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  1. www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
    June 01, 2018 - Chartbook on Care Coordination: Slide Presentation National Healthcare Quality and Disparities Report Slide 1 National Healthcare Quality and Disparities Report Chartbook on Care Coordination June 2016 Slide 2 National Healthcare Quality and Disparities Report Annual report to Congress mandat…
  2. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pptx
    July 01, 2015 - Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012 Part 2: Trends in Priorities of the Heckler Report National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics 1 Report of the Secretary’s Task Force on Black and…
  3. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-081-fullreport.pdf
    April 01, 2019 - CHIPRA 81: Pediatric Global Health-7 Measure Report 1 Pediatric Global Health-7 Measure Section 1. Basic Measure Information 1.A. Measure Name Pediatric Global Health-7 (PGH-7) Measure 1.B. Measure Number 0081 1.C. Measure Description Please provide a non-technical description of the measure that convey…
  4. 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
  5. 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
  6. 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
  7. 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.
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE.pdf
    January 01, 2023 - 2023 National Healthcare Quality and Disparities Report Appendixes 2023 National Healthcare Quality and Disparities Report Appendixes This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2023 National Healthcare Quali…
  9. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
    October 25, 2022 - 2022 National Healthcare Quality and Disparities Report Appendixes 2022 National Healthcare Quality and Disparities Report Appendixes U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov AHRQ Publication No. 22(23)-0030 …
  10. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
    January 01, 2023 - 2023 National Healthcare Quality and Disparities Report Appendixes 2023 National Healthcare Quality and Disparities Report Appendixes This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2023 National Healthcare Quali…
  11. 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?
  12. 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:
  13. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-14-collecting-performance-data.pdf
    September 01, 2015 - Collecting Performance Data Using Chart Audits and Electronic Data Extraction Primary Care Practice Facilitation Curriculum Module 14: Collecting Performance Data Using Chart Audits and Electronic Data Extraction Agency for Healthcare Research and Quality Advancing Excellence in Health Care ww…
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
    March 01, 2020 - Chapter-7 - Harm Due to Anticoagulants Harms Due to Anticoagulants 7-1 7. Harms Due to Anticoagulants Authors: Sarah J. Shoemaker-Hunt, Ph.D., Pharm.D., and Brandy Wyant, M.P.H. Introduction Anticoagulants are a critical therapy in the prevention and treatment of various types of thromboembolic disorders. Key in…
  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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