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www.ahrq.gov/ncepcr/communities/pbrn/registry/great-lakes-research-practice-network.html
January 01, 2012 - Our mission is to investigate questions related to community-based issues and to improve the quality … Research Interests / Health Conditions:
Behavioral health
Care transitions
Children's health issues … nutrition
Population health
Current or Past Research Interests Comments :
Children's health issues
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/premortem-assessment.html
October 01, 2024 - Then the team develops strategies to address these potential issues. … Anticipating issues ahead of time makes your intervention more likely to succeed Sustainability and the
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www.ahrq.gov/ncepcr/communities/pbrn/registry/military-primary-care-research-network.html
January 01, 2012 - non-traumatic joint disease (muscle, bone, joint conditions)
Behavioral health
Children's health issues … diet and nutrition
Other health or disease related interests
Population health
Women's health issues … Current or Past Research Interests Comments :
Children's health issues: Anticipatory Guidance
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www.ahrq.gov/ncepcr/communities/pbrn/registry/palo-alto-medical-foundation-research-institute.html
January 01, 2012 - Medication management
Pulmonary disease/asthma
Substance abuse (alcohol and drug abuse)
Women's health issues … Past Research Interests Comments :
Cancer: breast, prostate; Depression: depression; Men's health issues … : prostate cancer; Women's health issues: breast cancer, gynecologic oncology;
Approximate Number
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
January 01, 2004 - , Helena Hoas, Katarina Guttmannova
Abstract
To date, few studies have focused on patient safety issues … The medication errors generally involved one of three issues: incorrect dose,
time, or port. … We explored these issues further when administering a staff-wide Patient
Safety Survey. … Ethical issues
faced by rural physicians. … Quasi-experimentation:
design and analysis issues for field settings.
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www.ahrq.gov/research/shuttered/acfselection/appendixc.html
July 01, 2018 - Were there any issues related to public information management?
… Did you have any issues with violence at your ACF?
___ Yes ___ No
4. … If so, were there any command and control issues and how did you resolve them? … Were there any out-of-state licensing issues?
____ Yes ____ No
11. … Are there any other issues with regards to finance which you would like to share?
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www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.html
December 01, 2017 - The adaptive work centers on cultural issues, like attitudes and values. … It is perhaps too late at this point to discuss airway risk and even access issues. … In addition, the process for followup action begins on nonurgent issues. … Issues are shared with management and operating room staff during morning huddles. … Debriefing uncovered safety issues regarding staff scheduling.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docx
December 01, 2017 - The adaptive work centers on cultural issues, like attitudes and values. … It is perhaps too late at this point to discuss airway risk and even access issues. … In addition, the process for followup action begins on nonurgent issues. … Issues are shared with management and operating room staff during morning huddles. … Debriefing uncovered safety issues regarding staff scheduling.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing-slides/slides.html
October 01, 2014 - Status of Safety Issues - CUSP
Slide 14. … Were there any equipment issues?
Were new cases posted to the ICU? … will be
Continue to report it during morning briefing until it is resolved or use Status of Safety Issues … Status of Safety Issues - CUSP
Image of a blank form for new and completed safety issues. … Section 2
Did one provider get approached more often for patient issues?
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-p.html
October 01, 2015 - Are there catheter insertion or care/maintenance issues? … Favorable (increasing)
Unfavorable (increasing)
Are there catheter insertion or care/maintenance issues … Unfavorable (decreasing)
Favorable (decreasing)
Are there catheter insertion or care/maintenance issues … Unfavorable (decreasing)
Unfavorable (increasing)
Are there catheter insertion or care/maintenance issues
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www.ahrq.gov/patient-safety/reports/engage/results.html
March 01, 2017 - Few identified the health care system (e.g., issues associated with fragmentation of care or continuity … of care between acute and primary care settings) and community (e.g., issues associated with community … Table 5 provides a summary of each domain and the informant-identified safety issues within that domain … guidelines, and other empirical studies that addressed critical issues in the intersection of patient … ; Table 8 ), fragmentation issues (75.3%), diagnostic errors (39.3%), and issues around medications
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www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
March 01, 2013 - Slide 2
CUSP and Sensemaking Tools
CUSP Tools
Staff Safety Assessment
Safety Issues Worksheet … CUSP uses the Staff Safety Assessment and Status of Safety Issues Worksheet to identify defects. … Engage the senior executive in addressing the safety issues identified on the form.
Step 2. … Image of Safety Issues Worksheet for Senior Executive Partnership with three arrows pointing at it. … Engage the senior executive in addressing the safety issues identified on the form.
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www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - What issues were raised? … Access issues - 20% Yes.
Airway risk - 20% Yes.
Beta blockers - 40% Yes. … Safety issues.
Followup:
Met with clinic staff and surgeons. … Issues identified:
Disposable light handles were changed. … Issues identified:
Outdated preference card caused delay in case.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - (Each team member listed below either says “Yes” and states the issues or says “No Concerns” if none) … (Each team member listed below either says “Yes” and states the issues or says “No Concerns” if none) … equipment/systems issues identified should be recorded and provided to designated person so they can … be addressed and resolution shared with the unit
Postoperative concerns/issues for the team to be … (Each team member listed below either says “Yes” and states the issues or says “No Concerns” if none.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight04.html
October 01, 2013 - Oregon—and how they used their CHIPRA quality demonstration grants to elevate children’s health care issues … helpful to other States that are trying to focus attention and resources on child and adolescent health issues … data can be used to obtain buy-in from policy officials, help raise awareness about pediatric health issues … Demonstration staff have pursued a range of strategies to ensure that child and adolescent health issues … is working to improve quality and reduce the costs of care for youth with serious behavioral health issues
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www.ahrq.gov/research/findings/evidence-based-reports/nutritn2tp.html
April 01, 2018 - Volume 2: Issues and Challenges in Conducting Systematic Reviews to Support Development of Nutrient Reference … Download Review
Nutritional Research Series, Volume 2: Issues and Challenges in Conducting Systematic
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www.ahrq.gov/talkingquality/resources/writing/tip4.html
May 01, 2015 - Like headlines, these devices enable the reader to focus on the issues of greatest interest to them. … Effective educational materials often rely on stories to motivate people and help them understand complex issues
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www.ahrq.gov/news/newsletters/e-newsletter/947.html
February 01, 2025 - With Lack of Reliable Transportation In 2021, 15.5 percent of current smokers reported transportation issues … People with chronic conditions reported similar reliability issues—11.3 percent of those who had experienced … Just 3 percent of those without any of these conditions experienced transportation issues.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
January 01, 2004 - The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking … and Analysis
121
The AAFP Patient Safety Reporting System:
Development and Legal Issues Pertinent … raised by international research
This study raised new legal and practical issues. … Legal and practical issues raised by DCERPS research
Federal funding carries legal protections from … Issues in
the reporting of adverse healthcare events.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/safetysnrchklst.doc
June 02, 2025 - Safety Issues Worksheet for Senior Executive Partnership
Who should use this tool? … Identified Issues
Potential/Recommended Solutions
Resources Needed
1.
2.
3.
4.