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  1. 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.
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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.
  8. 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
  9. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
    April 02, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Issue Brief Operational Measurement … practical guidance for HCOs to start using measurement to enhance diagnostic safety. 4 In this Issue … February 2009. https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert … www.ncbi.nlm.nih.gov/pubmed/28366427 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2758321/ https://psnet.ahrq.gov/issue … triggers-and-targeted-injury-detection-systems-tids-expert-panel-meeting-conference-summary https://psnet.ahrq.gov/issue
  10. 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.
  11. www.ahrq.gov/evidencenow/projects/urinary/wi-intuit-interview.html
    November 01, 2024 - How did you incentivize practices to include this important clinical issue in their workflows? … Many practices served predominantly female or older patient panels, for whom UI is an important issue
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
    June 05, 2008 - are notewothy, we have come to realize that the reporting of adverse events is a complicated issue … The news media’s interpretation of medical adverse events affect how they portray the issue for the … Most journalists learned about the issue of medical errors from the news media (48 percent) or from … This is not just a hospital system issue, but an issue that involves local government officials and … Defining adverse events as a process issue is a necessary but delicate undertaking.
  13. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/recent-insights-webcast-elliott.pdf
    July 01, 2013 - Permanente School of Medicine 13 Low Response Rates for Hard-to-Reach Populations Is A Growing Issue … Healthcare Survey Response Rates over 50% Low Response Rates for Hard-to-Reach Populations Is A Growing Issue
  14. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide213.html
    October 01, 2014 - Clinical issues for treating specific populations Issue Approach Language Ensure
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
    March 11, 2005 - led us to broaden the specialty categories beginning with the publication of our July 2003 (fifth) issue … 9 (16%) Communication: provider-patient issue 5 (9%) Difficult judgment calls 5 ( … 9%) Other† 14 (25%) *Note: Cases include only the 55 published through our 11th issue (March 2004 … A voluntary users’ survey accompanied our May 2004 issue, and 542 users completed it. … ” slideshows had been downloaded—an average of 1,355 per issue.
  16. www.ahrq.gov/sites/default/files/wysiwyg/topics/fed-IWG-dxsafety-Nov19mtg.pdf
    November 15, 2019 - Ocx3sikoPxHPOmMVC7HeiuLMyPhuiTFyAE&s=ZptmcLRUmpAGpTT1svGzWq8rtyr4y6fD-48zT0Glack&e= https://www.degruyter.com/view/j/dx.2019.6.issue … -4/dx-2019-0012/dx-2019-0012.xml https://www.degruyter.com/view/j/dx.2019.6.issue-4/dx-2019-0012/dx-2019
  17. www.ahrq.gov/sites/default/files/2024-04/pines-mccarthy-report.pdf
    January 01, 2024 - conference was conducted in Boston, MA, by the journal Academic Emergency Medicine to explore the issue … summaries some of the key concepts that are described in more detail in the rest of the journal issue … MRI, and other advanced testing and treatments).14,15 The other side of ED crowding is the supply issue … Finally, patient safety is an important issue in emergency medicine, but most research to date has … Detailed research agendas are published in the December 2011 issue of Academic Emergency Medicine.
  18. www.ahrq.gov/teamstepps-program/resources/additional/cus.html
    July 01, 2023 - TeamSTEPPS: CUS in Labor & Delivery (10 seconds) CUS stands for C oncerned, U ncomfortable, and S afety issue
  19. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-coaching-feedback-form.pdf
    June 02, 2025 - The coach works through the designated issue with the team member, the team member acts out the particular
  20. www.ahrq.gov/news/events/nac/2022-05-nac/nacmtg051222-minutes.html
    August 01, 2022 - For example, consider the particular issue of bed- wetting and the need for the family team. … Omar Lateef, D.O., encouraged AHRQ to study the issue of systemization within the healthcare system, … Yu noted the issue of costs from adverse events. … Lateef raised the issue of overfunding related to coding. … Cohen confirmed the importance of this issue and highlighted the need to look at distributions, different

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