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www.ahrq.gov/news/psnet.html
March 01, 2025 - Review additional new publications in PSNet's current issue or access recent cases and commentaries
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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.
-
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
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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.
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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
-
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
-
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
-
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…
-
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
-
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.
-
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
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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/
-
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
-
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
-
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
…
-
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
-
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
-
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
-
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
-
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.