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  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-3.html
    February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments Mobile Text Messaging Previous Page Next Page Table of Contents Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments Introduction Elect…
  2. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety6.html
    September 01, 2022 - https://www.ahrq.gov/patient-safety/reports/issue-briefs/leadership.html .
  3. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science The Contribution of Diagnostic Error to Maternal Mortality and Severe Maternal Morbidity Previous Page Next Page Table of Contents The Contribution of Diagnostic Er…
  4. www.ahrq.gov/data/apcd/envscan/index.html
    June 01, 2017 - Resource Limitations      Methodological Issues Pertaining to Use of APCD Data for Measurement          Issue … 1: Inadequate Measurement Science          Issue 2: Measure Specification          Issue 3: Measure … Implementation Issues          Issue 4: Measure Gaps Conclusion References Appendix A.
  5. www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-6a.html
    July 01, 2022 - Is this a supply/logistic issue (can't find forms, pens, etc.)? … Is this a performance/knowledge/skill issue? … Is this a human factors (distraction, noise, fatigue) issue? … Audit Reporting Chart Issue Compliance Defined as: Current Compliance as of [insert date]
  6. www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-6a.html
    July 01, 2022 - Is this a supply/logistic issue (can't find forms, pens, etc.)? … Is this a performance/knowledge/skill issue? … Is this a human factors (distraction, noise, fatigue) issue? … Audit Reporting Chart Issue Compliance Defined as: Current Compliance as of [insert date]
  7. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apb.html
    October 01, 2017 - Cost (How much cost does your organization incur each time this issue occurs or fails to occur?) … Are there ways to address this issue? Is there room to make meaningful improvement?) … Readiness (Is there momentum to help move the issue forward? Will it be seen as important?) … Risk (How much of a risk does this issue pose to the well-being of patients?) … Urgency (How soon does this issue need to be addressed?)
  8. www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/index.html
    April 01, 2022 - Making It Work tip sheets are short guides that define the issue, help explain the barriers, and offer
  9. dfdfl;kdf (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Removal-of-Synthetic-Drug-ID-January2024.pdf
    January 01, 2024 - Publication No. 24-0031-3-EF January 2024 Synthetic Healthcare Data for Research (SyH-DR) Known Data Issue … Synthetic Healthcare Data for Research (SyH-DR) Known Data Issue: Removal of Synthetic Drug ID
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/assertion-slides/Assertion-Dec-14-2010-508.ppt
    January 01, 2010 - Continuous Process © Quality and Safety Research Group * Get Attention “Names First” State the issue … care, the welfare of the patient, safety; it’s hard to disagree with safe, high-quality care Avoid the issue … Assertion Names First - get their attention Make eye contact Express you concern and feelings State the issue … Research Group * Get Attention “NAMES First” State the issue
  11. www.ahrq.gov/news/newsletters/e-newsletter/931.html
    October 01, 2024 - Coordinating Center and National Evaluation Center for State-Based Healthcare Extension Service IssueIssue Brief Highlights Patients’ Growing Role in Diagnosis . … Issue Brief Highlights Patients’ Growing Role in Diagnosis A new AHRQ issue brief highlights the crucial … Access the new issue brief— The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception … Review additional new publications in PSNet’s  current issue , including recent cases and commentaries
  12. www.ahrq.gov/news/newsletters/e-newsletter/925.html
    August 01, 2024 - Healthcare Issue Number 925 AHRQ News Now is a weekly newsletter that highlights agency research … Issue Brief Addresses Electronic Test Result Communication in the Era of the Cures Act. … Review additional new publications in PSNet's current issue , including recent cases and commentaries … Issue Brief Addresses Electronic Test Result Communication in the Era of the Cures Act A new issue brief … Access the issue brief and other AHRQ publications on diagnostic safety.
  13. www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
    August 01, 2024 - Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety … of Diagnosis Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety … e Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis … laboratory professionals are essential to the success of diagnostic stewardship initiatives.8,15 This issue … Diagnostic stewardship has addressed this issue in limited examples but not within the broad scope of
  14. www.ahrq.gov/sites/default/files/2024-01/grahamlear-report.pdf
    January 01, 2024 - Project components included (1) preparation of a pre-conference issue brief, (2) organization of the … Conference planning and the pre-conference issue brief development benefited from input from a range … Issue brief: Prior to the convening of experts and stakeholders, an issue brief was prepared and circulated … But now is the time to look at the issue and see what changes need to be made. … The issue brief began by highlighting 10 factors worthy of analysis by those seeking to systematically
  15. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication4.html
    July 01, 2024 - With regard to the first issue, a qualitative study of 27 patients and 29 clinicians in the cancer care … they might see their test results before a clinician has had an opportunity to review them. 103 The issue … (R3) Interoperability: Although less directly related to the issue of immediate test result availability … (R7) I’m aware of one issue where we had a letter… that indicated that they had terminal cancer. … (R7) I think the bigger issue is lack of awareness.
  16. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-intro.html
    August 01, 2024 - The analysis led health system leaders to identify the diagnostic process as a critical issue that needs
  17. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence.html
    April 01, 2025 - Leadership Support Windows of Opportunity Conclusion Acknowledgments References Issue
  18. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
    June 02, 2025 - taken lightly, because it requires immediate cessation of the process and resolution of the safety issue … Strategies Summary Mutual Support 22 Applying TeamSTEPPS Exercise Mutual Support Is your teamwork issue … If yes, what is the mutual support issue? … Which mutual support tools or strategies might you consider implementing to address the issue?
  19. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/example-newsletters_v2.pdf
    November 01, 2023 - EMPOWERing Times: Newsletter Issue #1 IRB Approved--Effective Date: 15Feb2023 EMPOWERing Times … A newsletter for participants in the EMPOWER Study ISSUE 1, JAN. 2023 … for participants in the EMPOWER Study ISSUE 2, APR. 2023 Empowering … Feel free to share this and any issue with family and friends. … #1 EMPOWERing Times: Newsletter Issue #2 EMPOWERing Times: Newsletter Issue #3
  20. www.ahrq.gov/patient-safety/resources/learning-lab/optimizing-safety-long-desc.html
    June 01, 2020 - PSLL CONNECT Newsletter: Issue 1. AHRQ, Rockville, MD, 2018. AFYA. Internal Communication. … PSLL CONNECT Newsletter: Issue 3, AHRQ, Rockville, MD, 2018. AFYA. Internal Communication. … PSLL CONNECT Newsletter: Issue 5. AHRQ, Rockville, MD, 2019. Sherman JP, et al. … PSLL CONNECT Newsletter: Issue 2. AHRQ, Rockville, MD, 2018.

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