-
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/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/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/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/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
January 01, 2003 - · Social issues addressed (long-term care; palliative care)? … arterial blood <32 torr
|_| White blood cells > 12K
|_| < 4K
|_| > 10% bands
|_| No current SIRS/sepsis issues
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docx
December 01, 2017 - Antibiotics given
Antibiotics redosing time
Beta blockers
Airway risk
Access issues … Prep application
PARTICIPATION
PARTICIPANTS
PRESENT
PAUSED OTHER TASKS
SPOKE UP
WHAT ISSUES
-
www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
December 01, 2017 - redosing time
Beta blockers
Airway risk
Access issues …
PARTICIPATION
PARTICIPANTS
PRESENT
PAUSED OTHER TASKS
SPOKE UP
WHAT ISSUES
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary7.html
September 01, 2015 - to support demonstration activities and, in doing so, worked to raise awareness about child health issues … intellectual capital derived from the demonstration helped ensure that children and children’s health issues
-
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/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/talkingquality/distribute/promote/act-early/choose.html
July 01, 2011 - State and local agencies with responsibility for health and health care issues.
Health plans. … With respect to what issues? Who might mistrust each organization?
-
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/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
-
www.ahrq.gov/topics/i.html
June 12, 2025 - Healthcare Needs Infectious Diseases Influenza Injuries and Wounds Innovations and Emerging Issues
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdf
August 03, 2020 - As such, telediagnosis services that only
focus on access issues and ignore how individuals in vulnerable … A host
of macro and micro issues may affect these outcomes (Figure 1). … Evaluation of these issues from a formal
sociotechnical perspective will be essential to account for … individual diagnostic encounters.24
4
Technology
Patient
Engagement
Clinical
PresenceMacro issues … • It can be difficult to discuss issues of
violence or abuse if the patient cannot
complete the visit
-
www.ahrq.gov/faqs/index.html?page=4
June 12, 2025 - The Nursing Home Survey on Patient Safety Culture emphasizes resident safety issues. … The Medical Office Survey on Patient Safety Culture emphasizes patient safety and health care quality issues … six survey dimensions are unique to the medical office survey with items that focus specifically on issues … Patient safety and quality issues.
Staff training.
Teamwork
Work pressure and pace.
-
www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
January 01, 2025 - Methods: Structured interviews were conducted with all staff members addressing issues related to
patient … Hence, there is value in addressing ambulatory patient safety issues, including those pertaining to … There are
concerns about training issues, confidentiality, and expense. … Charts Existing issues and explanations of charting. … Issues relating to staff work load, including the impact on any
aspect of clinic functioning.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspximplsteps.pdf
June 02, 2025 - 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 … , 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/teamstepps-program/curriculum/teamstepps-module-2-slides.pptx
June 02, 2025 - Discuss critical issues and emerging events.
Anticipate outcomes and likely contingencies. … Do not allow interpersonal or irrelevant issues to negatively affect the team. … Do you have teamwork issues that this leader must work with you to address? … If so, what are the issues and can any of the tools or strategies learned in this module be used to address
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.docx
June 02, 2025 - Step 11: Pilot All Report/Meeting Strategies in One Unit
The team discusses implementation issues with … The facilitator will help the team during the next 3 months to address implementation issues until all … 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.