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Total Results: 520 records

Showing results for "the department of defense".

461. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
     April 07, 2008 - and analysis of the data obtained from the in situ teams at the end of each trial, (2) the detailed … and in-depth studies of the video recordings of trials by the FMEA team, and (3) the data obtained … of the mother by the obstetrician and the decision for an emergency C-section, (4) transfer of the mother … number Definition Description of the rating scales Likelihood The perceived chance of the failure … An Advisors Guide, June 2004; Department of Defense Patient Safety Center. 6 Step 5: Identification

462. The CAHPS Ambulatory Care Improvement Guide: Ways to Approach the Quality Improvement Process (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/4-approach-qi-process/cahps-section-4-ways-to-approach-qi-process.pdf
     May 17, 2017 - This section of the Guide suggests a way to use the concept of microsystems to focus the QI process … on the locus of responsibility for patient experience, provides an overview of the process of quality …  A work area or department with the same clinical and business aims, linked processes, shared information … of process data as feedback on the effect of changes or to track the progress of the implementation … The program was developed jointly by the Department of Defense (DoD) and the Agency for Healthcare Research

463. Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
     April 28, 2008 - Acknowledgments and Disclaimers This study was supported by grant number IIR-02-144-1, the Department … This paper does not represent the policies or the positions of the Department of Veteran Affairs. … Effect of the transformation of the Veterans Affairs health care system on the quality of care. … Comparison of surgical outcomes between teaching and nonteaching hospitals in the Department of Veterans … Rockville, MD: Agency for Healthcare Research and Quality and Department of Defense; 2005.

464. TeamSTEPPS Module 6: Mutual Support (Instructor Guide) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/igmutualsupp.pdf
     February 19, 2014 - of the mutual support. … The monitor shows SVT at a rate of 150 and a BP of 76/48. … rest of the care team. … of ignoring the person. … For example, the Department of Defense’s Professional Conduct toolkit provides information on this

465. Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Final Report (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
     November 01, 2019 - the end of the measurement year. … Physicians practicing in the emergency department (ED) have the added challenge of limited access to … Evidence or Other Justification for the Focus of the Measure The evidence base for the focus of the … the focus of the measure, scientific soundness of the measure, identification of disparities, feasibility … Department of Health and Human Services accept the measure for the 2014 and/or 2015 Improved Core Measure

466. 2018 National Healthcare Quality and Disparities Report: Introduction and Methods (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-intro-methods.pdf
     September 01, 2019 - -0070-EF. 2018 National Healthcare Quality and Disparities Report Introduction and Methods DEPARTMENT … Department of Health and Human Services (HHS), other federal departments, and the private sector. … The QDR is produced with the support of a Department of Health and Human Services (HHS) Interagency … service for children and adults, as well as opioid-related hospitalizations and opioid-related emergency department …  Many facility data collections do not include federal facilities run by the Departments of Defense

467. Course Management Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/ts2-0ltc_course_mgmt_guide.pdf
     January 01, 2007 - The TeamSTEPPS initiative was originally developed by the Department of Defense Patient Safety Program … training to a group of participants, who then conduct training of staff at the unit, department, or … Instructors are the champions of TeamSTEPPS within the department, facility, or organization. … Instructors do not have to hold a position of legitimate authority in the department, facility, or organization … Distribute and collect any measures you wish to use to assess the current state of the unit, department

468. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
     April 21, 2008 - of the combinations of the root causes.9 Figure 1. … Management Department where reports are entered into a database (Midas) for trending and investigation … This report is given to the Manager of the department/unit for immediate investigation and resolution … pharmacy department. … of the findings of the root cause investigation.

469. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
     January 01, 2004 - of the cognitive behavior of physicians. … It was first used by the author and staff at the Emergency Department of Dartmouth General Hospital … to avoid the pitfalls of the past. … .; Emergency Department, Dartmouth General Hospital Site, Capital District, P.O. … Triage decisions for emergency department patients with chest pain: do physicians’ risk attitudes make

470. Methods (continued, 3) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3b.html
     July 01, 2018 - Skip to main content An official website of the Department of Health … most common). 87 , 197-199 These adverse events lead to emergency department visits or hospital readmission … emergency department visits and hospitalizations within 30 days of discharge. 205 Establishing systems … ™ is a teamwork system developed by the Department of Defense and AHRQ to improve quality and safety … Department of Health & Human Services The White House USA.gov

471. AHRQ Subcommittee of the National Advisory Council on Healthcare Quality Measurement: Executive Summary (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-executive-summary.pdf
     October 19, 2021 - Among the provisions is a requirement for the secretaries of Health and Human Services (HHS), Department … of Defense (DoD), and Veterans Affairs (VA) to establish a Health Quality Roadmap outlining a vision … Department of Health and Human Services in the Office of Disease Prevention and Health Promotion. … Pronovost co-chaired the Healthcare Quality Summit to modernize the Department of Health and Human … Shenkman is the Chair of the Department of Health Outcomes and Biomedical Informatics and the Co-Director

472. Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
     May 01, 2004 - the beginnings of its culture of safety through open recognition of the CPQ’s leadership in CHAI’s … Award, which the New York State Department of Health gave the CPQ in 2003. … The CPQ staff adopted the use of pADEs as the measure of risk to patients, rather than the traditional … at the very top of the organization. … , Kaleida Health, Lexi-comp, the New York State Department of Health, the Children’s Health Accountability

473. Mod5-Comm-Assessment (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
     April 01, 2016 - organization, not an individual unit or department, and thus conveys a “we” message, avoiding criticism … The number of people selected for this role will depend on the size of the organization and the resources … of the liked and the disliked people. … That completes this part of the task. Please proceed to the next part of the survey. … Because of the difficulty and emotional intensity of the situation, the message avoids the main point

474. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
     April 27, 2022 - Department of Health and Human Services. Dr. … Department of Health and Human Services. … Communication: “In the past 5 years, have you left the hospital, the emergency department, or your provider … Much of this progress has been from the inclusion of the patient perspective and the concept of communi … Diagnostic errors related to acute abdominal pain in the emergency department.

475. Looking for Trouble in All the Right Places: The Legal Implications Associated with “Electronic Signatures” and High-risk Clinical Situations (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
     February 01, 2005 - rely on three mechanisms for error detection—manual chart review, which often involves a clinical department … or neonatology department that uses traditional screening mechanisms (i.e., those involving review … For example, if a department ordinarily reviewed 1,000 charts to identify 12 events, it would be useful … The results are reported; the sites of the study are not named, but the state and affiliation of the … Handling hospital errors: is disclosure the best defense? [editorial].

476. A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
     January 01, 2003 - the group mean rank and the standard deviation of the importance of the items in the Delphi surveys. … Since health care organizations usually create department or service-specific measures and reports, … data are collected and reported separately, and no particular individual or department has comprehensive … opportunity has to penetrate through several layers of defense systems on managerial, psychological … Gaithersburg, MD: United States Department of Commerce, Technology Administration.

477. Coaching Clinical Teams Module: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-fac-notes.html
     October 01, 2020 - Skip to main content An official website of the Department of Health … of the answers. … before the start of the case. … of the team. … Department of Health & Human Services The White House USA.gov

478. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module1-presenters-notes.pdf
     January 12, 2022 - It sets the stage for the rest of the modules. … The course consists of seven PowerPoint training modules that are customizable to the needs of the local … , the Diagnostic Journey of Mr. … tool to work best within a specific department, and then train the team to use that tool. … and Quality (AHRQ) and the Department of Defense TriCARE Management Activity

479. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module1-introduction.pptx
     January 12, 2022 - It sets the stage for the rest of the modules. … The course consists of seven PowerPoint training modules that are customizable to the needs of the local … tool to work best within a specific department, and then train the team to use that tool. … and Quality (AHRQ) and the Department of Defense TriCARE Management Activity. … the purpose of learning.

480. Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
     September 01, 2015 - Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov/ Contract … Department of Health and Human Services. Suggested Citation Knox L, Powell J, Suchman A. … The content of the module 2. … this affect the staff in your department?” … Consider conducting a quick evaluation of the meeting at the end of the session.