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141. Dashboard Information | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/data/dashboard/info.html
     June 01, 2019 - in the CFER-H and captured through individual questions asked of reporters for each patient safety concern

142. Project Report - Lean Sigma
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamwork.pptx
     January 01, 2007 - data to support their concerns An assertive statement should: - Open the discussion - State the concern … As seen in TeamSTEPPS® 33 I PASS the BATON1 34 Introduction Patient Assessment Situation Safety Concern

143. Delivering Quality Reports in Print | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/distribute/media/printed-report.html
     September 01, 2019 - A related concern is that people may not look at any information in the enrollment materials if the re-enrollment

144. Final Progress Report: Ultrasound by Emergency Physicians in Ectopic Pregnancy (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/stein-report.pdf
     January 01, 2025 - acute care environment in the United States has become increasingly burdened, prompting national concern … United States have yet to adopt bedside ultrasound, due to several factors: (1) there is lingering concern

145. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
     December 01, 2003 - exclusions or cases where clinicians consider they have been driven out of the health service are of concern … reducing blame in the NHS, yet little guidance on how to do this is currently available.”9 With this concern … • Of particular concern are incidents where protocols are either ineffective or routinely violated … Of concern, however, were situations where managers stated overtly that they wished to select a preferred … ” • Of equal concern were those users who liked the tool because they felt it shielded them.

146. Prologue -- Blueprints for Action (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield1.pdf
     January 01, 1999 - Less clear, however, was when and how the concern about unsafe systems would be translated into action … Sustainability, while a serious concern, also is rarely addressed.

147. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
     May 01, 2017 - This approach can include— · Care provider clearly stating the concern for shoulder dystocia · Communication … · Care provider calls out concern for or diagnosis of shoulder dystocia, reducing error through an … This is a safety issue.” · Use the "two-challenge" rule, repeating concern, and asking whether you have

148. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
     January 01, 2023 - Also, there is considerable lag between an initial report of a patient safety concern and submission … Note that this is neither the date the patient safety concern occurred nor the date the concern was reported … When a patient safety concern is reported as an Other EVENT TYPE, only a limited number of generic … In addition to a REPORT TYPE, each patient safety concern is categorized by one or more EVENT TYPES … describing the nature of the patient safety concern.

149. ADHD Summary of Public Comments (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-6-attach-2.pdf
     June 02, 2025 - There is concern that behavior therapy is not always available or supported by insurance.

150. Measure 1, Section 6, Attachment 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-6-attachment-2.pdf
     June 02, 2025 - There is concern that behavior therapy is not always available or supported by insurance.

151. 023-Optimizing-Evc-One-Pager (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/023-optimizing-evc-one-pager.docx
     October 01, 2024 - Advantages Disadvantages · Helpful in targeting one specific organism of concern. · Can provide a

152. Data Submission Dashboard Data 2025 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2025.xlsx
     January 01, 2025 - (CFER-H) Versions 1.2 and 2.0, and the number of reports submitted for each type of patient safety concern

153. 113-Cleaning-Monitoring-Methods-One-Pager (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/113-cleaning-monitoring-methods-one-pager.docx
     April 01, 2025 - Advantages Disadvantages · Helpful in targeting one specific organism of concern. · Can provide a

154. About the CAHPS® Health Literacy Item Set for Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/about-hospital-health-literacy-item-set.pdf
     October 30, 2017 - .......................................................... 1 Background: Health Literacy Is a Major Concern … Literacy Item Set for Hospitals Document No. 911 Page 2 Background: Health Literacy Is a Major Concern … Literacy Item Set for Hospitals Table of Contents Introduction Background: Health Literacy Is a Major Concern

155. Data Submission Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2024.xlsx
     January 01, 2024 - (CFER-H) Versions 1.1 and 1.2, and the number of reports submitted for each type of patient safety concern

156. AHRQ Safety Program for Perinatal Care: Implement Teamwork and Communication
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement.pptx
     May 01, 2017 - or data to support their concerns An assertive statement should— Open the discussion State the concern … , clarify, and confirm Tool used: I PASS the BATON Introduction Patient Assessment Situation Safety Concern

157. TeamSTEPPS for Improving Diagnosis Facilitator's Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
     February 04, 2022 - State the concern. 3. State the problem, real or perceived. 4. Offer a solution. 5. … � How did it feel to raise your concern? � Was the outcome what you hoped? … Has anyone ever raised a concern about diagnosis-related issues TO you? … Use of the Two Challenge Rule to ensure that your concern has been heard. c. … Voice his or her concern a second time, more forcefully, to ensure the correction is heard.

158. Final Progress Report: The National Quality Forum Annual Meeting 2004 (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
     January 01, 2025 - Another concern related to the need to adequate risk adjust before moving into paying for performance … The concern is that there has been no membership discussion of the important ramifications of adding … The main concern held was that there was no clear definition of what was meant by “technology”. … Another member noted concern about whether or not NQF will supply a council secretary following the … A member voiced concern about the utility of the measures for consumers making health care decisions

159. Making It Work Tip Sheet: Chlorhexidine Bathing and Perineal Cleaning (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/chlorhexidine-bathing.pdf
     April 01, 2022 - The concern is that the maintenance care processes may not be hardwired into practice. … One of the areas of concern is adherence to daily CHG bathing.

160. From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
     May 05, 2008 - recommendations to State government, the MH&SC increased awareness of patient safety as a statewide concern … broad consensus for systems-based solutions to health care safety and other critical issues of public concern … second round to gauge the level of agreement with emerging recommendations and to identify areas of concern … detail in these drafts with their organizations and constituents to gauge the level of support or concern … Each chapter begins with a description of the specific concern and a brief summary of what is known