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141. Table 3. Overview of participant responses to draft recommendations for key design features of consumer reporting systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table3.html
     August 01, 2022 - Some concern that consumer's may be less motivated to report if they know their case might not be prioritized

142. Minnesota Uses AHRQ Resources to Develop, Implement Nation's First Law on Reporting Adverse Health Events | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cquips0610.html
     October 01, 2014 - surgical centers to report 27 types of "never events"—events that are serious, largely preventable, and of concern

143. Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
     January 01, 2020 - decisionmaker Assert a corrective action in a firm and respectful manner • Make an opening • State the concern … When an initial assertive statement is ignored: • It is your responsibility to assertively voice concern … times to ensure that it has been heard • The team member being challenged must acknowledge that concern

144. Labor and Delivery Unit Safety: Umbilical Cord Prolapse | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
     July 01, 2023 - This approach can include— Staff who identify a possible prolapse and clearly state the concern … Staff call out concern for or diagnosis of cord prolapse, reducing error through an anticipated and coordinated … Use the "two challenge" rule, repeating the concern, and asking whether you have been heard.

145. Info FAQs | Agency for Healthcare Research and Quality
     www.ahrq.gov/faqs/index.html?page=7
     You are encouraged to contact the responsible office or staff, if known, to discuss the concern. … If the concern cannot be resolved informally and you feel a correction is warranted, there is a formal

146. Senior-Leader-Checklist (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/senior-leader-checklist.docx
     March 01, 2017 - Ensure there is a clear threshold within the data, which indicates areas of concern that require immediate

147. Mutual Support (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_slides_support.pdf
     June 12, 2017 - ensures that critical information is addressed � Five-Step Process: 1.Open the discussion 2.State the concern … Invoked when an initial assertion is ignored… � It is your responsibility to assertively voice your concern

148. Measurement | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-measurement.html
     November 01, 2017 - The later goal of measurement is to monitor outcome trends to recognize when thresholds of concern are

149. Teamwork Tools and Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/tools.html
     July 01, 2023 - Involves asserting a position or concern at least twice, especially when ignored or unheard the first

150. Why Promote a Health Care Quality Report to Consumers? | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/distribute/promote/why-promote.html
     December 01, 2022 - The idea that health care quality should be a concern of consumers and patients is new and unfamiliar

151. Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pdf
     November 19, 2008 - SAY: You can also use these signal phrases to escalate a concern. … The first challenge should be in the form of a question or initial concern. … The second challenge should provide some support for your concern. … This “two-challenge" tactic ensures that an expressed concern has been heard, understood, and acknowledged … If, after two attempts to clearly assert your concern, there is no resolution of the problem, you

152. Table 3. Overview of participant responses to draft recommendations for key design features of consumer reporting systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/consumer-exp/reporting/table3.html
     October 01, 2014 - Some concern that consumer's may be less motivated to report if they know their case might not be prioritized

153. TeamSTEPPS Essentials Course | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/instructor/essentials/slessentials.html
     July 01, 2018 - State the concern. State the problem. Offer a solution. Reach agreement on next steps. … When an initial assertive statement is ignored: It is your responsibility to assertively voice concern … The team member being challenged must acknowledge that concern has been heard.

154. PowerPoint Presentation: Premortem for Sustainability
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem.pptx
     December 01, 2017 - 8 Premortem Exercise Step 3 Identify the level of concern for each reason Use a scale of 1 to 5 Lowest … Moderate Highest   1 2 3 4 5 Levels of Concern Premortem Tool ‹#› AHRQ Safety Program for

155. Final Progress Report: Safety Culture Research: Ways to improve existing methods (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
     January 01, 2024 - • Time spent completing surveys: A concern was that many millions of hours of personnel time are spent … One possibility to address this concern and still collect a lot of culture data is to have a subset of … • Differential item functioning: One psychometric concern is that different populations (nurses, physicians … o There is concern about comfort seeking – people don’t want to be at the bottom and reassure themselves …  One concern is that we don’t have enough interventions – we would be rating and publishing information

156. Fallpxtool1B (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1b.docx
     January 28, 2013 - The program may need to add or make changes to any parts of the EHR that concern fall risk assessment

157. Session 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess2.html
     October 01, 2014 - Say what is going on with the resident that is a cause for concern. … CUS (Concerned, Uncomfortable, Safety) CUS is a way to emphasize concern when it seems like someone

158. Implementing the SPPC-II Teamwork Toolkit - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
     July 01, 2023 - Pick two or three of the items that are your biggest concern. What would you do differently? … List each concern on a whiteboard or flip chart. … Place the notes on the whiteboard or flip chart under the concern. … In addition, the Hospital AIM Team should periodically review the entire concern list to determine whether … Level of Concern 1 = lowest level to 5 = greatest level Action Steps To Prevent Failure What can I do

159. Implementing the _x000b_SPPC-II Teamwork Toolkit - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
     July 01, 2023 - Pick 2 or 3 of the items that are your biggest concern. What would you do differently? … List each concern on a whiteboard or flip chart. … Place the notes on the whiteboard or flip chart under the concern. … In addition, the Hospital AIM Team should periodically review the entire concern list to determine whether … Level of Concern 1 = lowest level to 5 = greatest level Action Steps To Prevent Failure What can I do

160. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-c.docx
     April 13, 2017 - Addressing Physician Concerns With the Checklist Common Concern Response Explanation “I'm already