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psnet.ahrq.gov/node/74033/psn-pdf
November 03, 2021 - Identifying electronic medication administration record
(eMAR) usability issues from patient safety … Identifying electronic medication administration record (eMAR) usability
issues from patient safety … https://psnet.ahrq.gov/issue/identifying-electronic-medication-administration-record-emar-usability-issues … In this study, usability issues related to eMAR contributed to 473 patient safety event reports. … https://psnet.ahrq.gov/issue/identifying-electronic-medication-administration-record-emar-usability-issues-patient-safety
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psnet.ahrq.gov/node/73465/psn-pdf
July 07, 2021 - Identifying health information technology usability issues
contributing to medication errors across … Identifying health information technology usability issues contributing to
medication errors across … https://psnet.ahrq.gov/issue/identifying-health-information-technology-usability-issues-contributing- … type of
medication error, the stage in the process in which the error occurred, and how HIT usability issues … Most errors described usability issues which should be considered and addressed to improve
medication
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www.ahrq.gov/sites/default/files/2024-02/carpenter-report.pdf
January 01, 2024 - Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research … TITLE PAGE
Project Title: Addressing methodological and ethical issues in pediatric medication safety … was to convene an interdisciplinary group of stakeholders to
discuss state-of-the-art methods and issues … Scope: Conferences that focus on pediatric health issues often focus on improving clinical practice and … The conference helped me understand the issues surrounding pediatric medication safety research.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
April 01, 2004 - , factor-
specific issues, tracking, and follow-up. … These issues are
compared to the total issues reported through other channels as well as the
number … of issues resolved and/or addressed. … At Pilot Site A,
98 issues have been resolved (120 actions were taken to resolve 98 issues; some
issues … Thirty-one issues are still pending, and
nine issues are considered “non-priority/non-response” issues
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/099-cusp-guide-why-choose-cusp-approach.docx
October 01, 2024 - This presentation will discuss how choosing a CUSP approach helps when addressing patient safety issues … CUSP was originally developed as a method for multidisciplinary teams to identify safety issues—also … This means focusing on safety issues that are relevant to the patients who receive care as well as to … Slide 7
The Goal of CUSP
SAY:
CUSP is not a top-down approach to uncovering issues or creating and … implementing interventions to mitigate issues.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/102-how-integrate-cusp-approach-guide.docx
October 01, 2024 - Additionally, the team should openly welcome new issues and any potential solutions. … Slide 14
The Purpose of the CUSP Approach
SAY:
CUSP is not a top-down approach to surfacing issues … or creating and implementing interventions to mitigate issues. … This is your opportunity to get staff excited about your CUSP approach to tackling safety issues. … The Science of Safety can help emphasize that safety issues should be viewed as the result of systems
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www.ahrq.gov/ncepcr/communities/pbrn/registry/aafp-national-research-network.html
January 01, 2012 - Cardiovascular disease, including stroke and hypertension
Care transitions
Children's health issues … asthma
Substance abuse (alcohol and drug abuse)
Tobacco use and smoking cessation
Women's health issues … Past Research Interests Comments :
Cancer: Colorectal, Prostate, Adult survivors; Children’s health issues … and other mental health disorders: Depression, Postpartum Depression, ADHD, Dementia; Men’s health issues … : prostate cancer; Women’s health issues: menopause; Other health care areas of interest: Chronic Kidney
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www.ahrq.gov/ncepcr/communities/pbrn/registry/johns-hopkins-community-physicians-primary-care-research-network.html
January 01, 2012 - Cardiovascular disease, including stroke and hypertension
Care transitions
Children's health issues … childbirth, including preterm birth
Medication management
Pulmonary disease/asthma
Women's health issues … use and smoking cessation
Current or Past Research Interests Comments :
Children's health issues … : asthma, obesity; Men's health issues: prostate cancer, ED; women's health issues: contraception
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www.ahrq.gov/ncepcr/communities/pbrn/registry/central-ohio-practice-based-research-network.html
January 01, 2012 - Cardiovascular disease, including stroke and hypertension
Care transitions
Children's health issues … and nutrition
Population health
Medication management
Pulmonary disease/asthma
Women's health issues … Current or Past Research Interests Comments :
Children’s health issues: asthma, anemia, obesity … ; Women’s health issues: Pap smears, mammograms
Approximate Number of PBRN Member Licensed Clinicians
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www.ahrq.gov/ncepcr/communities/pbrn/registry/ohio-university-rural-ohios-appalachian-research-network.html
August 10, 2015 - Current or Past Research Interests / Health Conditions:
Children's health issues
Coordination of … care for complex patients
Diabetes (Type 1 or 2)
Women's health issues
Current or Past Research … Interests Comments :
Children’s health issues: access to care, maternal-child health; Women’s health … issues: contraception, maternal-child health
Approximate Number of PBRN Member Licensed Clinicians
