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  1. www.ahrq.gov/news/psnet.html
    March 01, 2025 - Review additional new publications in PSNet's current issue or access recent cases and commentaries
  2. www.ahrq.gov/teamstepps-program/curriculum/mutual/overview/index.html
    July 01, 2023 - be taken lightly because it requires immediate cessation of the process and resolution of the safety issue … If the safety issue still hasn't been addressed: Take a stronger course of action.
  3. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-opioids-edvisits-tx.pdf
    August 11, 2021 - Statistics and Quality. 1 Opioid-related illness remains a costly and devastating public health issue … and Spanish (Issue Briefs) » The Opioid Crisis and the Black/African American Population: An Urgent … Issue (Issue Brief) Data Resources » SAMHSA Drug Abuse Warning Network (DAWN) (Data Surveillance … 4742SPANISH https://store.samhsa.gov/product/The-Opioid-Crisis-and-the-Hispanic-Latino-Population-An-Urgent-Issue … https://store.samhsa.gov/product/The-Opioid-Crisis-and-the-Black-African-American-Population-An-Urgent-Issue
  4. www.ahrq.gov/patient-safety/news-events/psaw-2024/index.html
    March 01, 2024 - AHRQ’s latest issue brief, Current State of Diagnostic Safety: Implications for Research, Practice, … Access all the issue briefs here.
  5. www.ahrq.gov/teamstepps-program/curriculum/implement/teach.html
    January 01, 2024 - Call attention to the issue of sustainability, as some organizational interventions fail to be sustained … and each of the four modules, in which you began to think about the teams affected by your teamwork issue … and specific TeamSTEPPS 3.0 tools and strategies to implement to address the issue. … ask about their implementation plans and try to identify some characteristic (e.g., type of teamwork issue
  6. www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
    November 06, 2020 - Updates addressed during the meeting include the following: Agency Update AHRQ • Posted an issue … administrative supplements on COVID-19 (NOT-CA-20-042). 2 https://www.ahrq.gov/patient-safety/reports/issue-briefs … /state-of-science.html https://www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science.html
  7. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
    July 01, 2024 - Rural Healthcare: A Call to Action PATIENT SAFETY e Issue Brief 22 re ostic Safety in Older … Adults Issue Brief 24 Diagnostic Excellence in U.S. … e Issue Brief 24 Diagnostic Excellence in U.S. … This issue brief explores several critical challenges affecting diagnostic excellence in U.S. rural healthcare … Quality; 2021; Publication No. 20(21)-0040-5- EF. https://www.ahrq.gov/diagnostic-safety/resources/issue-briefs
  8. www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/issues.html
    August 01, 2022 - Demonstration Grants Final Evaluation Report Evaluation Issues Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implement…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Suydam.pdf
    January 01, 2001 - The first issue (also discussed in the Merewitz memorandum) is whether exchanging patient safety data … The next California case to address the issue of waiver was West Covina v. … In the fourth case to address the issue of waiver, University of Southern California v. … It is important to note, however, that in all the cases that specifically addressed this issue, the … But Advances in Patient Safety: Vol. 3 368 if the claim involves at least one Federal issue or
  10. www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit2.html
    July 01, 2018 - Check photo ID, record licensure information, and issue surge facility ID badge. … For all non-clinical workers and volunteers, verify and record identification and issue surge facility … Check photo ID, record licensure information, and issue surge facility ID badge. … For in-State clinicians, check photo ID, record licensure information, issue surge facility ID badge. … Check photo ID, record licensure information, issue surge facility ID badge.
  11. www.ahrq.gov/sites/default/files/wysiwyg/policy/eeo/2016-ahrq-complaint-activity.pdf
    January 01, 2016 - 1 0 0 0 0 Disability 0 0 1 0 0 0 Genetics 0 0 0 0 0 0 Non-EEO 0 0 0 0 0 0 Complaints by Issue … Complaints by Issue Comparative Data Previous Fiscal Year Data 2016 Thru 09-30 Note: Complaints … 0 0 0 0 0 0 0 0 0 0 Non-EEO 0 0 0 0 0 0 0 0 0 0 0 0 Findings of Discrimination Rendered by Issue … Findings of Discrimination Rendered by Issue Comparative Data Previous Fiscal Year Data 2016 … Time Frames 0 0 0 0 0 0 2016 AHRQ Complaint Activity Complaints by Basis Complaints by Issue
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar05/mixed_methods.pptx
    December 03, 2013 - Health Sciences A New Resource: Mixed Methods in Health Sciences 9 Health Services Research Theme Issue … Narrative weaving Data transformation Joint display 15 Mixed Methods in Health Sciences HSR Theme Issue … Collaborative teams take time and relationship building (see Bowers, et al. and Scammon, et al. in HSR Theme Issue … The “Mixed Methods Researcher” works best in TEAMS Mixed Methods in Health Sciences HSR Theme Issue … Papers from the HSR special issue are available at: http://onlinelibrary.wiley.com/journal/10.1111/
  13. www.ahrq.gov/research/findings/final-reports/ptflow/appendix-c.html
    July 01, 2018 - We implemented a plan to address this issue, and the LWBS rate dropped by nearly 45%. … However, given our options, this approach seemed to allow us to address the issue with expediency, while … simultaneously developing programs to address the inpatient aspect of the throughput issue. … station $8,000 Physician and lab tech $300,000 Approvals Needed Name Issue
  14. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
    January 17, 2024 - the Science and Future Directions To Improve Diagnostic Safety in Older Adults PATIENT SAFETY e Issue … e Issue Brief 22 State of the Science and Future Directions To Improve Diagnostic Safety in Older … Hartford Foundation, for her valuable comments on an earlier draft of this issue brief. … This issue brief presents the unique considerations and challenges of studying and improving diagnostic
  15. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-12-intro-to-assessing-practices.pdf
    September 01, 2015 - An Introduction to Assessing Practices: Issues to Consider Primary Care Practice Facilitation Curriculum Module 12: An Introduction to Assessing Practices: Issues to Consider Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
    January 01, 2006 - defects 6 Sensemaking Overview4 A conversation among members of an organization involved in an event/issue … The purpose is to reduce the ambiguity about the event/issue -literally to make sense of it Each person … brings their experience of that event/issue to the discussion The conversation is the mechanism that
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
    May 01, 2017 - Defects Sensemaking Overview4 A conversation among members of an organization involved in an event/issue … The purpose is to reduce the ambiguity about the event/issue—literally to make sense of it Each person … brings their experience of that event/issue to the discussion The conversation is the mechanism that
  18. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/Telediagnosis-brief2.pdf
    August 03, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis PATIENT SAFETY e Issue … Brief 2 Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis e Issue … Conducting a remote physical examination remains an issue. … • Getting the patient history may be problematic with non-English speakers although this issue may
  19. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
    September 04, 2020 - Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction PATIENT SAFETY e Issue … Brief 3 Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction e Issue … In this issue brief, we summarize current evidence on using checklists to improve diagnostic reasoning
  20. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
    November 01, 2019 - This is a moment 2– related issue. … This is also a moment 2–related issue. … This is another moment 3 issue. … This is also a moment 3 issue. … This is another moment 3 issue.

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