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  1. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight04.html
    October 01, 2013 - Oregon—and how they used their CHIPRA quality demonstration grants to elevate children’s health care issues … helpful to other States that are trying to focus attention and resources on child and adolescent health issues … data can be used to obtain buy-in from policy officials, help raise awareness about pediatric health issues … Demonstration staff have pursued a range of strategies to ensure that child and adolescent health issues … is working to improve quality and reduce the costs of care for youth with serious behavioral health issues
  2. www.ahrq.gov/ncepcr/communities/pbrn/registry/unc-practice-based-research-network.html
    March 05, 2008 - Substance abuse (alcohol and drug abuse) Tobacco use and smoking cessation Children's health issues … Behavioral health Current or Past Research Interests Comments : Children's health issues … : HPV immunization, asthma Women's health issues: Uterine fibroids, prevention of lower urinary tract
  3. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/3_barbara_burke.pdf
    June 09, 2012 - day’s NLR rounding • Additional participants include Support Services and Patient Relations • Issues … Time Spent Rounding (min) Food Service Issues *EVS Issues Communication / Care Coordination … Issues Patient Relations Referrals Floor 17 282 223 79% 74 11 7 3 0 Floor 19 300 214 71% 68
  4. www.ahrq.gov/cpi/about/mission/strategic-plan/tribal-consultation-policy.html
    August 01, 2014 - Health services research addresses issues of "organization, delivery, financing, utilization, patient … health and human services policy promotes locally relevant and culturally appropriate approaches to issues … Both AHRQ and the Tribes may raise issues that need to be addressed and can include discussions regarding … "As Needed" Consultations Both AHRQ and Tribes may raise issues that need to be addressed in a formal … Written communications from AHRQ should clearly identify the issues at hand, potentially affected Tribes
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
    March 01, 2004 - Equipment/Technology Issues Information Information Issues Research/Investigation Issues Fatigue … Heavy / Complicated Workload Workload Inadequate Staffing Staffing Issues Interpersonal Issues … Inadequate Supervision Policy Issues Policy / Procedure Policy / Procedure Clinical Procedure … Issues Patient Assessment Process Issues Patient / Family Compliance Patient / Family Issues … Competency Experience Educational / Training Issues Training Issues Training / Education / Experience
  6. 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 - Plan-Do-Study-Act “Ramp”: Learn To Use an Escalation Procedure for Urgent Issues 7 Example: CUS Contact … for patients on the current day, and also raise any other issues. … Supervisors have an opportunity to consider whether issues raised count as type 1 or type 2 problems … Such issues will often require dedicated, cross-functional quality improvement initiatives. … Plan-Do-Study-Act “Ramp”: Learn to Use an Escalation Procedure for Urgent Issues Figure 4.
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/professional-tool.docx
    May 01, 2017 - providers often do not understand other disciplines’ daily responsibilities, teamwork, and communication issues … Review this tool before your shadowing experience to help you recognize teamwork and communication issues … Below is a framework to help you identify communication and teamwork issues that affect patient care … Was one clinician approached more often for patient issues? … If one clinician was approached more often, what patient care issues evolved (e.g., delay in care delivery
  8. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight04.pdf
    September 08, 2015 - helpful to other States that are trying to focus attention and resources on child and adolescent health issues … data can be used to obtain buy-in from policy officials, help raise awareness about pediatric health issues … not only to advance child health quality in the short term, but also to link child health quality issues … Oregon—and how they used their CHIPRA quality demonstration grants to elevate children’s health care issues … Care Act (ACA) has created an unprecedented opportunity to integrate child and adolescent health issues
  9. www.ahrq.gov/news/newsroom/case-studies/coe1304.html
    April 01, 2013 - It also conducts outreach activities to prescriber groups to discuss issues involved in pediatric antipsychotic … If the information falls outside of the criteria or reveals other therapeutic issues, a child psychiatrist … follows up, discussing the issues with the treating psychiatrist. … If issues persist, an additional review with a Medicaid child psychiatrist can be requested.
  10. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
    December 01, 2017 - ____________________________________________________________________________ Access issues: … Circulating review: Equipment availability, malfunctions, or concerns Critical issues … team: Count correct Specimens labeled correctly Clean/dirty instrument separation Equipment issues … personnel: _____________________________ Circulating nurse: _________________________________ Issues
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/briefing_debriefing.docx
    December 01, 2017 - _____________________________________________ · Access issues: ______________________________________ … Patient-specific concerns · Circulating review · Equipment availability, malfunctions, or concerns · Critical issues … team · Count correct · Specimens labeled correctly · Clean/dirty instrument separation · Equipment issues … Anesthesia personnel: ___________________________ · Circulating nurse: ___________________________ Issues
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
    May 01, 2017 - What agreements do you have about when and how to escalate problems and issues in order to get attention … SLIDE 5 Title: Four Problem Boxes SAY: Some problems and issues require immediate management attention … , such as urgent and important issues like a harm event. … Many issues, though, will not require such immediate attention. … We divide the nonurgent issues into four categories.
  13. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
    June 01, 2017 - What agreements do you have about when and how to escalate problems and issues in order to get attention … Slide 5: Four Problem Boxes Say: Some problems and issues require immediate management attention … , such as urgent and important issues like a harm event. … Many issues, though, will not require such immediate attention. … We divide the nonurgent issues into four categories.
  14. www.ahrq.gov/research/findings/evidence-based-reports/nutritn2tp.html
    April 01, 2018 - Volume 2: Issues and Challenges in Conducting Systematic Reviews to Support Development of Nutrient Reference … Download Review Nutritional Research Series, Volume 2: Issues and Challenges in Conducting Systematic
  15. www.ahrq.gov/talkingquality/resources/writing/tip4.html
    May 01, 2015 - Like headlines, these devices enable the reader to focus on the issues of greatest interest to them. … Effective educational materials often rely on stories to motivate people and help them understand complex issues
  16. www.ahrq.gov/news/newsroom/case-studies/201524.html
    August 01, 2015 - CUSP, an evidence-based method that helps clinical teams address safety issues by combining clinical … Survey on Patient Safety Culture, which helps hospitals assess staff perspectives on patient safety issues
  17. www.ahrq.gov/news/newsletters/e-newsletter/947.html
    February 01, 2025 - With Lack of Reliable Transportation In 2021, 15.5 percent of current smokers reported transportation issues … People with chronic conditions reported similar reliability issues—11.3 percent of those who had experienced … Just 3 percent of those without any of these conditions experienced transportation issues.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
    January 01, 2004 - The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking … and Analysis 121 The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent … raised by international research This study raised new legal and practical issues. … Legal and practical issues raised by DCERPS research Federal funding carries legal protections from … Issues in the reporting of adverse healthcare events.
  19. Scisafetynotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
    June 02, 2025 - Departmental factors When staffing issues, admission policies, and protocols prove to be insufficient … Additionally, staffing and coverage issues increase the likelihood of medication or procedure errors, … The nurses were able to alleviate these hierarchical issues by engaging hospital administration with … ASK: · What issues did the team experience in its unit? … · What will be the outcome of decisions we make regarding these issues?
  20. www.ahrq.gov/ncepcr/about/pcr-webinar-series/womens-health-research.html
    September 01, 2024 - Three AHRQ-funded researchers discuss their primary care research that focuses on women's health issues

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