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psnet.ahrq.gov/node/60753/psn-pdf
August 05, 2020 - A qualitative exploration of mental health service user
and carer perspectives on safety issues in UK … A qualitative exploration of mental health service user and carer
perspectives on safety issues in UK … psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives-
safety-issues-uk … These interviews identified a broad range of safety issues; the authors
suggest that patient safety … psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives-safety-issues-uk
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psnet.ahrq.gov/node/50816/psn-pdf
January 29, 2020 - Identifying potential patient safety issues from the
Federal Electronic Health Record Surveillance Program … Identifying Potential Patient Safety Issues From the Federal
Electronic Health Record Surveillance Program … https://psnet.ahrq.gov/issue/identifying-potential-patient-safety-issues-federal-electronic-health-record … -
surveillance
The authors analyzed national EHR surveillance data to identify whether reported issues … https://psnet.ahrq.gov/issue/identifying-potential-patient-safety-issues-federal-electronic-health-record-surveillance
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psnet.ahrq.gov/issue/apotex-corp-issues-voluntary-nationwide-recall-enoxaparin-sodium-injection-usp-due
March 22, 2010 - Press Release/Announcement
Apotex Corp. issues voluntary nationwide recall of Enoxaparin … Citation Text:
Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection, USP … Copy URL
Cite
Citation
Citation Text:
Apotex Corp. issues … Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a … October 19, 2022
Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of
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www.ahrq.gov/ncepcr/communities/pbrn/registry/quebec-practice-based-research-network-universite-lavalreseau-de-recherche-axee-sur-les-pratiques-en-premiere-ligne-universite-laval.html
July 17, 2014 - of the Université Laval practice-based research network is to collaboratively address the clinical issues … and childbirth, including preterm birth
Behavioral health
Care transitions
Children's health issues … Alzheimer's disease (brain and nerve conditions)
Health literacy
Population health
Women's health issues … Research Interests Comments :
Cancer: Palliative and end-of-life care initiative; Children's health issues … : Antibiotherapy; Women's health issues: hormonotherapy for menopausal women
Approximate Number
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexec.pptx
January 01, 2006 - technical and adaptive work of change
Collaborates to develop and implement a plan addressing safety issues … and Adaptive Work of Change
12
13
Collaborates To Develop and Implement a Plan Addressing Safety Issues … How can you use those methods to address the safety issues you identified in your organization? … CUSP team, understanding technical and adaptive work, collaborating with the team to address safety issues … s and CUSP tools are great resources to help recruit a senior executive
20
20
CUSP Tools
Safety Issues
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psnet.ahrq.gov/node/867638/psn-pdf
February 26, 2025 - Artificial intelligence related safety issues associated with
FDA medical device reports. … Artificial intelligence related safety issues associated with FDA
medical device reports. … https://psnet.ahrq.gov/issue/artificial-intelligence-related-safety-issues-associated-fda-medical-device … https://psnet.ahrq.gov/issue/artificial-intelligence-related-safety-issues-associated-fda-medical-device-reports … https://psnet.ahrq.gov/issue/artificial-intelligence-related-safety-issues-associated-fda-medical-device-reports
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psnet.ahrq.gov/issue/current-issues-patient-safety-surgery-review
July 26, 2017 - Review
Current issues in patient safety in surgery: a review. … Current issues in patient safety in surgery: a review. … Current issues in patient safety in surgery: a review.
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digital.ahrq.gov/sites/default/files/docs/page/2006HinkleyBriskin_051211comp.pdf
June 16, 2021 - Terms and Conditions
To assist SNOs prepare their own Terms and Conditions
60-40 solution
Identify issues … to assure simplified process is
reasonable
Davis Wright Tremaine LLPDavis Wright Tremaine LLP 5
Issues … Operational issues
Measures required to protect Network,
Responsibility for training and support, … Reserved to Common Framework
Issues for Local Decision-Making
Issues for Local Decision-Making (cont'd … Issues for Local Decision-Making (cont'd.)
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/shadowing.doc
June 02, 2025 - providers often do not understand other disciplines’ daily responsibilities, teamwork, and communication issues … Review this tool before your shadowing experience to help you recognize teamwork and communication issues … Below is a framework to help you identify communication and teamwork issues that affect patient care … Was one provider approached more often for patient issues? … If one provider was approached more often, what patient care issues evolved (e.g., delay in care delivery
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www.ahrq.gov/hai/cusp/modules/engage/exec-slides.html
December 01, 2012 - Adaptive Work of Change
Slide 13: Collaborates To Develop and Implement a Plan Addressing Safety Issues … Collaborates to develop and implement a plan addressing safety issues. … Return to Contents
Slide 13: Collaborates To Develop and Implement a Plan Addressing Safety Issues … List identified safety issues in the Safety Issues Worksheet for Senior Executive Partnership or a tracking … How can you use those methods to address the safety issues you identified in your organization?