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  1. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-comp-kit.html
    June 01, 2017 - Issue symptomatic of a larger problem : In some cases, it will be clear that the problem is symptomatic … of a larger issue. … In particular, the CUS (“Concern-Uncomfortable-Safety Issue”) method serves as a communication framework
  2. www.ahrq.gov/hai/pfp/haccost2017-discuss.html
    November 01, 2017 - This poses problems when estimating additional cost and mortality for a specific HAC; the issue also … The competing risk issue is further compounded by the fact that the probability of these events is often … and system-specific costing approaches, which is more difficult to address across studies than the issue
  3. Coordination (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Coordination_of_Care_2012_05_01_Transcript.pdf
    January 01, 2012 - So you can see that for us in Massachusetts, care coordination has been a huge issue and an area that … empirical evidence that gaps in coordination lead to medical errors, and that’s a very real and important issue … Massachusetts; receiving conflicting information from different doctors or health care professionals as a big issue … as communication among providers within a practice and across practices, that’s a very fundamental issue … So that’s definitely an issue and the portal can be an incredible tool once we get patients and families
  4. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/cmsqualconf0615.html
    March 01, 2019 - descriptions Category descriptions More about the national evaluation Reports & Resources: findings, issue … data: quantitative, qualitative Plan dissemination strategies with key stakeholders Publish first issue
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-champions.pdf
    April 01, 2022 - Issue One of the most important roles physicians play in performance improvement is that of physician … tools/clabsi-cauti-icu/team-roster.docx Engaging Physician Champions in Preventing CLABSI and CAUTI Issue
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-physicians.pdf
    April 01, 2022 - Issue Physicians play various roles in quality and safety, from leaders and champions, to committee … preventing-cauti-engaging-leadership-slides.html Engaging Physicians in Preventing CLABSI and CAUTI Issue
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/celebrating-success.pdf
    April 01, 2022 - Issue Recognizing success, large and small, both early on and long-term is important to sustainability … PlanDoStudyActWorksheet.aspx Celebrating Success and Spreading CLABSI and CAUTI Prevention Beyond the Unit Issue
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-anemia-dialysis.pdf
    December 02, 2019 - https://www.kisupplements.org/issue/S2157-1716(12)X7400-8. Accessed December 2, 2019. 3. … anemia https://www.niddk.nih.gov/health-information/kidney-disease/anemia https://www.kisupplements.org/issue
  9. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
    December 27, 2021 - the underlying factors producing the performance; in other words, the root causes of the performance issue … use with your practices to identify the different factors that are at play with a given performance issue … First, work with practice members to define the issue they want to improve or the problem they wish … why five times until the group members agree they have identified the root cause of the performance issue … Have team members clearly define a measurable performance issue they want to analyze and write this
  10. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/team-checkup-tool.html
    July 01, 2023 -           4 Staff members on this unit do not believe that perinatal safety is an issue
  11. www.ahrq.gov/takeheart/about/initiative/partner-hospitals/stanford-health.html
    November 01, 2022 - The CR team's goal was to resolve this issue to increase CR enrollment for eligible patients before their
  12. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep4.html
    June 01, 2010 - Given the evolving nature of AHRQ's long-term strategy for fulfilling the DRA mandate, this issue may … A related issue is the mode of data collection.
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
    April 06, 2008 - organization transmits the Problem Statement to the PSO and concretely defines the core performance issue … • Could the Problem Statement issue result in death or serious injuries to individuals? … • Does the Problem Statement issue have a significant impact on patient care? … • Does the Problem Statement issue have a serious impact on cost, reliability, or compliance? … • What are the ramifications of the Problem Statement issue recurrence?
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
    February 23, 2008 - defined on an ad hoc basis by a judge or jury.5 From the perspective of the VHA group considering this issue … Another cultural issue raised by facilities was, “How will our residents get experience with airway … For many institutions, training availability is an issue. … When instituting the new Directive, we were concerned that cost might be an issue. … Department of Veterans Affairs identified a significant issue through their patient safety program:
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
    April 01, 2004 - Advances in Patient Safety: Vol. 4 230 Issue identification and resolution To date, 271 safety … Following “work environment,” “team factors” was the second most common issue category, accounting … After the issue was identified, the computers were upgraded to fully support the needs of the charting … People will now come up to us, not on the rounds, and bring up some things that are an issue. … The walkarounds program is unique in its dual focus on issue identification and cultural change.
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
    May 01, 2017 - . · Issue symptomatic of a larger problem: In some cases, it will be clear that the problem is symptomatic … of a larger issue. … AHRQ CUS Pocket Card In particular, the CUS (“Concern-Uncomfortable-Safety Issue”) method serves as
  17. www.ahrq.gov/talkingquality/translate/organize/datasource.html
    November 01, 2018 - If users are interested in that issue, it will be hard to help them find all the information you have
  18. www.ahrq.gov/hai/cusp/toolkit/team-checkup.html
    December 01, 2012 - in this unit.           4 Staff in this unit do not believe that is an issue
  19. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-comp-kit.html
    June 01, 2017 - Leader asks each person to offer one positive safety observation or one issue about safety (e.g., a concern … any safety issues and plans to address Identify patients who could have safety issues arise: “issue
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
    May 01, 2017 - Leader asks each person to offer one positive safety observation or one issue about safety (e.g., a concern … identifying any safety issues and plans to address · Identify patients who could have safety issues arise: “issue

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