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www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-slides.html
December 01, 2017 - professional status; narrow technical focus without broader contextual understanding; episodic encounters rather … than continuous care; predominant hospital orientation at the expense of primary care; quantitative … safety considerations the medical hierarchy needs to be balanced in favour of teaching and learning rather … than the exercise of power.”
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/execsumm.html
October 01, 2015 - Primary care transformation is a process that practices or health systems choose to engage in, rather … than an endpoint or final goal to be achieved. … Traditional payment systems that reward quantity rather than quality of health services may compromise
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www.ahrq.gov/ncepcr/reports/grants-transform/executive-summary.html
March 01, 2017 - Primary care transformation is a process that practices or health systems choose to engage in, rather … than an endpoint or final goal to be achieved. … Traditional payment systems that reward quantity rather than quality of health services may compromise
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cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/FactorsToConsiderInManagingChronicPain_Change_Log.txt
January 01, 2024 - authoredOn
- NonPharmacologicTreatmentServiceRequests now queries for active or
completed ServiceRequests rather … than accepted, in-progress, or completed
ProcedureRequests and accepted, active, or completed ReferralRequests … - Due to changes in the CQL model representation of FHIR, choices are now
accessed via CQL casts rather … than explicit properties
Factors_to_Consider_in_Managing_Chronic_Pain_FHIRv400 version 1.0.0 has not … than OID-based value set identifiers
- Removed unnecessary concept declarations, preferring simpler
-
psnet.ahrq.gov/node/39499/psn-pdf
January 03, 2017 - More than 80% of
respondents expressed a desire for internal rather than external support when needing
-
psnet.ahrq.gov/node/37465/psn-pdf
March 02, 2011 - effect-drug-concentration-expression-epinephrine-dosing-errors-randomized-
trial
This study found that the use of ratios rather … than mass concentration on drug labels may be a source of
drug administration error.
-
psnet.ahrq.gov/node/47196/psn-pdf
October 17, 2018 - The author suggests that an adaptive rather than linear decision-making
approach would support reasoning
-
psnet.ahrq.gov/node/44312/psn-pdf
November 06, 2015 - members,
most of these interactions are more properly characterized as collaboration or coordination rather … than true
teamwork.
-
psnet.ahrq.gov/node/41518/psn-pdf
October 12, 2012 - response team model that relied on clinical triggers to summon the primary team caring for the
patient—rather … than a dedicated, separate team—resulted in sustained reductions in unexpected inpatient
mortality
-
psnet.ahrq.gov/node/34059/psn-pdf
March 11, 2011 - Most of the
ADEs were found through electronic or computerized methods, rather than by voluntary reporting
-
psnet.ahrq.gov/node/34966/psn-pdf
June 22, 2009 - The authors suggest
that a consensual, rather than individual, approach would more reliably determine
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
January 01, 2017 - step toward realizing that medical errors, in large part, do not belong to individual providers, but rather … When we focus on systems rather than individuals, we realize that we can redesign care and delivery processes … Slide 7
Health Care is a Science
SAY:
When we treat medicine and health care delivery as a science rather … than an art, providers can focus on health care delivery processes using evidence-based practices.
-
www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide7.html
May 01, 2016 - critical care settings. 4,6,8 These strategies are most effective when used as a redundant mechanism (rather … than as primary strategies) to leverage the VTE prevention order set. … resulting in improved prophylaxis rates and fewer VTE events at 90 days. 9 A study using human alerts, rather … When this strategy is used, having the screening step err on the side of being specific, rather than … than "activity ad lib" or bed rest.
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
May 01, 2016 - critical care settings. 4,6,8 These strategies are most effective when used as a redundant mechanism (rather … than as primary strategies) to leverage the VTE prevention order set. … resulting in improved prophylaxis rates and fewer VTE events at 90 days. 9 A study using human alerts, rather … When this strategy is used, having the screening step err on the side of being specific, rather than … than "activity ad lib" or bed rest.
-
psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - 170 audible false alarms each day, more than 7 per hour. … Consequently, rather
than signaling that something is wrong, the cacophony becomes "background noise … with
persistent atrial fibrillation (an irregular heart rhythm that can trigger telemetry alarms) rather … than only a select few leads. … https://psnet.ahrq.gov//#references
Take-Home Points
Alarms should never be completely silenced; rather
-
digital.ahrq.gov/sites/default/files/docs/citation/AppendixD_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - example, whether hazards discovered during Production were more likely to involve
Usability issues than … relationship may be driven by an increased number of hazards that were discovered in
Production Use rather … than any other Stage of Discovery. … due to a usability,
software design or organizational factor and most often resulted in patient risk rather … than patient harm.
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
September 01, 2015 - than a problem. … One cause of destructive conflict is the common tendency to focus blame on a person rather than
a process … The goal is for leaders and staff to begin to see meetings as a
powerful tool for change rather than … It invites people to step forward from
a place of capacity rather than defensiveness, and helps people … Rather than focusing
on the desired outcome, focus on maximizing the quality of the process, on the
-
psnet.ahrq.gov/node/838631/psn-pdf
October 19, 2022 - Safety-II perspective emphasizes improving patient safety by focusing on what goes right in
healthcare, rather … than on errors or what goes wrong (Safety-I).
-
psnet.ahrq.gov/node/73132/psn-pdf
April 14, 2021 - explored the role of machine-learning based clinical decision support (CDS) algorithms to
support (rather … than replace) human decision-making and the impact on diagnostic performance.
-
psnet.ahrq.gov/node/764398/psn-pdf
March 02, 2022 - developed in aviation, has become popular in healthcare as
a method to train groups to function as teams, rather … than as a collection of individuals.