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  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-1.html
    September 01, 2023 - Both concepts are explored in this issue brief.
  2. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-14.html
    November 01, 2014 - Problem identification: Laid out the initial state of the department for this issue by conducting a walkthrough
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/139-nv-hap-prevention-essential-one-pager.docx
    October 01, 2024 - Am J Infect Control. 2020 May;48(5S):A1-A38. https://www.ajicjournal.org/issue/S0196-6553(20)X0005-8. … Quick Safety Issue 61. Oakbrook Terrace, IL: The Joint Commission. … www.jointcommission.org/resources/news-and-multimedia/newsletters/newsletters/quick-safety/quick-safety-issue
  4. www.ahrq.gov/ncepcr/about/impact-stories/enabling-real-time.html
    April 01, 2025 - Physician burnout surged following the COVID-19 pandemic and persists as a pervasive issue that negatively … among physicians, rather it is due to the systems in which physicians work.” 6   To help address this issue … Mayo Clinic Proceedings, Volume 99, Issue 9, 1411–1421.
  5. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/briefing-slides/Morning-Briefing-and-Shadowing-July-12-2011-508.ppt
    January 01, 2011 - nurse staffing Provider skill mix When You Identify Defects or Problems Assign a person to the issue … use Status of Safety Issues Status of Safety Issues - CUSP Unit: New and Ongoing Date Safety Issue … Contact Status Goal Completed Date Safety Issue Contact Status Goal … If You Were Following a Nurse Did you observe that in a crisis or when there was an important issue,
  6. www.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
    June 01, 2023 - It allows individuals and teams to take steps to correct the issue before harm or injury to the patient
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/transcript-speaking-up.doc
    May 01, 2017 - Berry: “This is a safety issue. Could you call for some anesthesia help to come in here right now?” … Jones, but this is a safety issue. You really need to change, and we need to stop right now.”
  8. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/culture-checkup-tool.html
    July 01, 2023 - 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.
  9. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-3.html
    June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Getting Ready for Measurement: Overcoming Barriers and Taking Next Steps Previous Page Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measure…
  10. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-4.html
    June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Conclusion Previous Page Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurement of Diagnostic Safety Getting Ready for Measurement: Ove…
  11. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
    June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Special Considerations for Measurement of Diagnostic Safety Previous Page Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurement of Diagn…
  12. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
    June 01, 2020 - https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expertpanel-meeting-conference-summary
  13. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-7.html
    March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes References Previous Page   Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosis Education Competencies To Improve Diagnosis in Health Profes…
  14. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-6.html
    March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Conclusion Previous Page Next Page Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosis Education Competencies To Improve Diagnosis in Healt…
  15. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-5.html
    March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Next Steps and Barriers Previous Page Next Page Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosis Education Competencies To Improve Diagn…
  16. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-2.html
    March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Foundations of Diagnosis Education Previous Page Next Page Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosis Education Competencies To Im…
  17. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-4.html
    March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Competencies To Improve Diagnosis in Health Professions Education  Previous Page Next Page Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosi…
  18. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-3.html
    March 01, 2022 - Clinical reasoning is challenging and represents the dominant issue in diagnostic error, as repeated
  19. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses3.html
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Nurses' Role in Diagnosis, Through the Lens of Distributed Cognition Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department …
  20. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses2.html
    August 01, 2022 - at hand. 18 Social cognitive theories are increasingly popular in healthcare, and a recent special issue

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