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161. Pareto Chart | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/pareto-chart
     January 01, 2023 - When examining the frequency of issues in a process. How do I use this tool? 1. … DEVELOP A LIST of issues to be compared. 2. … DEVELOP A STANDARD MEASURE of comparison for the issues. 3. … Determine which items seem responsible for the majority of the issues or problems. … Demonstrates which issues are the most significant or frequent.

162. Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. | PSNet
     psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp
     June 20, 2018 - Press Release/Announcement Hospira issues a voluntary nationwide recall for one lot … Citation Text: Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride … Copy URL Cite Citation Citation Text: Hospira issues … February 17, 2021 Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of … January 26, 2022 Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of

163. Preface | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/advances/preface.html
     July 01, 2022 - Implementation Issues Peer Reviewers for Volume 4. … research and methodological focus, the volumes include a series of articles that address implementation issues … Others beget new questions, raise new issues, and require further exploration. … Only by making this information widely available can we answer these questions and resolve these issues

164. Funding Award Process at AHRQ | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/process/award-process/index.html
     June 01, 2017 - requested budget/justification, other sources of support for key personnel, resolution of human subjects issues … Protections (OHRP)-approved Assurance and/or the need for Institutional Review Board approval, overlap issues … Once all administrative issues have been satisfactorily addressed, GM staff prepare a Notice of Award … The Grants Management Officer reviews the NOA and, if there are no concerns, certifies and issues the

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61113/psn-pdf
     January 01, 2021 - Do falls and other safety issues occur more often during handovers when nurses are away from patients … Do falls and other safety issues occur more often during handovers when nurses are away from patients … https://psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when- … https://psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when-nurses-are-away … https://psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when-nurses-are-away

166. Related Resources on Healthcare Quality Reporting | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/resources/related-reports.html
     July 01, 2022 - Wood Johnson Foundation: Publications and Research—RWJF carries out research and publishes articles, issues … briefs, and reports on several health care quality and public reporting issues. … Browse RWJF's published materials on quality reporting and related issues .

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33602/psn-pdf
     March 15, 2025 - Individual Clinician Performance Issues March 15, 2025 Individual Clinician Performance Issues. … https://psnet.ahrq.gov/primer/individual-clinician-performance-issues PSNet primers are regularly reviewed … Detection of Individual Performance Issues Individual clinician performance issues may relate to technical … Addressing Individual Performance Issues The first step in addressing individual performance issues … These findings raise the question of whether clinicians with performance issues can be detected—and

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72670/psn-pdf
     January 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. … System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. … https://psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis Patients … that length of stay was a key theme in found-on-floor incidents and signaled underlying system-level issues … https://psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis https

169. AHRQ Quality Indicators Toolkit Facilitates Process Improvement Work at Cedars-Sinai Medical Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
     December 01, 2017 - Gathering data in "real time" to identify and address issues with clinical care. … used the toolkit’s sample presentations to senior leadership to understand the relevant governance issues … But the "noise" resulting from documentation issues made it difficult to gain consensus that they had … The team also concluded that the retrospective reviews were not the most efficient way to address the issues … With these data in hand, the QI team can intervene when needed to correct issues with documentation and

170. Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up. | PSNet
     psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol-25-mg-tablets-and
     June 20, 2018 - Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a … Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a … Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a … June 22, 2011 Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine … August 5, 2020 Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865530/psn-pdf
     April 10, 2024 - Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and … psnet.ahrq.gov/issue/electronic-health-record-modernization-caused-pharmacy-related-patient- safety-issues … /psnet.ahrq.gov/issue/electronic-health-record-modernization-caused-pharmacy-related-patient-safety-issues … /psnet.ahrq.gov/issue/electronic-health-record-modernization-caused-pharmacy-related-patient-safety-issues

172. Engage the Senior Executive Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/engage/exec-notes.html
     December 01, 2012 - Collaborates To Develop and Implement a Plan Addressing Safety Issues Slide 14. … Collaborating with others to develop and put into effect a plan that addresses the safety issues the … How can you use those methods to address the safety issues you identified in your organization? … Safety Issues Worksheet for Senior Executive Partnership The Safety Issues Worksheet for Senior Executive … insight into colleague work culture and how other team members approach similar issues.

