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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/lessons_from_top-performing_medical_practices_CG-CAHPS_transcript.pdf
October 01, 2014 - Julie Susi
In the quality, we have actually a Risk Quality Committee that is housed by -- it's built … by Mercy Hospital, and
they do actually have a patient on the Quality and Risk Council. … And then we have to go before the Risk Council and I don't want to say defend, but say this is why
we're
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
December 01, 2017 - Debriefings are an opportunity to uncover both latent and actual errors to reduce risk over time, make … event as an unexpected occurrence involving death or serious physical or psychological injury, or the risk … Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted
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www.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
November 01, 2016 - It was about people understanding the risks and benefits and being able to make appropriate choices for
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/impguide/healthlit-guide.pdf
January 01, 2015 - Practices that try to implement too many changes at once risk
doing none of them well. … • Prioritize patients that are at highest risk for medicine errors. … Similarly, use of their own foreign language skills, if they are not
profcient, can put patients at risk … ■ Many patients have diffculty understanding numbers describing medical risks versus treatment
benefts
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/necessary-but-not-sufficient-hitech-act-white-paper.pdf
January 01, 2011 - health services
- Allow outcomes evaluation
- Allow evidence-based CDS at
the point of care
- Allow risk … ongoing costs at an average of $8,500 per provider per year.
62
Added concerns include (1) the risk … Indirectly, the legislation proposes measures to
mitigate the risk that providers will develop their … breaches, the new provisions are likely to assuage concerns of patient and consumer
advocates about the risks
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www.ahrq.gov/sites/default/files/publications/files/healthlit-guide_3.pdf
January 01, 2015 - Practices that try to implement too many changes at once risk
doing none of them well. … • Prioritize patients that are at highest risk for medicine errors. … Similarly, use of their own foreign language skills, if they are not
proficient, can put patients at risk … ■ Many patients have difficulty understanding numbers describing medical risks versus treatment
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www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
January 01, 2024 - vividly describe the problem and the benefits of change to each participant,54 (3) address and minimize
risks … The list provided prioritization of patients based on their CV risk and the degree
to which their A1c … Poor control of risk factors for vascular disease among adults with
previously diagnosed diabetes. … Intensive blood-glucose control with sulphonylureas
or insulin compared with conventional treatment and risk
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www.ahrq.gov/research/findings/nhqrdr/nhqdr16/appendixb5_qualitytrends.html
June 01, 2017 - cholesterol measurement in the last 5 years
-0.955
-1.401
1998-2014
Adults ages 18-64 at high risk … cholesterol measurement in the last 5 years
-1.024
-1.428
1998-2014
Adults ages 18-64 at high risk
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www.ahrq.gov/sites/default/files/publications/files/pharmtrain.pdf
January 01, 2010 - Slide 6
High Risk Groups
Elderly
Minorities
Immigrants
Poor
Homeless
Prisoners
Persons with
limited … 5
Slide 7
Functional Literacy of
High Risk
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www.ahrq.gov/sites/default/files/publications2/files/pharmtrain.pdf
January 01, 2010 - Slide 6
High Risk Groups
Elderly
Minorities
Immigrants
Poor
Homeless
Prisoners
Persons with
limited … 5
Slide 7
Functional Literacy of
High Risk
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pharmhealthlit/pharmlit/pharmtrain.pdf
January 01, 2010 - Slide 6
High Risk Groups
Elderly
Minorities
Immigrants
Poor
Homeless
Prisoners
Persons with
limited … 5
Slide 7
Functional Literacy of
High Risk
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www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
January 01, 2024 - unexpected occurrence
involving death or serious physical or psychological injury, or the risk … operative and other invasive procedures that expose patients to more than minimal risk
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23072-Stifter-draft-1.pdf
March 02, 2015 - Patient risk factors. … Thus, clustering was an ideal tool to group episodes with similar
PU risk factors together. … of the HAPU outcome to ensure that the similarity measure closely reflects the similarity in
HAPU risks
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www.ahrq.gov/sites/default/files/2024-01/stifter-report.pdf
January 01, 2024 - Patient risk factors. … Thus, clustering was an ideal tool to group episodes with similar
PU risk factors together. … of the HAPU outcome to ensure that the similarity measure closely reflects the similarity in
HAPU risks
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www.ahrq.gov/patient-safety/resources/liability/crane.html
August 01, 2017 - Near-miss events, where no actual harm comes to the patient, represent a lower‑risk opportunity to improve … events could also be used in conjunction with root cause analysis from actual AEs to estimate systemic risk
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www.ahrq.gov/teamstepps/longtermcare/scenarios/index.html
October 01, 2012 - As the nurse is signing out Margaret for the leave of absence, she tells Beth, "Your mother is at risk … In this case, the increased risk for skin breakdown is not adequately communicated to the family.
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www.ahrq.gov/teamstepps/instructor/essentials/coursemgmt.html
June 01, 2019 - and safety in health care and is rooted in more than three decades of research in high-stress, high-risk … When in doubt regarding whether to use a case, consult Risk Management.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module3/ts2-0ltc_module3_ig_comm.pdf
October 18, 2017 - these data illustrate, failure to communicate effectively as a team
significantly increases the risk … SAY:
When a team member is temporarily or permanently relieved of
duty, there is a risk
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www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
January 01, 2024 - Assessing organizational safety risk using
questionnaire survey methods. 11th International Symposium … Columbus, OH; March
2001; (4) Risk Management Questionnaire, Roberts KH.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/3-are-you-ready/cahps-ambulatory-care-guide-section-3.pdf
May 01, 2017 - Given the life and death issues
confronted every day in most health care organizations, this risk-averse … Finally, poor customer service raises the risk of a negative “grapevine effect.”