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  1. 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
  2. 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
  3. 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  
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. www.ahrq.gov/teamstepps-program/curriculum/situation/tools/safe.html
    June 01, 2023 - Longer term issues of burnout are more difficult to assess but should be considered. … Instead, it may require you to confront issues that make you or the coworker less safe in the moment.
  11. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-2.html
    February 01, 2021 - mitigate disparities in technology access and adoption. 15,16 Several implementation and usability issues … abnormal test results communicated via a portal. 18,19 Future research in ED portal use should address issues
  12. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
    November 17, 2020 - and osteoarthritis) who are at “rising risk” for developing high needs and/or complex management issues … • Targeted interventions for those who have complex management issues and who are at “high risk” for
  13. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdf
    December 01, 2020 - :1439-1440 • Surge in depression, anxiety, and insomnia, plus worsening of existing mental health issues … ramifications • Limitations of available and meaningful data • Fear and disincentives for reporting safety issues
  14. www.ahrq.gov/research/publications/pubcomguide/pcguide2apc.html
    June 01, 2020 - Where contact information and feedback exist for both content and technical issues. … Contractors should consult their OC managing editor on cases that present issues not discussed above.
  15. www.ahrq.gov/evidencenow/model/profiles/mcmanus.html
    March 01, 2021 - Establishing trust with patients and treating the whole person helps catch health issues early. … Establishing trust with their patients and treating the whole person helps catch health issues early.
  16. www.ahrq.gov/evidencenow/model/profiles/burke.html
    March 01, 2021 - patient care coordinator was created two years ago to help monitor patients who have long-term health issues … May notes that these calls can sometimes fix issues.
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2b_pdi_ratesgenbywin.pdf
    March 01, 2016 - • Notes for analysts and programmers on issues to manage in working with the Windows software. … Reading this file and following the steps listed will address many of the issues related to software … Because each hospital’s IT department’s policies differ, we cannot effectively address all the issues … However, as is usually the case when applying new software to a data file, several issues have been … The identified issues are discussed here, to help ease your first application of the software to your
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
    October 01, 2017 - Step 11: Pilot All Report/Meeting Strategies on One Unit The team discusses implementation issues with … The Facilitator will help the team to problem solve implementation issues until all reports and all units … months, the Facilitator’s role is to check in to identify obstacles that could occur and to troubleshoot issues … such as turnover of key staff, computer glitches, and implementation issues.
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/dyer-prelim-results.pdf
    April 01, 2011 - Information Exchange With Other Settings Patient Care Tracking/Follow-up Patient Safety and Quality Issues … 33 Analysis 5: HIT Implementation The largest difference, 5%, was for Patient Safety and Quality Issues … : 63% 58% 0% 20% 40% 60% 80% 100% Patient Safety and Quality Issues Fully Implemented Not Fully … positive patient safety culture scores than other staff, except on: • Patient safety and quality issues
  20. www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
    September 01, 2012 - Provide guidance and tools to help hospitals address these issues. … If hospitals address LEP safety issues, many of these cases can be avoided. … Identify and raise patient communication issues. … The importance of cultural and linguistic issues in the emergency care of children. …  Address issues related to power and hierarchy.

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