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41. 109-Performing-Premortem-Project-Assessment-Fg (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/109-performing-premortem-project-assessment-fg.docx
    April 01, 2025 - contributed and you feel you have a good group of reasons for failure, rate the reasons by level of concern … from 1 to 5, where 1 is lowest concern. … Choose a few of the reasons you feel have the highest levels of concern and discuss each one, with an

42. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201419.html
    November 01, 2014 - Anyone can call a huddle at any point and speak up if they have a concern."    … identified continuing communications issues of the staff being reluctant to speak up when they had a safety concern

43. Tools for Sustainability: Premortem and Scorecard: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-slides.html
    February 01, 2017 - Slide 18: Premortem Exercise Step 3: Identify the level of concern for each reason. … Image: A line scale displays the level of concern. … The scale runs from lowest to moderate to highest level of concern.

44. Appendix F. | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirementapf.html
    February 01, 2014 - With regard to scientific acceptability, there was some concern that the measure was not risk adjusted … However, no reliability or validity data were available, and members expressed concern that the measure … important for measuring access and monitoring and addressing disparities in care, but there is some concern … to be important for measuring access and monitoring and addressing disparities in care, one common concern … to be important for measuring access and monitoring and addressing disparities in care, one common concern

45. Chipra205-Materials Ii (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_II.pdf
    June 02, 2025 - 1 )" Union of: "Communication: From Patient to Provider: indication from the family that there was concern … 1 )" Union of: "Communication: From Patient to Provider: indication from the family that there was concern … 1 )" Union of: "Communication: From Patient to Provider: indication from the family that there was concern … Data Elements) "Communication: From Patient to Provider: indication from the family that there was concern … about child's development" using "indication from the family that there was concern about child's development

46. Medication Dashboard Data 2025 (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2025.xlsx
    January 01, 2025 - Dashboard Name Worksheet Name Description of Medication/Substance Event by Type of Safety Concern … dashboard/medication.html Med_1 Med_1: Description of Medication/Substance Event by Type of Safety Concern … Description of Medication/Substance Event Safety Concern Frequency Percent Incorrect action (process … Med_2 Med_2: Stage of Origin for Safety Concerns Safety Concern Stage Event Originated Frequency Percent … Med_3 Med_3: Type of Medication/Substance Involved by Safety Concern Safety Concern Type of Medication

47. Tool: STEP | Agency for Healthcare Research and Quality
    www.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
    June 01, 2023 - Progress: The respiratory therapist notifies the oncoming nurse of their concern.  … Even though the patient’s vital signs were normal, were there reasons for concern?

48. Discussion | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/pfp/haccost2017-discuss.html
    November 01, 2017 - Conversely, the few studies that estimate “any HAC”-related cost and mortality circumvent the competing risk concern … While these types of studies garner headlines because of the magnitude of the overall concern, the tradeoff … Another concern is that, although the QSRS Common Formats for Surveillance definitions use clinical information … A final data concern is that many of the studies included in the meta-analysis did not directly report

49. AHRQ Safety Program for MRSA Prevention
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/154-performing-pre-mortem-project-assessment.pptx
    October 01, 2024 - Rate the reasons by level of concern from 1 to 5, where 1 is lowest. … Choose reasons with high levels of concern to discuss and develop action plans.

50. Mini Presentation: Performing a Premortem Project Assessment
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/108-performing-premortem-project-assessment.pptx
    April 01, 2025 - Rate the reasons by level of concern from 1 to 5, where 1 is lowest. … Choose reasons with high levels of concern to discuss and develop action plans.

51. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
    January 01, 2003 - Another respondent expressed his concern about the result of the inherent inability of physicians to … Some physicians expressed concern that they were often put in the position of prescribing drugs for … The third most commonly cited concern was safety of prescribing drugs for the elderly (11 mentions). … Another concern frequently mentioned was the safety of chronic medication use (nine mentions). … While harm from medication errors represents a significant national concern, many individual health

52. TeamSTEPPS for Diagnosis Improvement: Knowledge Assessment (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-knowledge-assessment.pdf
    February 01, 2022 - Voice his or her concern a second time, more forcefully, to ensure the correction is heard. c. … 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.

53. Appendix C. Addressing Physician Concerns With the Checklist - Implementation Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-c.html
    May 01, 2017 - Addressing Physician Concerns With the Checklist - Implementation Guide Common Concern

54. Medication Dashboard Data 2024 (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2024.xlsx
    January 01, 2024 - Dashboard Name Worksheet Name Description of Medication/Substance Event by Type of Safety Concern … dashboard/medication.html Med_1 Med_1: Description of Medication/Substance Event by Type of Safety Concern … Description of Medication/Substance Event Safety Concern Frequency Percent Incorrect action (process … Med_2 Med_2: Stage of Origin for Safety Concerns Safety Concern Stage Event Originated Frequency Percent … Med_3 Med_3: Type of Medication/Substance Involved by Safety Concern Safety Concern Type of Medication

55. II. Hotline Design and Development | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/hotline/design2.html
    May 01, 2016 - We found that the term “patient safety concern” elicited comments on service complaints and communication … The revised form was designed to ensure that a patient or caregiver would report only one concern or … being reported: The reporting form gathers information about the patient safety concern in both … to obtain a narrative description of the patient safety concern. … Before a patient or caregiver can answer questions about a safety concern, he or she is screened for

56. Written Statement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-written-statement.pdf
    June 02, 2025 - Written Statement To Whom It May Concern: As one of the creators of the Pediatric Medical Complexity

57. Rating the Raters: How the Informed Patient Institute Assesses Health Care Quality Reports (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/Rating_the_Raters_2011_06_15_Transcript.pdf
    January 01, 2011 - sheets, right, for consumers to help them understand what they can do if they have a problem or a concern … these tip sheets are trying to answer, is what are they supposed to do if they do see that quality concern … and they really try and take you through a set of action steps which you can take if you do have a concern … the California HealthCare Foundation to do this work first in California: what to do if you have a concern … this four times now, what are your impressions of what patients are faced with when they do have a concern

58. 2024 Network of Patient Safety Databases Chartbook (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
    January 01, 2024 - CFER-H and are captured through individual questions asked of those who report each patient safety concern … Figure 2: Incorrect Action by Type of Safety Concern Notes: Counts and percentages taken from Medication … Origin of Safety Concerns This figure presents the distribution of safety concern types for Medication … Overall, with the exception of the Storing stage, Incident is the most commonly occurring safety concern … Near Miss was the most common safety concern for Medication or Other Substance events originating in

59. TeamSTEPPS Video Debrief Guide: CUS and SBAR in Rural Community Clinic (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-sbar-rural-clinic-guide.pdf
    June 02, 2025 - The clerk uses the key words in CUS to: • Emphasize concern. • Communicate being uncomfortable.

60. Guide Promotional Postcard (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
    April 01, 2018 - outpatients experiences a diagnostic error 55% of patients said diagnostic errors were a chief concern