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www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion.html
April 01, 2013 - You want to try to avoid the issue of who is right and who is wrong. … Barbara Stockton: Yeah, I think that’s probably the bigger issue. … When you are stating the issue, there are different ways you can do that. … You could essentially make a statement of what the issue is and propose an action. … I appreciate your advice on that issue because I see that a lot.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-reimagining-healthcare-teams.pdf
July 07, 2023 - Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety
PATIENT
SAFETY
e
Issue … e
Issue Brief 13
Reimagining Healthcare Teams:
Leveraging the Patient-Clinician-AI
Triad To Improve … Issue Brief 13. … Technologies
and Tools
Physical
Environment
Tasks
Diagnostic
Team
Members
External Environment
This issue … Patients
and clinicians may address this issue during followup visits or via patient- or clinician-initiated
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue … e
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency … This issue brief discusses the nurse’s role in diagnostic safety, using the conceptual lens of distributed … hand.18
2
Social cognitive theories are increasingly popular in healthcare, and a recent special issue … the Ebola virus.50 Ineffective communication between the nurse and the physician was the
dominant issue
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
September 01, 2021 - Morbidity and Mortality During and Immediately After Childbirth: State of the Science
PATIENT
SAFETY
e
Issue … e
Issue Brief 6
The Contribution of Diagnostic Errors to
Maternal Morbidity and Mortality During … imperative to focus on diagnostic
safety in obstetrics to prevent and mitigate diagnostic errors.2,12
This issue … Measurement of Diagnostic Safety: State
of the Science. https://www.ahrq.gov/patient-safety/reports/issue-briefs
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/study.html
May 01, 2017 - Description of Data
Determine a process for collecting information to highlight a specific issue … Include—
Frequency: How often the issue occurred in your study period
Sources: Potential reasons
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/cmsqualconf0615.pdf
September 01, 2015 - – Category descriptions
– More about the national evaluation
– Reports & Resources: findings, issue … quantitative,
qualitative
– Plan dissemination strategies with key stakeholders
– Publish first issue
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
January 01, 2008 - )
1
Slide
Module 7 Objectives
Summarize diagnostic error and its importance as a patient safety issue … module, participants will be able to:
Summarize diagnostic error and its importance as a patient safety issue … successful use of the TeamSTEPPS tools and strategies.
2
Slide
Diagnostic Error Is a Patient Safety Issue … Diagnostic error is a patient safety issue. … In this module, participants learned that:
Diagnostic error is a patient safety issue and applications
-
www.ahrq.gov/news/events/nac/2019-11-nac/nacmtg01121-minutes.html
March 01, 2020 - Atkins raised the issue of privacy concerns in developing and using the synthetic database. … He recommended that AHRQ meet with the Veterans Health Administration to discuss the issue. … Goldmann agreed that the issue is complicated. … Goeschel added that within her system (MedStar Health) the social determinants issue is on everyone’s … Hernandez-Boussard raised the issue of capturing social determinant data at the point of care.
-
www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2022-05-nac/nacmtg051222-minutes.pdf
January 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, … Caroline Carney, M.D., raised the issue of approaches to interacting with insurance institutions
to … Yu noted the issue of costs from adverse events. … Lateef raised the issue of overfunding related to coding.
-
www.ahrq.gov/funding/grantee-profiles/landrigan-transcript.html
June 01, 2016 - And, in particular, on the issue of sleep deprivation and patient safety was really affected by some … Over the past 10 years or so, I’ve become particularly interested in the issue of handoffs and communications
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/about/F2CGLizHoyRogerLevine.pdf
June 02, 2025 - only a single visit
•
Definitely yes/Somewhat yes/Somewhat
no/
Definitely no scale used
•
Issue … This was an issue
for a respondent, who
preferred "historica
medicos." … or add
an item asking how many
surgeries this doctor has
performed on the patient (to
allow this issue
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/multidiscplinary-rounding.pdf
April 01, 2022 - Issue
Barriers to bedside rounding can often occur in a busy ICU:
• Patients are away from the unit … /tools/clabsi-cauti-icu/empower-staff.mp3
Multidisciplinary Rounding for Patient Safety
Purpose
Issue
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - communication
event was considered complete once an answer or resolution of the particular patient issue … Data collected about the communication event included: who was communicating; the patient’s
issue or … ; and followup questions on the nurse’s perceptions about the
resolution of the issue, including his … Results of communications process analysis
Time for resolution of
communication/issue
Pre- … In addition to decreased time for communication/issue resolution, there was also an increase in
the
-
www.ahrq.gov/news/newsletters/e-newsletter/904.html
March 01, 2024 - AHRQ Views: Commemorating 35 Years as an Independent Science Agency
Issue Number
904
AHRQ … initiatives include AHRQ’s Diagnostic Safety Centers of Excellence , a suite of diagnostic safety issue … Review additional new publications in PSNet’s current issue or access recent cases and commentaries
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1.html
July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Executive Summary
Introduction
Past Research on Patien…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2.html
July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Executive Summary
Introduction
Eliciting Patients’ Dia…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-references.html
June 01, 2023 - https://www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science.html .
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-references.html
June 01, 2023 - https://www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science.html .
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
June 01, 2023 - of Care Throughout the Healthcare System: Current State and a Call to Action
PATIENT
SAFETY
e
Issue … e
Issue Brief 11
Diagnostic Safety Across Transitions of
Care Throughout the Healthcare System:
Current … To improve diagnostic safety at transitions of care, this issue brief examines the existing evidence … Hot Topics in Health Care, Issue# 2.
-
www.ahrq.gov/research/shuttered/acfselection/appendixd.html
July 01, 2018 - This is a huge issue I think.
Behavior Rules? … It really wasn't an issue. we had National Guard and campus police nightly
. … The State of [State] did not assist in this issue.
Don't know. … Issue Detail
Cell communications at first. Then satellite delivered with phones. … Have not given thought to this issue. Good point.
Adult/Peds Together?