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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
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Table of Contents
Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
Introduction
Elect…
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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 .
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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
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Table of Contents
The Contribution of Diagnostic Er…
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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.
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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]
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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]
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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?)
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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
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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
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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
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www.ahrq.gov/news/newsletters/e-newsletter/931.html
October 01, 2024 - Coordinating Center and National Evaluation Center for State-Based Healthcare Extension Service
Issue … Issue 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
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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.
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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
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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
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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.
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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
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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
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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?
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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
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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.