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Total Results: 4,071 records

Showing results for "issues".

3481. Final Progress Report: : State of the Science on Safe Medication Administration (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
      January 01, 2024 - IV medications and infusion pump safety issues have been identified as a growing concern and a source

3482. Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
      January 01, 2025 -  hardware structure/function relationship, including human usability/misuse issues  failure definitions

3483. High-Performance Work Practices in CLABSI Prevention Interventions (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
      May 01, 2015 - They include policies supporting freedom from repercussion for speaking up about systems issues/concerns

3484. A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
      September 01, 2015 - Empowering leaders and managers encourages staff to voice safety issues and to act quickly to address

3485. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
      December 01, 2009 - immunizations and early identification of problems, and they provide opportunities to discuss developmental issues

3486. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/overview/background/next-steps.html
      December 01, 2009 - These concerns are similar to the issues discussed under Timeliness of Prenatal Care.

3487. Final Progress Report: A Memory-Based Approach to Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
      January 01, 2024 - general error taxonomies to classify types of MAEs find that lapses – memory-related failures due to issues

3488. Final Progress Report: Individualized Performance Feedback on Venous Thromboembolism Prevention Practice (pdf file)
      www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
      January 01, 2025 - However, the technical issues stopped us from being able to implement and study the intervention.

3489. Module 20: Creating Quality Improvement Teams and QI Plans (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-20-creating-qi-teams.pdf
      September 01, 2015 - This individual has the authority to test and implement a change and to problem solve issues that arise

3490. Primary Care Practice Facilitation Curriculum Module 6: An Overview of the Facilitation Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-6-pf-process.pdf
      September 01, 2015 - Holding the Gains Once a practice has achieved its desired changes, attention will drift to other issues

3491. Chapter 2. Determine Surgical Site Infection Rates (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
      April 01, 2018 - The amount and quality of electronic information, as well as algorithm development issues, are also important

3492. TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 3 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-3-situation-monitoring-facilitator-guide.pdf
      June 02, 2025 - the patient: Patient history, vital signs, medications, physical exam, plan of care, psychosocial Issues

3493. Recovering After Emergency Laparotomy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/laparotomy-patient.pdf
      November 01, 2023 - Exercising, walking, and lifting ■ Your mood Emergency Laparotomy Patient Education Guide 15 Issues

3494. Implementation Guide: MRSA and SSI Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/147-implementation-guide.pdf
      April 01, 2025 - quarterly with your frontline staff and perioperative leadership for updates about ongoing quality issues

3495. 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental Items for Medical Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/DxSftyRpt-Updated-2022.pdf
      January 01, 2022 - condition; providers document differential diagnoses, communicate with other providers about diagnostic issues

3496. Healthcare Safety Competencies Affinity Group Environmental Scan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
      March 27, 2025 - and workforce safety competencies to support the healthcare community in addressing complex safety issues

3497. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/haccost2017.html
      November 01, 2017 - Clostridium difficile Infections Discussion      Limitations          Competing Risk and Double Counting Issues

3498. 015-Ss-Hand-Hygiene-Periop-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/015-ss-hand-hygiene-periop-fg.docx
      April 01, 2025 - The tool revealed issues with hand hygiene compliance, especially in the post anesthesia care unit (PACU

3499. Safe Practices for Better Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
      April 01, 2004 - health care’s many stakeholders in an open and equitable manner to focus on specific quality-related issues

3500. Best Practices for Medical Technology Management: A U.S. Air Force–ECRI Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keller.pdf
      January 01, 2004 - ECRI’s verification process frequently uncovers issues such as incorrect device information or problematic