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www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
January 01, 2024 - shape recognition, reporting, disclosure, and resolution of patient safety issues,
including errors … The
quarterly interviews provided the opportunity to discuss the kinds of patient
safety issues that … To adjust to this constraint, we redesigned the curriculum so that patient safety
issues, as well as … We then asked the participants to
analyze each case study by identifying the topic, issues, learning … First, the
process of developing the case studies requires identification of critical issues.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/workforce-turnover-crisis.pdf
April 01, 2025 - Unsafe workloads
Poor working conditions
Burnout
Job dissatisfaction
Intent to leave
RETENTION
ISSUES … (turnover)
RECRUITMENT
ISSUES
Drivers of Retention Issues
Top reasons nurses leave hospital employment … JAMA Network Open
Drivers of Recruitment Issues
Reasons nurses do not recommend their workplace to … Unsafe workloads
Poor working conditions
Burnout
Job dissatisfaction
Intent to leave
RETENTION
ISSUES … Drivers of Recruitment Issues
Nurses’ job outcomes are predictive of nurse and physician turnover
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
June 02, 2025 - key
performance measures, communicate trends within the hospital, and identify emerging
performance issues … must be
able to support active vigilance by your hospital staff of performance trends and emerging issues … To
encourage engagement and action on issues, each group receiving reports should have an
opportunity … Use their suggestions
and perspectives to help guide actions to address any issues revealed in the trends … Establish Procedures for Acting on Identified Problems
Taking timely action to correct emerging issues
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/e1_pdi_monitorprogress.pdf
June 02, 2025 - key
performance measures, communicate trends within the hospital, and identify emerging
performance issues … must be
able to support active vigilance by your hospital staff of performance trends and emerging issues … To
encourage engagement and action on issues, each group receiving reports should have an
opportunity … Use their suggestions
and perspectives to help guide actions to address any issues revealed in the trends … Establish Procedures for Acting on Identified Problems
Taking timely action to correct emerging issues
-
www.ahrq.gov/nursing-home/resources/ptsd-covid-heart-matter.html
June 01, 2022 - Matter Featuring Ashley Swinson
This webinar provides information and resources that will address issues
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www.ahrq.gov/ncepcr/communities/pbrn/registry/duke-primary-care-research-consortium.html
January 01, 2012 - :
Tobacco use and smoking cessation
Substance abuse (alcohol and drug abuse)
Women's health issues … healthcare systems and/or patient experiences
Chronic pain
Care transitions
Children's health issues … , bone, joint conditions)
Current or Past Research Interests Comments :
Children's health issues
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/briefing-slides/Morning-Briefing-and-Shadowing-July-12-2011-508.ppt
January 01, 2011 - Were there any equipment issues?
Were new cases posted to the ICU? … will be
Continue to report it during morning briefing until it is resolved or use Status of Safety Issues … Status of Safety Issues - CUSP
Unit:
New and Ongoing
Date Safety Issue Contact Status Goal … gain perspective of the other providers
Practice
Responsibilities
Work environment
To identify issues … Section 2
Did one provider get approached more often for patient issues?
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
June 01, 2017 - How will any safety issues identified be addressed? (Who, How, When)
10. … Document new issues.
Prediction
Actual results
1. … New issues?
… Document new issues. … New issues?
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www.ahrq.gov/talkingquality/plan/needs-and-testing/index.html
May 01, 2019 - formative testing or pretesting) can offer valuable insights into how your audience thinks about the issues … Uncover issues that may be culturally sensitive. … Why You Can’t Know All This Yourself
While you may know a lot about the issues in your report, you … Here are some reasons why:
Your understanding of the issues and terminology isn't representative … Here are some issues to explore when you test a report card:
Are people interpreting the information
-
www.ahrq.gov/sites/default/files/2024-01/grahamlear-report.pdf
January 01, 2024 - Health Care in America as a guide, the specific purposes of the conference were to:
• describe the issues … law and regulations, collaboration
with community-based providers, and workforce supply and training issues … Experts recommend exploring these issues within the context of
overlapping policies, regulations, and … In addition to the focus on systems
improvement, clinical professional issues, such as delegation of … First, the issues associated with medication
management at school were brought together, evaluated by
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www.ahrq.gov/research/shuttered/toolkitchecklist/medcare.html
July 01, 2018 - Applicability for use:
Medical/patient care issues:
Licensing … /accreditation issues:
Return to Contents
Proceed to Next Section
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
December 01, 2017 - Review issues with surgical site infection improvement team. … Documentation issues.
Unclear perioperative care instructions. … Improves morale as staff and surgeons see issues addressed. … Reduces number of less-urgent issues escalated to management. … Equipment issues reviewed in appropriate areas as well.
-
www.ahrq.gov/research/shuttered/toolkitchecklist/medadvcare.html
July 01, 2018 - Applicability for use:
Medical/patient care issues:
Licensing … /accreditation issues:
Return to Contents
Proceed to Next Section
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/025-ss-why-choose-cusp-fg.docx
April 01, 2025 - This presentation will discuss how choosing a CUSP approach helps when addressing patient safety issues … Assessment: The purpose of this tool is to survey staff and gather staff insights on potential safety issues … The CUSP team is designed to support evidence-based methodology to address any issues that may arise … CUSP team members focus on safety issues relevant to the culture and operations of their local work setting … CUSP was originally developed as a method for multidisciplinary teams to identify safety issues—also
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
June 02, 2025 - .
· The Safety Issues Worksheet, for Senior Executive Partnership, which offers unit teams an organized … method for identifying, characterizing, and bringing safety issues to the attention of the senior executive … Slide 12
SAY:
The goal of using the Safety Issues Worksheet for Senior Executive Partnership is to … The senior executive partner can use the Safety Issues Worksheet for Senior Executive Partnership to … To use the Safety Issues Worksheet for Senior Executive Partnership:
· Transfer the safety issues from
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www.ahrq.gov/cahps/consumer-reporting/guidelines/results/index.html
March 01, 2016 - Issues to Anticipate
If you choose to develop reports that contain a high level of detail, take the … time to work with your non-consumer audiences to reach agreement on such issues as:
Data ownership … You will also need to address the following issues:
Consistency.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - 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, … While these issues are the furthest removed from the patient in the diagram, these factors continually … The nurses were able to alleviate these hierarchical issues by engaging hospital administration with … What will be the outcome of decisions we make regarding these issues?
-
www.ahrq.gov/funding/process/grant-app-basics/hsubjects.html
August 01, 2018 - Decision Charts are presented that are helpful in thinking through relevant human subject protections issues … you think you have done a thorough and thoughtful job of addressing the Protection of Human Subjects issues … Peer reviewers assess research protocols for issues related to human subject protections and then assign … The AHRQ Program Officer can work with you to help resolve these issues.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-slides.pptx
September 01, 2022 - Antibiotic Prescribing
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
7
Where Are the Issues … Antibiotic Prescribing
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
8
Where Are the Issues … Prescribing
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
9
Where Are the Issues … Prescribing
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
13
Where Are the Issues … Antibiotic Prescribing
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
14
Where Are the Issues
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
January 01, 2006 - and Sensemaking Tools1
CUSP Tools Sensemaking Tools
Staff Safety Assessment Discovery Form
Safety Issues … system conditions
Ways to identify defects or failure -Staff Safety
Assessment
-Status of Safety
Issues … the potential to cause harm
Discuss the three greatest risks
Rank these factors
12
Use the Safety Issues … Engage the senior executive in addressing the safety issues identified on the form.
Step 2. … Use the form during safety rounds to identify safety issues, identify potential solutions, and identify