-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-cellulitis.docx
June 01, 2021 - venous or lymphatic drainage2
· Obtain wound culture if purulence is present2,3
· Obtain ultrasound if concern
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-emergency-dept-webinar-introducing.pdf
March 01, 2020 - D An accident or injury
D A new health problem
D An ongoing health condition or concern
For this
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-slides.pptx
January 01, 2017 - Safety Program for Mechanically Ventilated Patients
17
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
Sustainability
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
March 30, 2008 - involved in communicating
Safety First Alerts, which are concise notices describing a particular safety concern … Date: March 9, 2006
Safety Concern: Communication has been identified as a major root cause in
sentinel … Each is a concise notice describing a particular safety concern with safe
practices to be implemented … The hotline is also used for staff to ask safety questions or request clarification of a regulatory
concern
-
www.ahrq.gov/news/newsroom/case-studies/cquips0609.html
October 01, 2014 - Staff generally rated their own work groups and management very highly, while voicing greater concern
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave5.html
July 01, 2025 - One concern is deskilling, in which a clinician’s ability to perform a task independently declines with
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-slides.pptx
September 01, 2022 - Improving Antibiotic Use – Ambulatory Care
13
Communication: Other Patient Concerns
Feeling insecure
Concern … that they have upcoming travel or commitments, and antibiotics may help get them better faster
Concern
-
www.ahrq.gov/sites/default/files/2024-05/nishisaki-report.pdf
January 01, 2024 - There is a concern that low-quality BMV is common, contributing to severe oxygen
desaturation and physiologic … There is a substantial concern that low-quality BMV is
common, which may contribute to severe
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-comp-kit.html
June 01, 2017 - Leader asks each person to offer one positive safety observation or one issue about safety (e.g., a concern … Use the opportunity to report on and reinforce the use of the “Concern-Uncomfortable-Safety Event” (CUS
-
www.ahrq.gov/patient-safety/reports/liability/sands.html
August 01, 2017 - Coordination across insurers
74
(20/27)
Physicians’ name-based reporting
70
(19/27)
Concern … (16/27)
Forces of inertia
48
(13/27)
Fairness to patients
44
(12/27)
Concern … Concern about increased liability : data dissemination from sites having implemented the model. … Concern that the model may not be replicable in certain settings : creation of a centralized resource
-
www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
January 01, 2024 - (8) In one recent survey of over 500,000 healthcare workers, 53% expressed concern that their mistakes … , hospital leaders, risk management, system patient safety and quality)
to respond to the reported concern … patient reluctance to report concerns)
Concerns about WWTK program
• Overlap with existing efforts
• Concern … The primary continuing concern was the resource-
intensive nature of the program (i.e., the cost of the … patients may see this as an ask to complain
Concern that WWTK is “another thing to do”, “another thing
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-slides.html
July 01, 2023 - State the concern.
State the problem—real or perceived.
Offer a solution. … S afety Concern.
B ackground.
A ctions.
T iming.
O wnership.
N ext.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
May 01, 2017 - Leader asks each person to offer one positive safety observation or one issue about safety (e.g., a concern … Use the opportunity to report on and reinforce the use of the “Concern-Uncomfortable-Safety Event” (CUS
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - maternity care provider, or a patient or family member—who senses that something is not “right” or has a concern … This is a safety issue.”
· Use the Two Challenge rule, repeat the concern, and inquire whether concern
-
www.ahrq.gov/research/publications/search.html?page=12
February 01, 2015 - stakeholders, implement a State-level quality improvement collaborative that addresses a specific clinical concern
-
www.ahrq.gov/news/newsroom/case-studies/202101.html
June 01, 2021 - scores were consistently good, but in early 2017, they started to slip—not badly, but enough to cause concern
-
www.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.html
October 01, 2023 - Given the growing concern of harm from antimicrobial-resistant germs in nursing homes, the impact of
-
www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/index.html
June 01, 2023 - Patient/family
Repeat expressions of concern to other team members about unusual behaviors of a patient
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-one-page.docx
November 01, 2019 - severe illness or immunocompromise
· Obtain wound culture if purulence is present
· Obtain ultrasound if concern
-
www.ahrq.gov/hai/cusp/modules/implement/teamwork.html
December 01, 2012 - State the concern.
State the problem—real or perceived.
Offer a solution. … I PASS the BATON 1
I ntroduction
P atient
A ssessment
S ituation
S afety Concern
(the