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www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-practices-ed-transcript.html
December 01, 2017 - Another reason may be that health care providers may observe their peers inserting catheters and notice … Lack of importance is another reason or can be another barrier to successful insertion of ...
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www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-transcript.html
December 01, 2017 - Another reason may be that health care providers may observe their peers inserting catheters and notice … Lack of importance is another reason or can be another barrier to successful insertion of ...
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
June 02, 2025 - Operating at full capacity is not a valid reason to neglect patients with the greatest
initial or ongoing … Misconception: The most important reason for care coordination is to ensure that your
program has enough … For this reason, it is essential to begin by assessing the level of physician
understanding and acceptance
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-targeted-decolonization.docx
March 01, 2022 - FAQs (Staff): Targeted Decolonization
Decolonization of
Non-ICU Patients With Devices
Section 14-4 – Addressing Questions Asked by Staff:
Targeted Decolonization
What is targeted decolonization?
Participating non-ICU units at your hospital will be decolonizing adult patients with medical devices using chlorhexidine …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Learning From Defects Tool
ICU & Non-ICU
Problem statement: Healthcare organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that future patients will be harmed.
What is a defect? A defect is any clinical or o…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - As James Reason wrote more than two decades ago, “Rather than being the main instigators of an accident … SAY:
If a contributing factor is a major reason why the defect occurred, place that factor in the top … For example, the green “x” represents a contributing factor that occurs often and is a major reason why
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - As James Reason wrote more than two decades ago, “Rather than being the main instigators of an accident … Say:
If a contributing factor is a major reason why the defect occurred, place that factor in the top … For example, the green “x” represents a contributing factor that occurs often and is a major reason why
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-14-attachment-1.pdf
January 01, 2011 - measure,
there must be a clear rationale to permit an exception for a medical, patient, or system reason … consideration – Please do not cite or distribute
15
Denominator
Exceptions
Documentation of medical reason … . patient with multiple psychiatric conditions referred to other provider)
Documentation of system reason
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-14-attach-1.pdf
January 01, 2011 - measure,
there must be a clear rationale to permit an exception for a medical, patient, or system reason … aged 4 through 18 years with a diagnosis of ADHD
Denominator
Exceptions
Documentation of medical reason … . patient with multiple psychiatric conditions referred to other provider)
Documentation of system reason
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed.pptx
June 02, 2025 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department
Reducing Unnecessary Urinary Catheter Use in the Emergency Department
Margarita E. Pena, MD, FACEP
Medical Director, Clinical Decision Unit
St. John Hospital and Medical Center
Detroit, MI
Learning Objectives
Explain how to establish gui…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - Reason presents a good review of the
development of taxonomies for such applications and develops a … that failure was (such as missing the detection of a situation
deviating from normal), but on the reason … Reason J. Human Error. Cambridge: Cambridge
University Press; 1990.
2. Norman D.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/tearsheets/helpsmokers.html
October 01, 2014 - Help for Smokers and Other Tobacco Users
Quit Smoking
This booklet tells you about ways you can quit.
en español
You can quit. Quitting is hard. Many people try several times before they quit for good. But they do succeed.
Good Reasons for Quitting
You will feel better.
You will have more energy …
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www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-mentalhealth-cg30-adult.html
May 01, 2021 - Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0/3.1: Access to Mental Health Care Services
Population version: Adult
Instructions for adding these items
After the last item before the "About You" section, add the following subheading, formatted to be consistent with existing subheadin…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-mentalhealth-hp50-adult.html
May 01, 2021 - Supplemental Items for the CAHPS Health Plan Adult Survey 5.0/5.1: Access to Mental Health Care Services
Population version: Adult
Instructions for adding these items
After the last item before the "About You" section, add the following subheading, formatted to be consistent with existing subheadings: …
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www.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - The reason is that in the U.S. some respondents do not know what patient safety culture means—they tend … In other words, the reason mistakes do not happen more often is good luck, not because procedures or
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www.ahrq.gov/talkingquality/plan/needs-and-testing/index.html
May 01, 2019 - The main reason to test various aspects of your quality report is to see the information from your audience's
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
September 01, 2009 - The
reason is that in the U.S. some respondents do not know what patient safety culture
means - they … In other words, the reason mistakes do not happen more often is
good luck, NOT because procedures or
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptx
March 01, 2017 - But these conditions aren’t necessarily harmful, and they certainly aren’t a reason to send a urine culture … It can cause the urine to become cloudy and smell bad, but it is not a reason to be alarmed—it is very
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking1.html
September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Previous Page Next Page
Table of Contents
Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Fundamental Concepts for Understanding Probability
Probability and the Diagnostic Pathway
Futu…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
December 01, 2017 - Disruptive Behavior Policy/Standards 20
Slide 28
Unsafe Acts Algorithm 7
Adapted from James Reason … Reason, J. (1997). Managing the Risks of Organizational Accidents .