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  1. Preface (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Preface.pdf
    February 01, 2005 - reporting systems, taxonomies and measurement, risk assessment, safety culture and organizational issues … It is important to note that some of the same issues and areas of research interest as appeared in the
  2. Preface (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Preface.pdf
    February 01, 2005 - reporting systems, taxonomies and measurement, risk assessment, safety culture and organizational issues … It is important to note that some of the same issues and areas of research interest as appeared in the
  3. Preface (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Preface.pdf
    February 01, 2005 - reporting systems, taxonomies and measurement, risk assessment, safety culture and organizational issues … It is important to note that some of the same issues and areas of research interest as appeared in the
  4. Preface (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Preface.pdf
    February 01, 2005 - reporting systems, taxonomies and measurement, risk assessment, safety culture and organizational issues … It is important to note that some of the same issues and areas of research interest as appeared in the
  5. www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-7.html
    July 01, 2019 - He understood that, regardless of the acuity of behavioral health issues, 85 percent of these issues … At Cherokee, over 80 percent of these issues are managed in primary care without referral to specialty … In addition to mental health and substance use issues, BHCs address chronic illness management, behavior … The BHC's job is to determine what issues are amenable to change and make sure the whole team is working … An employee advisory committee with a representative from each site shares issues with leadership to
  6. www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/develop/index.html
    June 01, 2020 - Data Issues . Sampling . Reliability and Validity . Field Testing . … Data Issues to Keep in Mind For many child health issues, it may be hard to identify data that are: … The following sections present some issues to consider, particularly if you are going to develop your … Push the Envelope—But Not Too Hard Data availability issues are central to any quality measure. … This can be especially problematic with encounter data, where such issues as inconsistent coding can
  7. www.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
    July 01, 2019 - Elements of such a program are: Predictive analytics teams to address emerging policy issues. … Brady about issues of overdiagnosis and underdiagnosis as well as timeliness. … Are those issues being addressed? Dr. Brady responded that they are. … AHRQ thereby can have an indirect effect on payment issues. … The addition of pragmatic elements (including timelines) to AHRQ’s goals and issues.
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
    January 20, 2008 - Once items are added to the organizational operating plan, multiple issues can be addressed through … Human factors: fatigue and scheduling • Were personnel issues a factor in this event? … For example, other themes might relate more specifically to the department of surgery, to issues of … procedures and communication in the operating room, or a theme related to those issues might emerge. … Nurse-call issues were also assigned to special teams to address the specific issues identified and
  9. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/treat-release.html
    September 01, 2017 - Symptoms Gastrointestinal/ Genitourinary Symptoms Endocrine/ Metabolic/ Nutrition Issues … Wound or Skin Issues Resident A X           Resident B     X  
  10. www.ahrq.gov/news/newsroom/case-studies/201523.html
    August 01, 2015 - Statistical Briefs, descriptive reports that highlight hospital data related to a variety of health care issues … The materials are good informational tools that enable students to explore various patient health issues
  11. www.ahrq.gov/policymakers/chipra/overview/background/appendix-a4.html
    December 01, 2009 - Hulbert Director, Division of Advocacy and Special Issues melissa.hulbert@cms.hhs.gov Carey Appold … Technical Director, Division for Advocacy and Special Issues carey.appold@cms.hhs.gov Anita Yuskauskas
  12. www.ahrq.gov/talkingquality/translate/labels/limit-info.html
    November 01, 2018 - What Not To Say This section discusses various issues that are essential to address in and around your … Describe (and Legitimize) the Source of the Data Present Only Essential Information on Technical Issues
  13. www.ahrq.gov/cahps/quality-improvement/reports-and-case-studies/Report_ICH-QI-Project.html
    March 01, 2016 - Target areas included issues like communication between staff and patients, and patients’ perceptions … For instance, some facilities developed more effective means of educating patients about important issues
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
    March 01, 2004 - to participate in such programs.5 Reasons for this reluctance are unclear, but potential liability issues … implementation of reporting systems and the potential benefit such systems may have in identifying issues … affecting patient safety, it is evident that a more in-depth look at issues relating to the success … Two issues will be discussed in light of these findings: (1) the power of a nonpunitive process, and … Relevance of the survey findings in reference to these two issues and further evidence from models of
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
    June 04, 2008 - MedSun participants receive device-related feedback from the FDA relevant to their reported issues. … MedSun sites also help the FDA understand device issues by responding to surveys, participating in focus … • A variety of followup efforts were implemented to learn more about certain medical device issues … Numerous special issues surround medical device use in children. … Vol. 3, Implementation issues. AHRQ Pub. 05-0021-3.
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
    October 01, 2016 - He understood that, regardless of the acuity of behavioral health issues, 85 percent of these issues … At Cherokee, over 80 percent of these issues are managed in primary care without referral to specialty … The BHC’s job is to determine what issues are amenable to change and make sure the whole team is working … These staff were taught about primary care, health literacy, and social needs issues to be an extension … An employee advisory committee with a representative from each site shares issues with leadership to
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
    June 10, 2008 - Furthermore, certain patient safety issues are especially relevant to system solutions. … Part of the solution is to ensure that providers have the tools to address system issues. … they are trainees, they become experts at finding ways to work around the most problematic system issues … It is critically important that institutional leaders be willing to tackle these issues with physicians … • Provide feedback on what is being done to fix the problem: Once system issues have been identified
  18. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
    March 01, 2018 - Results for EHR Patient Safety and Quality Issues From 44 Pilot Study Hospitals ....... 12 Chart 5. … Charts 4 and 5 show the average distribution of responses for EHR Patient Safety and Quality Issues … We are made aware of issues with our EHR system that could lead to errors. 55% Chart 3. … , how many times did you discover the following issues with the EHR system in your hospital? … Results for EHR Patient Safety and Quality Issues From 44 Pilot Study Hospitals, continued In the
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
    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
  20. www.ahrq.gov/funding/grantee-profiles/grtprofile-mchugh.html
    May 01, 2025 - the School’s Manufacturing and Health Research Program, believes that the work environment, lifestyle issues … improve health outcomes in manufacturing communities by implementing strategies that address these issues

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