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  1. 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.
  2. 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
  3. 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
  4. 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…
  5. 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…
  6. 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
  7. 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
  8. www.ahrq.gov/ncepcr/care/coordination.html
    November 01, 2024 - Care Management Issue Brief . … This issue brief highlights key strategies to enhance existing or emerging care management programs and
  9. 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?
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/alexander/alexander.pptx
    February 16, 2011 - Methods and Metrics Issues in Delivery Systems Research Methods and Metrics Issues in Delivery System Research JEFF ALEXANDER The University of Michigan The Challenge and Promise of Delivery System Research: A Meeting of AHRQ Grantees, Experts, and Stakeholders Doubletree Dulles – Sterling, Virginia February 16, 201…
  11. www.ahrq.gov/research/publications/pubcomguide/pcguide4.html
    July 01, 2025 - AHRQ grantees and contractors may issue “third party” press releases about AHRQ-funded research and activities … Blog post authors should follow these guidelines: Highlight a new finding, issue, or perspective on something
  12. www.ahrq.gov/sites/default/files/publications/files/caremgmt-brief.pdf
    April 01, 2015 - Implications for Medical Practice, Health Policy, and Health Services Research 1 Care Management Issue … This issue brief highlights three key strategies to enhance existing or emerging CM programs: (1) identify … This issue brief was informed by the experience of the AHRQ grantees (including reports from the Annals … of Family Medicine special issue on the Transforming Primary Care grants),5-16 our own process of primary … Genevro, PhD, MSW; and David Meyers, MD, for carefully reviewing this issue brief.
  13. www.ahrq.gov/ncepcr/care/coordination/mgmt.html
    August 01, 2018 - for Medical Practice, Health Policy, and Health Services Research Care Management Issue … This issue brief highlights three key strategies to enhance existing or emerging CM programs: (1) identify … This issue brief was informed by the experience of the AHRQ grantees (including reports from the Annals … of Family Medicine special issue on the Transforming Primary Care grants), 5-16 our own process of … Genevro, PhD, MSW; and David Meyers, MD, for carefully reviewing this issue brief.
  14. www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0715-minutes.html
    December 01, 2015 - They are organized around the issue of access, the NQS priorities, and priority populations. … Carol Matyka, M.A., wondered about the issue of food deserts. Dr. … Ling raised the issue of engaging patients and families. Can questions relate the two? Dr. … Crofton cited patient questionnaires for nursing homes, which address that issue in various ways. … There also is the issue of the large amounts of data today and what to do with them. Dr.
  15. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-mutual-support.pptx
    January 10, 2022 - Do you think we should address this issue by informing Dr. Smith?” … the magnitude of the issue.   … This is a safety issue. … If the safety issue is not acknowledged, notify a supervisor.)   … His hypertension is a safety issue.
  16. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-presenters-notes.pdf
    January 10, 2022 - Do you think we should address this issue by informing Dr. Smith?” … ,  but  also  the  magnitude  of  the   issue.  … This is a safety issue. … If the safety issue is not acknowledged, notify a supervisor.) … His hypertension is a safety issue.
  17. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-2-slides.pptx
    June 02, 2025 - Applying TeamSTEPPS Exercise Team Leadership Who are the members of the team experiencing a teamwork issue … Which team or teams within your multi-team system are experiencing the teamwork issue? … Which team or teams interact with or are otherwise affected by the team(s) experiencing the issue?
  18. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/DiagnosticSafety-flier.pdf
    November 01, 2024 - (TeamSTEPPS Diagnosis Improvement Course) ■ AHRQ has also developed and disseminated a series of issue … teamstepps-program/diagnosis-improvement/index.html https://www.ahrq.gov/diagnostic-safety/resources/issue-briefs … /dxsafety-current-state.html https://psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-diagnostic-safety
  19. www.ahrq.gov/practiceimprovement/advanced-methods/index.html
    December 01, 2017 - This special issue of Health Services Research , sponsored by AHRQ, contains papers solicited and reviewed
  20. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2obj.html
    July 01, 2012 - Participants will understand: Why communicating changes in a resident's condition is an important safety issue

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