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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
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www.ahrq.gov/sites/default/files/2024-01/grahamlear-report.pdf
January 01, 2024 - Health Care in America as a guide, the specific purposes of the conference were to:
• describe the issues … law and regulations, collaboration
with community-based providers, and workforce supply and training issues … Experts recommend exploring these issues within the context of
overlapping policies, regulations, and … In addition to the focus on systems
improvement, clinical professional issues, such as delegation of … First, the issues associated with medication
management at school were brought together, evaluated by
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digital.ahrq.gov/2018-year-review/research-spotlights/improving-ehr-design-increases-patient-safety-especially-children
January 01, 2018 - identified pervasive problems with EHR systems that regularly lead to patient safety errors and other issues … EHR usability and safety challenges because of different physical characteristics and developmental issues … one-third of the 9,000 medication-related patient safety reports in the study were related to EHR usability issues … have harmed patients. 1 System feedback and visual display problems were the most frequent usability issues
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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.
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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.
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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
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/latent-tb-screening-final-rec-bulletin.pdf
May 02, 2023 - Task Force Issues Final Recommendation Statement on Screening for Latent Tuberculosis Infection … www.uspreventiveservicestaskforce.org 1
Task Force Issues Final Recommendation Statement on
Screening
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/latent-tbi-screening-adults-draft-rec-bulletin.pdf
December 27, 2022 - Task Force Issues Draft Recommendation Statement on Screening for Latent Tuberculosis Infection … Learn more here
Task Force Issues Draft Recommendation Statement on
Screening for Latent Tuberculosis
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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
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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
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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.
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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?
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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.
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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.
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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
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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
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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
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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.
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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
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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