-
psnet.ahrq.gov/node/50612/psn-pdf
October 30, 2019 - From the trainee perspective, communication barriers are many—fear of
retribution, concern for an … ongoing relationship with their superiors, powerlessness—but perhaps the most
pronounced is concern … Background, Assessment, Recommendation (SBAR) framework (9)—or those
designed to highlight an unaddressed concern—the … two-challenge rule utilizing provocative CUS
words—Concern, Uncomfortable/Unsafe, Scared/Stop.(10,11 … supervisory models do not
exist; (iii) cultural hierarchy (in particular failure to seek help due to trainee concern
-
psnet.ahrq.gov/issue/involvement-patients-cancer-patient-safety-qualitative-study-current-practices-potentials-and
September 27, 2017 - Despite the high-risk nature of oncology care, patients did not identify their safety as a main concern … medication—most patients felt that ensuring safety was primarily the clinician's responsibility and expressed concern
-
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
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psnet.ahrq.gov/issue/when-doctor-too-old-job
March 04, 2020 - Potential deterioration of an aging surgeon's technical abilities is an emerging patient safety concern
-
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
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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
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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
-
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
-
psnet.ahrq.gov/node/50619/psn-pdf
October 30, 2019 - https://psnet.ahrq.gov/issue/sepsis-smart
Delayed diagnosis of sepsis is a primary patient safety concern
-
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.
-
psnet.ahrq.gov/node/866964/psn-pdf
October 16, 2024 - https://psnet.ahrq.gov/issue/pediatric-perioperative-medication-errors
Medication safety is a primary concern
-
psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - [16] The Trusted Network Accreditation Program (TNAP) Collaborative Survey Finds Concern Over Privacy … press-release=the-
trusted-network-accreditation-program-tnap-collaborative-survey-finds-concern-over-privacy-and-security … press-release=the-trusted-network-accreditation-program-tnap-collaborative-survey-finds-concern-over-privacy-and-security-key-barrier-to-interoperability … press-release=the-trusted-network-accreditation-program-tnap-collaborative-survey-finds-concern-over-privacy-and-security-key-barrier-to-interoperability … press-release=the-trusted-network-accreditation-program-tnap-collaborative-survey-finds-concern-over-privacy-and-security-key-barrier-to-interoperability
-
digital.ahrq.gov/sites/default/files/docs/data-visualization-slides-053017.pdf
May 30, 2017 - Providing harm anchors in visual displays of test results mitigates patient concern
about nearly normal … Providing harm anchors in visual displays of test results mitigates patient concern
about nearly normal … Providing harm anchors in visual displays of test results mitigates patient concern
about nearly normal … Providing harm anchors in visual displays of test results mitigates patient concern
about nearly normal … Providing harm anchors in visual displays of test results mitigates patient concern
about nearly normal
-
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
-
psnet.ahrq.gov/node/50714/psn-pdf
December 04, 2019 - psnet.ahrq.gov/issue/suicidal-patient-slips-through-cracks
Inpatient suicide is increasing as a safety concern
-
psnet.ahrq.gov/node/844776/psn-pdf
September 18, 2019 - when-doctor-too-old-job
Potential deterioration of an aging surgeon's technical abilities is an emerging patient safety concern
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-module-handouts.docx
July 01, 2023 - Pick two or three items that are your biggest concern. What would you do differently? … Level of Concern
1 = lowest to 5 = greatest
Action Steps To Prevent Failure
What can be done differently
-
psnet.ahrq.gov/node/856639/psn-pdf
November 29, 2023 - https://psnet.ahrq.gov/issue/impact-wellbeing
Clinician burnout has become a major concern for both
-
psnet.ahrq.gov/node/50677/psn-pdf
November 20, 2019 - psnet.ahrq.gov/issue/what-happens-when-doctors-make-diagnostic-errors
Misdiagnosis growing area of concern
-
psnet.ahrq.gov/node/50662/psn-pdf
November 13, 2019 - safety
organization analyzed 4,355 incident reports from outpatient providers to identify five areas of concern