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  1. www.ahrq.gov/sites/default/files/2024-09/etchegaray3-report.pdf
    January 01, 2024 - practices, develop and validate a survey to measure HPWS practices, and explore measurement and content issues … Specific Aim # 3: Explore measurement-related issues with respect to safety culture, including measurement … Incidence: I did not examine epidemiological issues in my studies. … Prevalence: I did not examine epidemiological issues in my studies.
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem.pptx
    December 01, 2017 - tool proactively raises awareness to potential risks, providing teams the opportunity to address those issues … What specific actions can you take to avoid or manage these issues? … What specific actions can you take to avoid or manage these issues?
  3. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/home/about/about-cahps-home-health-care-survey-rev.pdf
    September 01, 2017 - patient experience:  Care of patients  Communication between providers and patients  Specific care issues … Through this research, the team better understood the issues that are most important to patients and … Also in February 2007, the team met with a Technical Expert Panel (TEP) to get their input on issues
  4. www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/nac-meeting-minutes-2021-nov.pdf
    January 01, 2021 - Meyers recognized those issues and stated that AHRQ will seek new partners (as in licensing). Dr. … Omar Lateef, D.O., raised the issues of clarity and transparency, citing the need to define and standardize … Pham noted physician burnout and other provider-centered issues and AHRQ’s potential to support research … Such issues should be considered when creating new models. … Alexander proposed a future discussion of specific issues regarding social determinants, such as the
  5. www.ahrq.gov/news/events/nac/2021-07-nac/nacmtg071421-minutes.html
    December 01, 2021 - Zimmerman noted that telehealth issues are dominating some of the online discussions supported by AHRQ … Zimmerman noted that the NAC subcommittee on quality measures can study measurement issues for telehealth … There are many practical issues, including the digital divide. … AHRQ is looking at such issues. Ms. … Treatment issues have relatively more discrete choices.
  6. www.ahrq.gov/news/blog/ahrqviews/hospice-care-ensure-quality.html
    December 01, 2022 - Workforce issues such as inadequate staffing, provider burnout, job dissatisfaction, and turnover also … However, the emotional toll that end-of-life care takes on staff makes these issues more acute and begs
  7. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-survey-database.pdf
    January 01, 2021 - CAHPS Database team at Westat performs the following technical assistance activities: oSubmission Issues … : Response to questions regarding data specifications and data submission oReporting Issues: Response
  8. www.ahrq.gov/news/events/nac/2019-07-nac/nacmtg0719-minutes.html
    November 01, 2019 - Perhaps AHRQ could foster the science to inform such issues. … Penso referred to issues of mergers, consolidation, and new participants within the healthcare arena. … Brady about issues of overdiagnosis and underdiagnosis as well as timeliness. … Are those issues being addressed? Dr. Brady responded that they are. … AHRQ thereby can have an indirect effect on payment issues.
  9. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/kit.html
    June 01, 2017 - a scan of cases scheduled for the current day to anticipate any special needs or anticipated safety issues … fall into four rough groupings: (1) conformance with established protocols and procedures; (2) simple issues … that have an obvious “just fix it” solution; (3) issues that are symptomatic of a problem that is not … “Symptomatic” issues typically lead to a root cause analysis followed by small-scale testing of solutions
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-exec-summary.pdf
    March 01, 2017 -  Communication breakdowns among patient, provider, and practice staff  Medication management issues … , including reconciliation, prescribing, adherence, and overuse  Diagnosis and treatment issues, … information transfer, missed diagnosis, and delayed diagnosis  Fragmentation and environment of care issues … , including identification issues, transfers, and care coordination, as well as safety culture, reporting
  11. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess1.html
    October 01, 2014 - Interpersonal issues —Sometimes team members have differences that have led to negative feelings between … When this happens, communication about patient care issues may be compromised. … Workload issues —If you (or another member of the team) are overwhelmed with work, it may be hard for … Interpersonal issues. Environmental or system barriers. Workload issues.
  12. www.ahrq.gov/hai/tools/mvp/modules/cusp/engaging-sr-exec-fac-guide.html
    February 01, 2017 - If you are working on medication-related issues, pharmacy should be a key player. … If an executive partnership is a new relationship for your team, these issues might surface as you work … The prioritized the list of safety issues your team has compiled based on an SSA—asking how will the … The Safety Issues Worksheet for Senior Executive Partnership provides your senior executive a tool to … note patient safety issues observed during safety rounds.
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
    December 15, 2016 - prescription medication in the last 30 days, while one in five has used at least three.1 Patient safety issues … visits (office and emergency department) each year.6 In the primary care setting, medication safety issues … care and acute care. 2 Several publicly available tools are useful for addressing medication issues … .7-11 The foundation of all tools for addressing issues of medication reconciliation and medication … more frequently with more vulnerable populations, such as older patients, patients with polypharmacy issues
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartfull.pdf
    December 15, 2016 - prescription medication in the last 30 days, while one in five has used at least three.1 Patient safety issues … visits (office and emergency department) each year.6 In the primary care setting, medication safety issues … Several publicly available tools are useful for addressing medication issues.7-11 The foundation of … all tools for addressing issues of medication reconciliation and medication management is a complete … more frequently with more vulnerable populations, such as older patients, patients with polypharmacy issues
  15. www.ahrq.gov/news/events/nac/2018-03-nac/nacmtg0317-minutes.html
    July 01, 2018 - Ph.D., CRNP, raised the idea of crosswalking primary care data and surgical data to help illuminate issues … Peek stated that AHRQ has been a leader in data issues, pushing the science of health care delivery. … Chesley stated that Director Gopal Khanna is stressing issues of data and data use and has noted that … especially would like to work with AHRQ in the area of safety and health information technology, attacking issues … envisions creating a national collaborative of vendors and others to address health information technology issues
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/01-ASC-webcast-2023-0509-intro.pdf
    January 01, 2023 - : What You Need to Know Webcast April 27, 2023 3:30-4:15 PM ET Webcast Technical Info • Audio issues
  17. www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
    December 01, 2017 - Teams must also address adaptive issues to achieve lasting intervention. … For example, if you are working on infection issues, infection prevention needs a strong presence. … If you are working on medication-related issues, pharmacy should be a key player. … The prioritized the list of safety issues your team has compiled based on a PSSA—asking how will the … not patient safety issues observed during safety rounds.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docx
    December 01, 2017 - Teams must also address adaptive issues to achieve lasting intervention. … For example, if you are working on infection issues, infection prevention needs a strong presence. … If you are working on medication-related issues, pharmacy should be a key player. … The Safety Issues Worksheet for Senior Executive Partnership provides your senior executive a tool to … not patient safety issues observed during safety rounds.
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
    January 01, 2007 - Events characterized as “none of the above” usually involved administrative issues with no clinical … Types of process-of-care issues Process-of-care issues N % Clinical services 27 26 Support services … Eleven cases (11 percent) involved process issues in making a Diagnosis, and the same number (11 cases … traditional methods of detection.2, 13 They rarely result in AEs and tend to be more system-based issues … those who report incidents must feel their time has been well spent, so it is vital they know the issues
  20. www.ahrq.gov/professionals/clinicians-providers/resources/rice/ceproj.html
    October 01, 2014 - The investigators will develop materials for informing citizen members of focus groups concerning the issues … relevant to coverage of this technology, including issues of cost, comparative effectiveness, cost-effectiveness

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