-
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
-
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.
-
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.
-
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
-
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.
-
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.
-
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
-
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
-
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.
-
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
-
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.
-
www.ahrq.gov/hai/cauti-tools/guides/implguide-pt2.html
October 01, 2015 - focuses on the input of direct care providers, 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 … Apply CUSP : Indicates how CUSP can be applied to diverse settings and safety issues.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
May 01, 2017 - and Sensemaking Tools1
CUSP Tools Sensemaking Tools
Staff Safety Assessment Discovery Form
Safety Issues … system conditions
Ways to identify defects or failure - Staff Safety Assessment
- Status of Safety Issues … factors
11
AHRQ Safety Program for Perinatal Care
Sensemaking &
Learn from Defects
Use the Safety Issues
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/engaging-sr-exec-slides.html
February 01, 2017 - Prioritized list of safety issues compiled from the Staff Safety Assessment (SSA). … Review identified safety issues together. … Safety Issues Worksheet for Senior Executive Partnership.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool9_trans_care.docx
July 28, 2016 - Transitional Planning Tool
3
Readmission Risks and/or Posthospital Needs
Uncover patient’s nonclinical issues … appropriate diet
Social Connection/Isolation
· Lives alone
· Lacks friends/family/connections
Legal Issues … coverage, utilities, pending eviction
· Recent or repeated incarceration or detention
Language or Literacy Issues
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - Slide 6
The Four Principles of the Science of Safety
SAY:
To address the issues in healthcare safety … Ask challenging questions to uncover the real issues and ensure all viewpoints are considered. … Teams should be vigilant and proactive in an effort to anticipate potential problems or issues. … HROs aim to be proactive, not reactive, by addressing issues before they escalate. … Aim for a proactive approach to issues, rather than a reactive one.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/3_Deborah_Kilstein_slides_29-40.pdf
January 15, 2014 - identify what plans are doing
well on specific composite measures
Plans working together on quality issues … Helps to identify issues of concern regarding
the CAHPS process (i.e., translation)
Broader
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
January 01, 2018 - foundation to
improving safety using technology
– Is the organization open to hearing about HIT safety issues … – Is there feedback about safety issues?
– Is there punishment and blame?
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-slides.html
June 01, 2017 - Slide 8: Escalation for Frontline Clinical Issues
Safety issues arise at the front line that require
-
www.ahrq.gov/news/newsroom/case-studies/201526.html
January 01, 2018 - Unit-based Safety Program (CUSP), an evidence-based method that helps clinical teams address safety issues … on Patient Safety Culture , a standardized survey that assesses staff perspectives on patient safety issues