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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - By combining several data sources, including estimates from consecutive lung cancer cases, as well as … people who have expertise in different fields both within and outside medicine and who collaborate well … of the advantages of straddling the research and operational line, which is if you can do this work well … Being opportunistic might be good for people who really need funding to get started or are looking for … And my answer was always the same, "Well one day it will be."
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
December 01, 2017 - And in health care today, this feeling of not being part of something larger or understanding why the … It doesn’t make sense to ask hospitals to refocus on areas where they are doing well. … They are the ones who have a well-tuned sense of where the risks are, of what solutions will work. … Resources can be in the form of protected time, as well as human and material resources. … Then create a concrete plan to address those issues as well.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - And in health care today, this feeling of not being part of something larger or understanding why the … It doesn’t make sense to ask hospitals to refocus on areas where they are doing well. … Resources can be in the form of protected time, as well as human and material resources. … Accidental puncture and laceration, as well as general treatment or diagnostic errors. … Then create a concrete plan to address those issues as well.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017276-burns-final-report-2011.pdf
January 01, 2011 - Regular system
users trended towards being older (62 vs. 59 years, p=0.06), had longer duration of disease … self-monitoring of blood glucose (SMBG) and to take their scheduled diabetes medications on
time, as well … Participants
were randomized to UC or IG three months after being enrolled into the study and were followed … All participants were given an informational brochure, “Living Well with Diabetes: a
guide for staying … Frequent system users trended towards being older (62 vs. 59 years, p =0.06), had longer
duration of
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
December 01, 2015 - on their strengths during their life and career, they frequently don’t understand their strengths as well … embarrassment when talking about their strengths as they have learned to fear complacency, failure and being … Authentic and frequent recognition and praise for a job well done at local line manager level is also … GU Shift Assessment
55
CAUTI Status Board
56
Gives quick look as a group of pts
Also being … bag while in the low position
CT tables needed place to hang catheter bag
Catheter Care charting not being
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/c-difficile-future_research.pdf
October 26, 2012 - given that the information at present is insufficient or imprecise that precludes conclusions from
being … Patients being
treated for CDI or
who have
completed CDI
treatment
Concomitant
antibiotic
administered … It was important on being very explicit
about the original scope of the CER as well as the scope of … effectiveness of
the intervention is uncertain, but the perception may be
that patient safety is being … It was
important on being very explicit about the original scope of the CER as well as the scope of
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - While being transferred, she had a pulseless electrical activity arrest in the setting of massive
hematemesis … Patients who are
recovering well may experience an initial seminal complication (such as an anastomotic … In contrast, low mortality hospitals were distinguished by how well they "rescued"
patients once a complication … In short, current systems are poorly designed,
lack good user interfaces, and have not been well validated
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/monitor-patient-outcomes/tracking-patient-outcomes
August 01, 2025 - recovery outcomes. 21,22 To truly measure therapeutic success, however, consider treatment retention as well … — general functioning primary care settings: (may require a fee); and Additional measures to assess well-being … and life satisfaction, as well as physical, mental, and social health are linked in the HealthMeasures
-
psnet.ahrq.gov/web-mm/dissecting-presentation
May 05, 2021 - She generally did well with no further confusion and resolving diarrhea. … the aortic dissection downwards to involve the mesenteric artery leading to mesenteric infarction as well … Resources From the Same Author(s)
Determinants of burnout and other aspects of psychological well-being
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - which did state there was a thrombosis in the right lower extremity, but went on to describe it as being … anticoagulation include an elevated D-dimer, unprovoked clots, active cancer, or severe symptoms, as well … with atrial fibrillation.( 15 ) Observational data now suggests that bridging is overused for VTE as well … influenced by many complex factors, including the lack of high-quality evidence in specific situations as well
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
February 01, 2025 - Slide 21: Primary Findings 1 Image: The ARDSNET Trial showed statistically improved mortality, being … They also found other organ systems besides the lungs benefited as well. … hypercapnia (partial pressure of carbon dioxide [pCO 2 ] in the 50s) may be needed: Usually tolerated well … ARDS patients received LTVV 8 years after ARDSNet trial. 12 Application to non-ALI patients is not well
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www.ahrq.gov/sites/default/files/publications/files/confidreportguide_0.pdf
March 01, 2016 - focused primarily on the collection and use of patient
experience measures for public reporting as well … In recent years, we’ve observed insufficient attention being given by organizers of various
performance … It turns out that confidential feedback reporting for physicians is a well-studied topic; in fact it’ … This is the case even for some well-resourced, large-scale
interventions. … Physicians
are not being tested, but rather, the report is being tested.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
September 29, 2014 - Hearing the patients’ stories was very well
received by the group.