173. Advancing the Science and Implementation of Patient Narrative Elicitation and Reporting | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/news-and-events/events/2016-meeting-summary.html
     August 01, 2019 - Specific objectives of the meeting were to identify key methodological, operational, and policy issues … groundwork for what we know, followed by a facilitated group discussion focusing on key questions and issues … The following summary focuses on key questions and issues identified in the discussion. … Key Questions and Issues Narrative Elicitation Framing of the invitation: Would the breadth and … methods can health systems and medical practices use to effectively identify and triage urgent medical issues

174. Risk Assessment | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/risk
     January 01, 2023 - By conducting a risk assessment, you capture feedback on workflow issues that may affect quality of care … a risk assessment you identify the how work processes will be affected by your health IT system and issues … By conducting a risk assessment, issues related to how tasks and activities will be accomplished post … Proactive risk assessments help identify issues and prepare for a health IT system implementation by … also prioritizing issues and identifying how they can be resolved.  

175. Step 5: Set the Stage for Conducting the Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Set-the-Stage-for-Conducting-the-Survey.html
     December 01, 2019 - implementation of a CAHPS survey involves a number of different decisions and tasks covering a wide range of issues … Decisions Related to Sampling and Data Collection Make preliminary decisions about the following issues … Decisions Related to Analysis Make preliminary decisions about the following issues: What is the … Also, keep in mind that all of these survey- and data-related issues are interrelated.

176. Final Progress Report: Medication Reconciliation: A Team Approach (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
     January 01, 2024 - regulatory, professional, technology, and consumer organizations was convened to address a number of issues … discussion sessions as well as four breakout sessions gave participants the opportunity to discuss issues … This format gave participants the opportunity to discuss issues and share their experiences with the … Questions Score Identifying seminal issues in medication reconciliation requiring further attention … Professional associations have been active in identifying issues, strategies, and safety principles

177. Final Research Plan: Oral Health in Children and Adolescents Aged 5 to 17 Years: Screening and Preventive Interventions | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/oral-health-children-adolescents-screening-preventive-interventions
     June 17, 2021 - Are at increased risk of future oral health issues? … Analytic Framework: Interventions to Prevent Oral Health Issues in Children and Adolescents Ages 5 to … Key Questions to Be Systematically Reviewed: Interventions to Prevent Oral Health Issues … is oral health behavioral counseling provided by a primary care clinician in preventing oral health issues … How effective are preventive interventions in preventing oral health issues?

178. Project Report - Lean Sigma (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/nurse_empower-slides/How-CUSP-Enables-Nurse-Empowerment-Nov-15-2011-508.ppt
     January 01, 2011 - safety issues vs. nuisances. … Issues became more rational rather than moral. * Slide * CUSP: How it Empowers Nurses in the Hospital … to address day-to-day intransigent system problems Medications not available when due Pain control issues … of familiarity with POE system Strategies for coverage with decreased resident hours Pain control issues … /narcotics issues with patients with chronic pancreatitis, Interventional Radiology patients *

179. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
     July 01, 2023 - CUSP Tools Sensemaking Tools Staff Safety Assessment Discovery Form Safety Issues … conditions Ways to identify defects or failure Staff Safety Assessment Status of Safety Issues … Slide 12: Use the Safety Issues Worksheet for Senior Executive Partnership Image: Safety Issues Worksheet … Use this form to engage the senior executive to address the safety issues identified in the form. … Use this form during safety rounds, to identify safety issues, potential solutions, and available resources

180. Oregon Rural Practice-based Research Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/communities/pbrn/registry/oregon-rural-practice-based-research-network.html
     May 06, 2013 - 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 … Current or Past Research Interests Comments : Cancer: screening and prevention; Children's health issues … : immunizations, obesity, medical home for children; Women's health issues: Mammography screening access