol requests information at the wrong point in time, it interrupts the case rather than supporting
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
January 01, 2017 - Second-order problem solving focuses on identifying system issues rather than one-time solutions. … involved in a defect are often put in a position which leads to patient harm because of the system itself, rather … than because of a sole individual’s mistake. … Isolate how the providers were in the position to make a mistake, rather than approaching the defect … This type of education is stronger than emails and one-way lectures.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
January 01, 2017 - Rather, it’s the adaptive or cultural components of this work that are not only the toughest to implement … ASK:
Is one more likely to derail your effort than another? … Remember that sustainment is more than a project; it is a process. … Tackle any remaining barriers or any barriers as they come up proactively rather than reactively. … Rather than provide an established scorecard template, we recommend a flexible model with room for local
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6c-opennotes.html
March 01, 2020 - According to researchers at Geisinger Health System, more than two-thirds of patients who took medication … includes an unfamiliar reference to "congestive heart failure" might think it refers to an actual failure rather … than a manageable heart condition. … For example, less than 8% of doctors reported taking more time to address patients' questions outside … of scheduled visits, and less than 20% of doctors reported taking more time writing notes. 6 Despite
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www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day.html
September 01, 2023 - Not surprisingly, when patients are engaged as partners in their care rather than passive participants
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ptmgmt/ptmgmt.pdf
November 01, 2007 - Rather than
being prescriptive or hierarchical, coaching interventions should be patient-centered and … Program objectives are more likely to be framed in terms of quality rather than return
on investment … Others distinguish between generalists and specialists,
seeking primary care and “broad rather than … deep” backgrounds rather than masters-level nurses. … The problem
most pressing to the patient, rather than the clinical priority, is addressed.
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www.ahrq.gov/data/apcd/envscan/context.html
June 01, 2017 - APCDs create a more comprehensive picture of outpatient and pharmacy care than is otherwise available … technical nature of APCD data and variations across databases, defining a common vocabulary is important rather … than defining specific variables that might be found in an APCD data dictionary. … of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis codes but describe services rather … than diagnoses.
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www.ahrq.gov/patient-safety/reports/hotline/implement3.html
May 01, 2016 - safety to confirm that they upheld “just culture” principles, emphasized opportunities for learning rather … than blaming individuals, and recognized the role of systems in introducing or failing to mitigate patient … Organizations
One organization serves a specialty population and engaged one large hospital and more than … and social workers began to hand out a brochure describing the hotline on day 2 of the hospital stay rather … than at admission (when it might get overlooked among the admission paperwork).
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3O-Comprehensive_Antibiogram_Toolkit_Phase_3_Implementation.pdf
May 01, 2014 - – Upload the antibiogram as an image, in a PDF, rather than as a table that is posted
directly on … facilities may find that having a direct-link URL for antibiogram downloads is a better option
than … It is recommended that rather than posting the antibiogram to the
Web page, the nursing home create … antibiogram, it is
recommended that updated antibiograms be printed on a different color card stock than
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance-notes.docx
April 01, 2022 - Key points include:
The CHG bath is an actual bath rather than a topical application. … Application with cotton materials should be avoided since the CHG can bind with the cotton rather than … connectors, or injection ports, vigorously apply mechanical friction or “scrub the hub” for no less than … or ports should be changed at least as frequently as the administration set, but no more frequently than … administration sets that do not use blood, blood products, or lipids should be changed no more frequently than
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/115-how-to-randomly-order-high-touch.docx
April 01, 2025 - by service line.1,2 Some of these high-touch surfaces may be cleaned by anesthesia and nursing staff rather … than by environmental cleaning.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-facilitator-guide.docx
June 01, 2021 - Condom catheters are generally more comfortable than performing an in-and-out catheterization though … Here are the reasons why it is important to obtain your urinary specimen from a new, clean catheter, rather … than one that has been in place for a prolonged period.
1. … often caused by viral infections, and the sputum culture will likely represent colonizing bacteria rather … than an underlying infection.
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www.ahrq.gov/talkingquality/resources/design/general-tips/index.html
October 01, 2019 - Also, rather than centering the symbols, left-justify them so that it is easy to see which groups are … longer than others (similar to reading a bar graph by paying attention to the length of the bar). … But it's easy to overdo it or use color in a way that is confusing rather then enlightening.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/fetters.html
October 01, 2015 - transformation was underscored by the finding that PCMH implementation scores were lower in practices with fewer than … Lessons Learned and Implications for Others
Rather than following a single "one-size-fits-all" approach