Table 5. … Thus, we have no internal check of the validity of the data being collected. … completion of the NOTICE materials, CDC has gone on
to produce its own checklists that are currently being … spread and a unified stance between agencies on
infection prevention in dialysis.
39
That being … Circle
“No” if catheter hubs are not connected aseptically for any reason including being allowed to
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psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
September 01, 2003 - in a wide variety of widths and lengths so they can be cut and fashioned to fit the orifice or wound being … obstetric and surgical inpatient wards and other outpatient care areas where the patient recovers before being … For example, a well-informed patient may ask: "am I supposed to go home with this colored armband?” … The exact reasons for clinicians’ reluctance to perform vaginal examinations are not well understood,
-
psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
August 31, 2020 - and values during 10-minute stand up meetings to include care circle discussions about what’s going well … One of the phrases that I've used around here for years is, be comfortable being uncomfortable. … Be comfortable being uncomfortable.
… To do this effectively, engaging patients and their families is critical, as well as considering how
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psnet.ahrq.gov/perspective/safety-across-board
August 31, 2020 - To do this effectively, engaging patients and their families is critical, as well as considering how … and values during 10-minute stand up meetings to include care circle discussions about what’s going well … One of the phrases that I've used around here for years is, be comfortable being uncomfortable. … Be comfortable being uncomfortable.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-5-lit-review.pdf
March 19, 2012 - Skin to skin contact as well as early suckling
increased temperature variation. … The foot skin temperature was directly related to the care situation, being … This was demonstrated by
extremity temperature being less than abdominal temperature by 2 degrees. … per day in the first 2
days of life do not experience better health or survival than babies without being … per day in the first 2
days of life do not experience better health or survival than babies without being
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reset-guide.pdf
January 01, 2020 - Fidelity measures assess how well the AIMS interventions are being implemented
as planned. … Once a template is established, make sure the
whiteboards are being used as planned. … Early on, project leaders can report that
interventions are being implemented as planned. … Nurse input is well received in this clinical area.
1 2 3 4 5 NA2. … Important issues are well communicated at shift changes.
1 2 3 4 5 NA11.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024977-dexheimer-final-report-2018.pdf
January 01, 2018 - During phase
2, we will use data visualization to evaluate how well each intervention is progressing … Low-fidelity mock-ups will be used to explore usability, functionality, and context of alerts as well … a
Patient was previously referred to epilepsy surgery program 1 4 n/a
Patient is currently being … These patients were not explicitly excluded from being evaluated by the
NLP system, but the NLP did … system was trained on patients who had undergone epilepsy surgery, but only on
their notes prior to being
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025005-snyder-final-report-2019.pdf
January 01, 2019 - medication therapy management computerized clinical
decision support for community pharmacists, as well … conduct a heuristic evaluation of MTM
alerts.27-30 A heuristic evaluation was chosen to understand how well … placement, visibility, prioritization, color, text-
based information, proximity of task components being … Proximity of task components
being displayed (1)
For most alert categories, alerts did not consistently … (e.g., avoids use of abbreviations, unfamiliar technical terms)b
Proximity of task components being