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  1. 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.
  2. 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
  3. 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?
  4. www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
    July 22, 2021 - Updates addressed during the meeting include the following: Agency Update AHRQ • New issue brief posted … congressional-report/115th-congress/senate-report/150/1 https://www.ahrq.gov/patient-safety/reports/issue-briefs … /healthit-ed.html https://www.ahrq.gov/patient-safety/reports/issue-briefs/healthit-ed.html https://www.ahrq.gov … /patient-safety/reports/issue-briefs/healthit-ed.html 2 Agency Update AHRQ (cont’d.) • Resources
  5. 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.
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
    September 01, 2016 - within a facility culture Describe how staff can use the CUS technique (concerned-uncomfortable-safety issue … of the issue. … If the conflict is not resolved, state that there is a safety issue. … It could be a safety issue if we don’t wash our hands first and Mrs. … Mary could say, "Jessica, it could be a safety issue if we don't wash our hands first and Mrs.
  7. 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
  8. 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
  9. 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.
  10. 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
  11. www.ahrq.gov/news/newsletters/e-newsletter/914.html
    May 01, 2024 - AHRQ Views: Continuing a 35-Year History, AHRQ Pursues Vital Pathways To Improve Patient Care IssueIssue Brief Addresses Cognitive Load and its Impact on Diagnostic Accuracy . … Review additional new publications in PSNet’s  current issue , including recent cases and commentaries … Issue Brief Addresses Cognitive Load and its Impact on Diagnostic Accuracy A new AHRQ issue brief provides
  12. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-2.html
    June 01, 2023 - patient experience to improve health system performance. 1,2 The first installment in this two-volume issue
  13. www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroupmeeting-notes-july2022.pdf.pdf
    November 03, 2022 - Update AHRQ/ Improvement and Patient Safety • Diagnostic Safety Building Contract o Posted our 7th Issue … errors through voluntary event reporting (I- STAR). 2 https://www.ahrq.gov/patient-safety/reports/issue-briefs … /education-dx-outcomes.html https://www.ahrq.gov/patient-safety/reports/issue-briefs/education-dx-outcomes.html … https://www.ahrq.gov/patient-safety/reports/issue-briefs/education-dx-outcomes.html https://www.ahrq.gov
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/Culture-Check-UpTool.docx
    June 02, 2025 - This can be an issue for which the average response is three or below or a domain score that shows less … establishing a tentative plan and timeline for carrying out an agreed-upon change that could improve the issue … If you have trend data across years, you could select an issue that has changed significantly.
  15. 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
  16. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication3.html
    July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Methods Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. Datab…
  17. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication2.html
    July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. …
  18. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-summary.html
    August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Summary of Survey Findings Previous Page Next Page Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Introdu…
  19. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-actions.html
    August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Actions Based on Survey Results Previous Page Next Page Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study In…
  20. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-approach.html
    August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Initial Approach Previous Page Next Page Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Introduction In…

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