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  1. 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
  2. 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.
  3. 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.
  4. 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
  5. 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.
  6. 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.
  7. 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
  8. 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
  9. 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.
  10. 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
  11. 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.
  12. 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.
  13. 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
  14. 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.
  15. 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
  16. 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.
  17. 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
  18. 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?
  19. 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
  20. 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

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