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  1. www.ahrq.gov/research/shuttered/toolkitchecklist/medcare.html
    July 01, 2018 - Applicability for use:   Medical/patient care issues:         Licensing … /accreditation issues:           Return to Contents Proceed to Next Section
  2. www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
    December 01, 2017 - Review issues with surgical site infection improvement team. … Documentation issues. Unclear perioperative care instructions. … Improves morale as staff and surgeons see issues addressed. … Reduces number of less-urgent issues escalated to management. … Equipment issues reviewed in appropriate areas as well.
  3. psnet.ahrq.gov/issue/emergency-medical-and-health-providers-perceptions-key-issues-prehospital-patient-safety
    January 11, 2017 - Study Emergency medical and health providers' perceptions of key issues in prehospital … Emergency medical and health providers' perceptions of key issues in prehospital patient safety. … Emergency medical and health providers' perceptions of key issues in prehospital patient safety.
  4. psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
    February 09, 2011 - Commentary Classic Structural and organizational issues … Citation Text: Structural and organizational issues in patient safety: a comparison of health care … Cite Citation Citation Text: Structural and organizational issues
  5. www.ahrq.gov/research/shuttered/toolkitchecklist/medadvcare.html
    July 01, 2018 - Applicability for use:   Medical/patient care issues:         Licensing … /accreditation issues:           Return to Contents Proceed to Next Section
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43666/psn-pdf
    March 14, 2016 - Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues … Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues … The intervention demonstrated lasting improvements in systems issues, consistent with prior data using
  7. www.ahrq.gov/cahps/consumer-reporting/guidelines/results/index.html
    March 01, 2016 - Issues to Anticipate If you choose to develop reports that contain a high level of detail, take the … time to work with your non-consumer audiences to reach agreement on such issues as: Data ownership … You will also need to address the following issues: Consistency.
  8. digital.ahrq.gov/sites/default/files/docs/page/privacy-and-security-solutions-for-interoperable-hie-avas-executive-summary.pdf
    June 30, 2007 - Summary of Key Issues in the Assessment of Variation The AVAS report describes 10 major issues that … to issues related to education Solutions to issues related to implementation and governance Solutions … Interstate Exchange Issues Although the identification of interstate issues was not a primary focus … Cultural and Business Issues State teams referenced cultural and business issues that pose challenges … Ancillary Issues and Solutions Funding.
  9. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
    July 01, 2023 - Departmental factors When staffing issues, admission policies, and protocols prove to be insufficient … Additionally, staffing and coverage issues increase the likelihood of medication or procedure errors, … While these issues are the furthest removed from the patient in the diagram, these factors continually … The nurses were able to alleviate these hierarchical issues by engaging hospital administration with … What will be the outcome of decisions we make regarding these issues?
  10. digital.ahrq.gov/ahrq-funded-projects/tailored-dvd-improve-medication-management-low-literate-elderly-patients/annual-summary/2010
    January 01, 2010 - Medication management issues among older patients include high incidence of preventable adverse drug … history provides the opportunity to create tailored interventions based on the particular medication issues … analyzing information such as demographics, social support, medication profiles, medication management issues … Specific Aims: Develop algorithms to identify potential medication management issues based on community … focus on improving the geriatric patient’s role in patient-provider communication regarding medication issues
  11. www.ahrq.gov/funding/process/grant-app-basics/hsubjects.html
    August 01, 2018 - Decision Charts are presented that are helpful in thinking through relevant human subject protections issues … you think you have done a thorough and thoughtful job of addressing the Protection of Human Subjects issues … Peer reviewers assess research protocols for issues related to human subject protections and then assign … The AHRQ Program Officer can work with you to help resolve these issues.
  12. psnet.ahrq.gov/issue/safer-place-patients-learning-improve-patient-safety-0
    June 22, 2016 - July 15, 2009 Oversight Hearing on Recent Patient Safety Issues. … December 23, 2012 Report of the Independent Inquiry into the Issues Raised by Paterson … February 19, 2020 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease … July 24, 2019 Cultural Issues Related to Allegations of Bullying and Harassment in NHS
  13. digital.ahrq.gov/sites/default/files/docs/page/iavr_executivesummary.html
    December 29, 2006 - or their implications but rather a descriptive treatment of the issues. … Interstate Issues Although the identification of interstate issues was not a primary focus of the … carefully, though it is not clear that the issues cited posed critical barriers to eHIE. … Most issues were between organizations rather than between states, and interstate issues tended to … Cultural and Business Issues State teams referenced a number of cultural and business issues that
  14. digital.ahrq.gov/sites/default/files/docs/page/IAVR_ExecSumm_1.pdf
    December 29, 2006 - or their implications but rather a descriptive treatment of the issues. … Interstate Issues Although the identification of interstate issues was not a primary focus of the interim … , though it is not clear that the issues cited posed critical barriers to eHIE. … Most issues were between organizations rather than between states, and interstate issues tended to … Cultural and Business Issues State teams referenced a number of cultural and business issues that pose
  15. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-slides.pptx
    September 01, 2022 - Antibiotic Prescribing AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care 7 Where Are the Issues … Antibiotic Prescribing AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care 8 Where Are the Issues … Prescribing AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care   9 Where Are the Issues … Prescribing AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care   13 Where Are the Issues … Antibiotic Prescribing AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care 14 Where Are the Issues
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
    January 01, 2006 - 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 … the potential to cause harm Discuss the three greatest risks Rank these factors 12 Use the Safety Issues … Engage the senior executive in addressing the safety issues identified on the form. Step 2. … Use the form during safety rounds to identify safety issues, identify potential solutions, and identify
  17. Module 2: Example (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/example-pdsa-form.docx
    May 01, 2017 - How will any safety issues identified be addressed? (Who, How, When) 10. … Document new issues. Prediction Actual results 1. … New issues? Act: PLAN for our next cycle based on what we learned. … Document new issues. Prediction Actual results More description? … New issues? Act: PLAN for our next cycle based on what we learned.
  18. hcup-us.ahrq.gov/datainnovations/clinicaldata/FinalResultsofLOINCMapEval.pdf
    September 01, 2009 - Conference Calls and follow-up e-mails to address any questions/ issues with Data Requirements. 4. … Transmission of file What issues were encountered in complying with data requests? … Issues Encountered in Complying with Data Requests H os pi ta l T w o Barriers How was issue … What issues, challenges or barriers were encountered in standardizing data elements? … Transmission of Data Were issues encountered during data transmission?
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
    April 20, 2004 - A multidisciplinary group also was convened to facilitate the resolution of issues related to the use … These documentation issues are especially challenging with respect to critically ill CABG patients, … Committee members also solicit feedback on any BCMA-related user issues. … Food and Drug Administration: FDA issues barcode regulation; fact sheet. Washington, DC: 2004. … issues Acknowledgments Author affiliations References Figure 1.
  20. www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
    January 01, 2024 - and administrator perspectives on patient safety in 10 PCMHs; and (3) an association of contextual issues … Qualitative comparative analysis was used to examine the relationship between contextual issues, patient … Aim 3) To evaluate the potential association of contextual issues (practice type, geographic location … Ambulatory safety issues are generally categorized in four domains (Webster et al., 2009; AMA, 2010) … AIM 3: Evaluate the potential association of contextual issues (practice type, geographic location)