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  1. 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
  2. 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.
  3. 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/
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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.
  9. 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
  10. 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
  11. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-mental-health-data-spotlight.pdf
    July 01, 2024 - Individuals, particularly in certain subpopulations, and their providers may be unaware of a mental health issue … San Francisco: KFF; 2023. https://www.kff.org/coronavirus-covid-19/issue-brief/the- implications-of-covid … pnas.2016632118 https://doi.org/10.1016/j.lana.2021.100091 https://www.kff.org/coronavirus-covid-19/issue-brief … https://www.kff.org/mental-health/issue-brief/access-and-coverage-for-mental-health-care-findings- from-the … Issue Brief No. HP-2023-18.
  12. www.ahrq.gov/sites/default/files/wysiwyg/policy/eeo/nofear-ahrq-fy2024-4thq.pdf
    September 30, 2024 - Age 2 0 1 1 0 0 Disability 1 0 1 1 0 0 Genetics 0 0 0 0 0 0 Non-EEO 0 0 0 0 0 0 Complaints by Issue … 2021 ** are reported under Other Disciplinary Actions. 2022 2019 2020 2021 2022 Complaints by Issue … 2019 Percentage 2020 Numbers 2020 Percentage 2021 Numbers Findings of Discrimination Rendered by Issue … Findings of Discrimination Rendered by Issue by Fiscal Year Other Terms/ Conditions of Employment … Fear Q1 2024 Complaint Activity by Fiscal Year Complaints by Basis by Fiscal Year Complaints by Issue
  13. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
    January 01, 2008 -                                   • Summarize diagnostic error and its importance as a patient safety issue … participants will be able to: • Summarize diagnostic error and its importance as a patient safety issue … Slide 3 Diagnostic Error Is a Patient Safety Issue Getting  the  right  diagnosis  in  a  timely … Diagnostic error is a patient safety issue. … In this module, participants learned that: • Diagnostic error is a patient safety issue and applications
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/spot-coaching.pdf
    April 01, 2022 - Issue Adaptive change requires unlearning and relearning over time. … Programs for ICUS: Preventing CLABSI and CAUTI • Would you like some coaching to think through the issue … Beyond_Continuing_Medical_Education__Clinical.23.aspx Making It Work Tip Sheet Spot Coaching To Support Behavior Change Purpose Issue
  15. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
    July 01, 2023 - : Sensemaking Overview 4 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.
  16. www.ahrq.gov/news/newsletters/e-newsletter/916.html
    June 01, 2024 - AHRQ Announces Plans for National Healthcare Extension Service To Disseminate Evidence Issue Number … AHRQ will also issue funding opportunities for two related projects: a national coordinating center and … Review additional new publications in PSNet’s  current issue , including recent cases and commentaries
  17. www.ahrq.gov/news/newsletters/e-newsletter/929.html
    September 01, 2024 - AHRQ Report to Congress Describes Sepsis’ Burgeoning Burden on Hospital Care Issue Number 929 … AHRQ’s development of toolkits , issue briefs , and a training curriculum , as well as the establishment … Review additional new publications in PSNet’s  current issue , including recent cases and commentaries
  18. www.ahrq.gov/news/newsletters/e-newsletter/939.html
    November 01, 2024 - Antibiotic Stewardship Helps Protect Newborns in Neonatal Intensive Care Units Issue Number 939 … from risks associated with overusing antibiotics, improve patient outcomes and help combat the global issue … Review additional new publications in PSNet’s  current issue , including recent cases and commentaries
  19. 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…
  20. www.ahrq.gov/news/events/nac/2018-07-nac/nacmtg0718-minutes.html
    July 01, 2021 - Masica raised the issue of shifting to value-based health care delivery. … There also is an issue of data that are censored. … AHRQ might consider that issue in moving forward. Regading data sharing, Dr. … Masica raised the issue of a gap between legal compliance and the regulatory community. … Escarce raised the issue of the capacity of the researcher.

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