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  1. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
    June 01, 2021 - Program for Improving Antibiotic Use Staff Safety Assessment PURPOSE OF THIS FORM: To discuss issues
  2. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/compare/WR_751_AHRQ_Quigley_08_26_10.pdf
    April 01, 2010 - • Discussed performance issues with the QI committee after scores were analyzed. … • Keep leadership informed of progress and of the issues that require their action or support. … This information is used by the hospital to learn more about customer service issues and to provide … Several issues were important when utilizing patient complaints to increase accountability: getting … In addition, the hospital discovered issues that applied to the initiative as a whole.
  3. www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
    February 01, 2017 - Early Mobility in the Intensive Care Unit: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Early Mobility in the Intensive Care Unit Slide 2: Learning Objectives After this session, you will be able to— …
  4. Scoring CPCQ (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cpcq-scoring.pdf
    May 01, 2017 - Scoring CPCQ 1 Scoring the Change Process Capability Questionnaire Strategies Items: Current Plan National Evaluation Team May 1, 2017 2 Introduction The RFA from AHRQ for EvidenceNOW: http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-14-008.html described the required measures of practice…
  5. www.ahrq.gov/research/findings/factsheets/it/hitportfolio/index.html
    January 01, 2020 - clinics in its State to establish differences in practice culture, workflow, and efficiency and determine issues … platforms for Medicaid and CHIP staff to use for exchanging up-to-date information on health IT and HIE issues … and to share their questions and experiences related to those issues. … Use of Health IT for Children (CHIP and Children's Issues in Health IT and HIE CoP and Health IT for
  6. www.ahrq.gov/takeheart/training/learning-community-webinars/index.html
    December 01, 2022 - with Cerner EHRs was led by a team of Cerner experts and provides answers to common implementation issues … hospitals with Epic EHRs was led by a team of Epic experts and provides answers to common implementation issues … webinar discusses how CR programs adapted their onsite operations as patients returned, as well as issues
  7. www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
    January 01, 2024 - -Psychosocial issues for which doctor seeks treatment. … Beyond the Hospital: Human Factors and Ergonomics Issues in the Ambulatory/Outpatient Care Setting.
  8. www.ahrq.gov/sites/default/files/2024-02/king-report.pdf
    January 01, 2024 - Nonetheless, DOAC therapy is not immune to prescribing and behavior issues such as incorrect dosing
  9. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-fullreport.pdf
    June 01, 2018 - State collaborators also shared that there was limited activity around systematically tracking these issues
  10. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-scale-improvements.pdf
    June 02, 2025 - Job Aid: Helping Practices Scale Improvements Primary Care Practice Facilitator Training Series 1 Job Aid: Helping Practices Scale Improvements Once a practice has tested and refined a change using plan-do-study-act (PDSA) cycles, they are ready to implement. Strategies you and a practice can us…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
    January 24, 2004 - access a patient’s prescription history using CHCS to better identify and prevent drug interaction issues … The system automatically issues distinct displays of test results or abnormalities to providers. … Order entry in a computer-based system eliminates legibility issues, while reducing duplication of … , and assess productivity and workflow issues. … The Deployment Operations Center further ensures prompt resolution of implementation issues and directs
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
    January 01, 2003 - This paper discusses critical issues in effective change management, drawing attention to the unintended … It includes pointers from organizational change literature on critical issues in managing change, such … authors’ observations of 40 hospitals in southwestern Pennsylvania, to highlight change management issues … Patient safety through the looking glass of organizational change To discuss the organizational issues … Often this group has insufficient authority to tackle issues that cut across departmental boundaries
  13. 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 - As a result of root cause analyses on issues encountered in airway management responses, the VA gathered … VA national policy, how it was implemented, support from national societies’ position papers, and issues … The Department of Veterans Affairs addressed these issues by rolling out a national initiative requiring … Thus, a nursing home facility without acute care issues might meet that standard by having personnel … We felt there were three key issues to consider in terms of who should be trained: 4 1.
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
    December 01, 2014 - The facilitator helps with implementation issues. … facilitator will help the team during the next 3 months to train staff and to problem solve implementation issues … months, the facilitator’s role is to check in to identify obstacles that could occur and to troubleshoot issues … as needed, such as turnover of key staff, computer glitches, and implementation issues.
  15. www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-a.html
    October 01, 2015 - . __ Stays current on issues in patient safety, quality improvement, and risk-management through variety … administration. __ Easy to talk to or deal with, welcomes contact by others, makes time to attend to their issues … creating a mutual understanding of the needs of all parties, and facilitating a win-win solution to issues … others. __ Easy to talk to or deal with, welcomes contact by others, makes time to attend to their issues
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
    August 24, 2015 - CANDOR Resolution: The actions associated with addressing the needs or issues of patients, families, … overall process can lead to a financial settlement, but might not always lead to resolution of all issues … important to recognize the importance of disclosure and resolution in addressing unresolved needs or issues … The malpractice climate is different in each State, so organizations should be knowledgeable of the issues
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-a.docx
    January 01, 2008 - results · Spoken of in a positive, respectful manner by medical and hospital staff · Stays current on issues … administration · Easy to talk to or deal with, welcomes contact by others, makes time to attend to their issues … creating a mutual understanding of the needs of all parties, and facilitating a win-win solution to issues … for others · Easy to talk to or deal with, welcomes contact by others, makes time to attend to their issues
  18. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/guide.html
    March 01, 2017 - team, focuses on the input of frontline staff, discusses the importance of a common goal, identifies issues … It builds the capacity to address safety issues by combining clinical best practices and the science … , it can provide data transparency throughout the facility and opportunities to troubleshoot if any issues … Assess what is currently working by reviewing cases of resident safety issues (e.g., CAUTI) each month
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
    January 01, 2012 - senior executive regularly attends safety meetings on my unit, and can identify the top three safety issues … safety team is currently working on: Very rarely attends and is out of touch with our unit safety issues … Intermittently attends, and is somewhat aware of our unit safety issues Attends whenever possible, … and is aware of our unit’s top three safety issues   3) By ensuring that your senior executive is
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
    May 01, 2017 - a scan of cases scheduled for the current day to anticipate any special needs or anticipated safety issues … fall into four rough groupings: (1) conformance with established protocols and procedures; (2) simple issues … that have an obvious “just fix it” solution; (3) issues that are symptomatic of a problem that is not … “Symptomatic” issues typically lead to a root cause analysis followed by small-scale testing of solutions

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