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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-slides.pdf
November 18, 2021 - implemented
• Snacks
18
Go-Live: Avoid Common Causes of Failure
PITFALLS 1 Workflow issues … 2 Provider ordering issues
3 Training issues
4 Data-Interface Issues
5 User-Interface issues … Continuous Feedback
• Show how AR process facilitates referral of patients to CR
• Manage system issues
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docx
June 01, 2021 - Tailor discussions to issues that are relevant to the senior executive. … Try to focus on the issues that the senior executive can help improve, rather than discussing staff interactions … Identify and discuss safety issues that could benefit from the senior executive’s influence or expertise … We think this could help prevent many safety issues in our residents. … adaptive work of change
· Collaborating to develop and implement a plan addressing resident safety issues
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/103-how-to-integrate-cusp-approach-periop-fg.docx
April 01, 2025 - Before or during the meeting, engage all colleagues by asking for their input as to what issues they … can help you with data, implementation and share information with how other services may have similar issues … The team should always welcome new issues and any potential solutions. … this process is to tap into the wisdom of frontline caregivers—those individuals who know best what issues … This is the opportunity to get staff excited about the CUSP approach to tackling safety issues.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
July 01, 2023 - Have mechanisms for anticipating and reviewing team members' issues. … Possible ways to address issues that require an adaptive solution are implementing an evidence-based … Slide 35: Senior Executive Collaborates To Develop and Implement a Plan Addressing Safety Issues … Safety Issues Worksheet for Senior Executive Partnership
The Safety Issues Worksheet for Senior Executive … insight into colleague work culture and how other team members approach similar issues.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
June 02, 2025 - One of the next issues the improvement team had to
tackle involved coding cases that met the PSI criteria … The
experiences of HMC and other hospitals with coding and
documentation issues during the field test … Tool
B.4: Documentation and Coding for Patient Safety
Indicators, which provides guidance on these issues … Once HMC resolved various issues with the documentation and coding of DVT/PE events, the
team used other … learn from reviews with nursing and other clinical staff over time and
across divisions to identify issues
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www.ahrq.gov/cpi/about/otherwebsites/hcupnetquery/index.html
June 01, 2017 - These databases enable research on a broad range of health policy issues, including cost and quality … HCUP Reports feature findings, publications, and technical reports on HCUP issues.
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www.ahrq.gov/hai/cusp/toolkit/index.html
July 01, 2018 - Once you’ve learned the basics, add-on modules can help you target certain safety issues. … focused on reducing central line-associated blood stream infections, Because these webinars address broad issues
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/implementing-cms-measure-slides.pdf
May 13, 2025 - • Hospitals incorporate patient and caregiver input
about patient safety events or issues (such as … non-clinical (e.g., lab, housekeeping,
security) units and leaders, with a method in place for follow-up on issues … , with the C-suite executives rounding
at least quarterly, with a method in place for follow-up on issues … 92%
93%
94%
95%
96%
97%
2024 DSB Weekday Statistics
0
5
10
15
20
25
30
35
40
Minutes Issues
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/about/F2CGLizHoyRogerLevine.pdf
June 02, 2025 - characteristics
–
Types of scales (frequency, quality, rating,
importance)
–
Administration issues … to
characterize visits to a surgeon’s office
and are therefore important to measure
-
Rapport issues … summarized by item, for each
respondent
Cognitive Testing ResultsCognitive Testing Results
General Issues … Cognitive Testing ResultsCognitive Testing Results
General Issues
–
Behavioral frequency response
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/107-cusp-psychological-safety-fg.docx
April 01, 2025 - 1990s to describe an environment wherein members feel respected and acknowledged for speaking up about issues … should be honest and acknowledge that it sometimes feels difficult and risky to bring up topics and issues … Responses should be voiced with respect and support as the team discusses issues, provides feedback, … , yet valuable, exercise created a learning environment for the team to openly discuss and identify issues
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www.ahrq.gov/talkingquality/explain/communicate/framework.html
December 01, 2022 - timeliness, patient-centeredness, equity, and efficiency. [1] This model is widely accepted as covering the issues … Your reporting program may expand and change over time, so an overarching framework that incorporates issues
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www.ahrq.gov/sites/default/files/wysiwyg/topics/boarding-response-to-rep.-dingell.pdf
December 31, 2024 - Overcrowding and boarding are long-standing issues in local healthcare systems
nationwide that the … disrupted our progress, raising
renewed attention to this and many other healthcare system performance issues … multiple levels through AHRQ and the Centers for
Medicare & Medicaid Services (CMS) to address these issues
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www.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
December 01, 2023 - Debriefs are most useful when they relate to specific team goals or address particular issues related … Debrief Checklist shown below can help organize debriefs to ensure they are efficient and address key issues
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/CaseStudyPatientExperience_July2011FINAL_revised20110728.pdf
July 01, 2011 - Instead of patient visits dominated by acute issues, the
practice now counts the chronic issues of asthma … The issues were then confirmed by reviewing data sources, including
operations data generated by the … A consultant was brought in to further study the issues through an informal evaluation
of the practice … Do: Addressing Staffing Issues
Improvement efforts were rolled out in two cycles taking place over … Specialty Practice CG-CAHPS results following interventions to
address staffing issues
60
65
70
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.docx
May 01, 2017 - Possible ways to address issues that require an adaptive solution are implementing an evidence-based … List identified safety issues
One of the most effective approaches to bridging the gap between senior … Safety Issues Worksheet for Senior Executive Partnership
The Safety Issues Worksheet for Senior Executive … Executives and clinicians approach issues very differently, and using this tool helps provide a better … insight into colleague work culture and how other team members approach similar issues.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-team-assessment-tool.pdf
February 01, 2022 - Team members use daily/weekly huddles and briefs to stay informed, address issues, share
unexpected events … Team members feel safe raising issues, sharing concerns, and advocating for patient needs.
d. … Leaders act as a liaisons for resolving team issues, system issues, and any breakdown in
communication
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www.ahrq.gov/news/newsroom/case-studies/202504.html
June 01, 2025 - PSIs are a subset of QIs that focus on in-hospital safety issues, specifically for adverse events that … now have an established process and the right experts in place to quickly detect and review safety issues
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - Overcoming Acceptance Issues
One interesting aspect of an anonymous reporting system is the scope of … issues that are reported. … Staff see PEERs as an opportunity to share issues not related to patient safety. … This
group meets monthly to discuss issues related to the tool, data issues, and information identified … The group meets monthly to discuss PEERs issues
and to share success stories.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
May 01, 2017 - Slide 1
SAY:
In this module, we will—
Introduce sensemaking tools to identify defects or safety issues … The Safety Issues Worksheet, for senior executive partnership, which offers L&D unit teams an organized … method for identifying, characterizing, and bringing safety issues to the attention of the senior executive … Slide 11
SAY:
The goal of using the Safety Issues Worksheet for Senior Executive Partnership is to … —
Engage the senior executive in addressing the safety issues;
Identify safety issues, potential solutions
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www.ahrq.gov/ncepcr/communities/pbrn/registry/northern-new-england-co-op-practice-and-community-based-research-network.html
January 01, 2012 - Current or Past Research Interests / Health Conditions:
Behavioral health
Women's health issues … Immunizations
Cancer
Care transitions
Coordination of care for complex patients
Children's health issues