-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - the checklist can improve teamwork and communication
Learn how to use structured language to voice concerns … If you see something that concerns you during this case, please speak up.” … Circulating nurse and scrub tech share—
Equipment issues
Other concerns
Circulating nurse and scrub … If you see something that concerns you during this case, please speak up”
Communication and Teamwork … Team introductions
Surgeon/physician asks team members to voice concerns during the case
-
psnet.ahrq.gov/issue/walkrounds-practice-corrupting-or-enhancing-quality-improvement-intervention-qualitative
December 30, 2014 - —visits by management to clinical units with the goal of engaging in frank discussion around safety concerns—have … monitoring and evaluation rather than for their intended purpose of identifying and addressing safety concerns … April 21, 2015
The friends and family test: a qualitative study of concerns that influence … October 11, 2023
The role of the informal and formal organisation in voice about concerns
-
www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
December 01, 2017 - ____________________________________________________________________________
Preoperative concerns … loss
Separation of clean and dirty instruments
Anesthesia review:
Patient-specific concerns … Circulating review:
Equipment availability, malfunctions, or concerns
Critical … ____________________________________________________________________________
Team reviews concerns
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/briefing_debriefing.docx
December 01, 2017 - _____
· Access issues: _____________________________________________________________
· Preoperative concerns … anticipated blood loss
· Separation of clean and dirty instruments
· Anesthesia review
· Patient-specific concerns … · Circulating review
· Equipment availability, malfunctions, or concerns
· Critical issues
· Deep vein … ___________________
________________________________________________________________
· Team reviews concerns
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem_facnotes.docx
December 01, 2017 - It allows the team to prepare a proactive approach to address those concerns. … Slide 8
Premortem Exercise
SAY:
In step three, identify the concerns that would be raised by each … Use the scale shown here to rank your team’s concerns about each failure. … Consider the concerns that you identified for each reason. … Focus on the top two or three concerns that your group identified.
-
psnet.ahrq.gov/node/39157/psn-pdf
June 09, 2011 - The human factors of home health care: a conceptual
model for examining safety and quality concerns. … psnet.ahrq.gov/issue/human-factors-home-health-care-conceptual-model-examining-safety-and-
quality-concerns … //psnet.ahrq.gov/issue/human-factors-home-health-care-conceptual-model-examining-safety-and-quality-concerns … //psnet.ahrq.gov/issue/human-factors-home-health-care-conceptual-model-examining-safety-and-quality-concerns
-
psnet.ahrq.gov/node/43650/psn-pdf
November 05, 2014 - dangerous: a vignette study to assess
healthcare professionals' likelihood of speaking up about
safety concerns … dangerous: a vignette study to assess healthcare
professionals' likelihood of speaking up about safety concerns … error and rule violations
and found wide variation in their reported likelihood of voicing safety concerns … silence-can-be-dangerous-vignette-study-assess-healthcare-professionals-likelihood-speaking
https://psnet.ahrq.gov/issue/predictors-likelihood-speaking-about-safety-concerns-labour-and-delivery
-
psnet.ahrq.gov/node/46319/psn-pdf
August 09, 2017 - Opioids in Medicare Part D: Concerns About Extreme Use
and Questionable Prescribing. … https://psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-
prescribing … https://psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing … https://psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-e.pdf
June 02, 2025 - Doctor-child communication 66.3% 70.0% .07
Involving teens in care 70.7% 77.9% .007
Mistakes and concerns … Doctor-child communication 67.0% 69.4% .22
Involving teens in care 72.5% 76.2% .14
Mistakes and concerns
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-6-a.pdf
June 02, 2025 - Nurse-child communication .77
Doctor-child communication .84
Involving teens in care .66
Mistakes and concerns … communication 3 .88
Doctor-child communication 3 .90
Involving teens in their care 3 .71
Mistakes and concerns
