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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pptx
January 01, 2006 - If you have suggestions or thoughts as we develop our plan to improve [Chosen QI] please contact [staff
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/008-antibiotic-stewardship-slides.pptx
October 01, 2022 - Antibiotic Stewardship
Step 1: Unit-Based Stewardship Champions
Physician and/or Advanced Practitioner
Thought-leader … Gather your thoughts before speaking.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - Discuss the associated tasks and thought
processes taking place during those events.
4
Domain 3: … thinking about diagnostic
safety. … If not, have you communicated your thoughts/questions to them? … • What tools do you have to help you organize your thoughts/findings (e.g., SBAR)? … Use reflection, surveillance,
and critical thinking to improve
diagnostic performance and
mitigate
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/next-steps.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Recommendations for AHRQ’s Next Steps
Previous Page Next Page
Table of Contents
Demonstration Grants Final Evaluation Report
Executive Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liability
Lessons Le…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/newman-toker-summit2016.pdf
September 28, 2016 - Use of Data and Measurement in Improving Diagnostic Safety
AHRQ Research Summit, September 28, 2016
Use of Data and Measurement in
Improving Diagnostic Safety
David E. Newman-Toker, MD PhD
Associate Professor of Neurology
Johns Hopkins University School of Medicine
Johns Hopkins Bloomberg School of Public Heal…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
July 01, 2023 - developed uterine atony with postpartum hemorrhage.”
55
Obstetric Hemorrhage
Debrief
The things that I thought … What were your thoughts about our performance in this case?
Dr. Sonentag, obstetrician
Dr. … Frontline
SPPC-II
SCRIPT
Different team members should be encouraged to participate and contribute their thoughts … Sonentag prompts discussion by asking, “What were your thoughts about our performance in this case?” … Larsen, the anesthesiologist, shares that the things he thought they did very well “were making sure
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www.ahrq.gov/sites/default/files/publications2/files/calibrate-dx-guide.pdf
October 01, 2022 - The examples below are to stimulate your thinking and are neither
exhaustive, nor prescriptive. … , encourage reflection on those actions and
thought processes, and incorporate improvement into future … Systems thinking is an essential additional lens to analyze diagnostic events. … Nguyen thought that the differential diagnosis of new
onset hypotension in hospitalized patients was … Initial symptoms were thought to be related to constipation and
hemorrhoids.
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6gtraining.html
March 01, 2020 - For example, while the physicians thought that 89 percent of the patients understood the potential side … Contemplation is the stage in which people are aware that a problem exists and are seriously thinking
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www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-fac-guide.html
February 01, 2017 - These kinds of interruptions affect your thought and behavioral patterns. … During the rounding process, develop convergent thinking with diverse input from various disciplines
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20110511/talkingquality-audience-webcast-20110511-transcript.pdf
June 02, 2025 - comparative
information about quality provided by local physicians was something that people hadn't thought … Now it's important to say from the outset that virtually everyone we talked to, all 21 women, thought … They thought it was a valuable resource. … Somebody else might be thinking of themselves as the target audience or of the user. … Instead, Martin was created to help stimulate ideas and
new thinking for the theater in their efforts
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
April 06, 2008 - Sullivan, PhD
Abstract
Electronic health records are thought to improve quality of care; computerized … that available
systems were expensive,
cumbersome, and not well-
accepted by users, and they
were thought … Security issues were thought through from both the hardware (device) and
software (application) perspectives
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-transcript.pdf
April 01, 2019 - Nembhard, Slide 27
Contrary to what we might have thought or hoped, we observed no significant improvement … Nembhard, Slide 28
You will remember that I said that we thought it was really important to assess whether … And that might then start to engage the whole team in thinking about what's happening. … And then thinking one level above to the work. How do we embed improvement into daily life? … And they thought that that was really important. So an interesting issue around this, right?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
June 10, 2008 - Systems thinking is the cornerstone of SBP. … assessing SBP, it is necessary to provide a broad awareness
of systems within a context of systems thinking … Systems-based practice can be thought of as an analytic tool, as well as a way of viewing the
world, … Systems thinking and the application of systems thinking through SBP
provide an opportunity to look … Acknowledgments
We thank the following people who agreed to be interviewed about their thoughts on Systems
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/effects-costs-enrollees-vonglahn-20120101-transcript.pdf
June 02, 2025 - era of larger increases in cost sharing, there
are some downstream effects that we haven’t really thought
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/infection-control-and-prevention.pdf
March 01, 2022 - Best Practices Guide for COVID-19 Infection Control and Prevention in Nursing Homes
Best Practices Guide for COVID-19
Infection Control and Prevention in Nursing Homes
As long as the virus that causes COVID-19 continues to spread in co…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-4.html
August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
Diagnostic Safety Research Priorities and Opportunities
Previous Page Next Page
Table of Contents
Pediatric Diagnostic Safety: State of the Science and Future Directions
Introduction
Challenges in Approaching Diagnostic Safe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
July 23, 2008 - want to be called 1
Standardizing processes 4
Effective computer systems to facilitate
clinical thinking … rules, &
expectations 26 (10%)
Expectations:
Nurses and
nursing input
included in
rounds
”I’m thinking … HIT solutions thought to address patient safety risks also included the use of automated functions
and … In addition to technologic solutions, clinicians thought many team-oriented solutions
might hold promise … Respiratory therapists were thought to
provide needed clinical information and perspective for their
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
June 02, 2025 - won't say some of them, but whatever it takes for you to remind nurses, get it out there, and have them thinking … It changed the culture there, and it had them thinking about getting the catheters out. … curiosity, show enthusiasm, contribute in various ways, and then begin to influence others to their way of thinking … I realize it's a little bit blurry, but the reason why I thought this would be a great example is because … I thought that this was a great idea, and something that we hadn't thought about before.
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www.ahrq.gov/news/newsletters/e-newsletter/957.html
May 01, 2025 - Management of Suicidal Thoughts and Behaviors in Youth .
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/101-how-integrate-cusp-approach.pptx
June 26, 2024 - CUSP Monthly Meeting Pre-Work
CUSP Monthly Meeting Agenda Template
Be open and considerate of all thoughts