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www.ahrq.gov/cpi/about/otherwebsites/qualityindicators.ahrq.gov/qualityindicators.html
February 01, 2025 - Relevance The Quality Indicators are used to highlight potential quality concerns, identify areas that … hospitals or emergency departments, settings associated with the highest costs and most serious quality concerns
-
psnet.ahrq.gov/issue/speaking-about-patient-safety-concerns-influence-safety-management-approaches-and-climate
August 12, 2020 - Study
Classic
Speaking up about patient safety concerns … Speaking up about patient safety concerns: the influence of safety management approaches and climate … Speaking up about patient safety concerns: the influence of safety management approaches and climate
-
www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirementapf.html
February 01, 2014 - Because the measure can rely on links between Medicaid and vital statistics, there are some concerns … Other SNAC member concerns were what an appropriate C-section rate is, and the measure’s failure to consider … The measure specifications are well understood by Medicaid agencies, but concerns remain over coding … The measure specifications are well understood by Medicaid agencies, but concerns remain over coding … Other concerns about feasibility centered on the inability to capture screening done in different venues
-
psnet.ahrq.gov/node/50914/psn-pdf
February 19, 2020 - Enacting
a new role to support staff who raise concerns about
quality and safety in the English National … Enacting a new role
to support staff who raise concerns about quality and safety in the English National … Guardians is rich in potential but that the initial narrow role of addressing only quality
and safety concerns
-
pso.ahrq.gov/contact
February 01, 2025 - To file a Health Information Privacy or Security Complaint: HIPAA Complaint Web page
Concerns … For concerns about quality of care and/or patient safety related to a specific incident Even though … patient safety research, it is outside the scope of the AHRQ PSO Program to provide advice or help with concerns
-
digital.ahrq.gov/sites/default/files/docs/resource/PCC_Adams_Q2_PHPCounselingActivation.pdf
June 16, 2021 - [IF NO]
Give info for EI if
they have 2
predictive concerns. … (2) Repeat back to
the parent all of the
concerns they had
(not just predictive
ones). … Ask parent
to bring up
all concerns
with doctor
even if the
concerns
are not
predictive. … Ask if they talked to the
doctor about concerns. Ask
if they talked to doctor
about EI. … (1) Ask if they talked to the
doctor about concerns.
-
psnet.ahrq.gov/node/35207/psn-pdf
December 19, 2009 - Patient safety concerns arising from test results that
return after hospital discharge. … Patient safety concerns arising from test results that return after hospital
discharge. … https://psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge … https://psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge
-
psnet.ahrq.gov/node/47535/psn-pdf
November 07, 2018 - detailed analysis of
conditions that hindered nurses and families from acquiring answers about care concerns … learning-bristol-report-public-inquiry-childrens-heart-surgery-bristol-royal-infirmary-1984
https://psnet.ahrq.gov/issue/raising-and-responding-concerns … learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk
https://psnet.ahrq.gov/issue/qualitative-study-speaking-out-about-patient-safety-concerns-intensive-care-units … https://psnet.ahrq.gov/issue/qualitative-study-speaking-out-about-patient-safety-concerns-intensive-care-units
-
psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs
April 24, 2013 - This publication explores National Health Service (NHS) staff perceptions regarding raising concerns … organizations to use to help ensure that staff are comfortable raising awareness of patient safety concerns … March 16, 2016
Junior doctors' views on reporting concerns about patient safety: a qualitative
-
psnet.ahrq.gov/node/47254/psn-pdf
September 19, 2018 - understanding-knowledge-gaps-whistleblowing-and-speaking-health-care-
narrative-reviews
Staff willingness to speak up about safety and process concerns … This review explores challenges to raising concerns in the
National Health Service and discusses policies … Further research is needed to
examine organizational failures when concerns are reported. … understanding-knowledge-gaps-whistleblowing-and-speaking-health-care-narrative-reviews
https://psnet.ahrq.gov/issue/raising-and-responding-concerns