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www.ahrq.gov/talkingquality/measures/setting/physician/index.html
September 01, 2019 - researchers, medical societies, and health care experts have made a concerted effort to address the many issues … Why Measuring Physician Quality Is Challenging
Technical and political issues have contributed to the … Political issues include:
The wariness of physician stakeholders. … Other Technical Issues in Measuring Physician Performance
Measurement experts have been working on … various methodological issues to advance physician-level data collection and reporting.
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psnet.ahrq.gov/issue/morning-handover-call-issues-opportunities-improvement
September 26, 2012 - Study
Morning handover of on-call issues: opportunities for improvement. … Morning handover of on-call issues: opportunities for improvement. … Covering physicians frequently failed to inform primary clinicians about important clinical issues that … Morning handover of on-call issues: opportunities for improvement.
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psnet.ahrq.gov/issue/new-technologies-radiation-therapy-ensuring-patient-safety-radiation-safety-and-regulatory
November 01, 2023 - New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues … New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues … This study discusses emerging patient safety issues in radiation oncology. … New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory issues
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psnet.ahrq.gov/issue/identifying-electronic-medication-administration-record-emar-usability-issues-patient-safety
July 07, 2021 - Study
Identifying electronic medication administration record (eMAR) usability issues … Identifying electronic medication administration record (eMAR) usability issues from patient safety event … In this study, usability issues related to eMAR contributed to 473 patient safety event reports. … Identifying electronic medication administration record (eMAR) usability issues from patient safety event … Resources From the Same Author(s)
Identifying health information technology usability issues
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psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
August 04, 2021 - Study
System issues leading to "found-on-floor" incidents: a multi-incident analysis … System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. … that length of stay was a key theme in found-on-floor incidents and signaled underlying system-level issues … System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. … August 12, 2020
Identifying health information technology usability issues contributing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/worksheet.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Issues Worksheet for Senior Executive … Partnership
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety Issues Worksheet … shared problem solving between clinical staff and senior executives with respect to patient safety issues … Identified Issues
Potential/Recommended Solutions
Resources Needed
1.
2.
3.
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psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives-safety-issues-uk
March 31, 2021 - A qualitative exploration of mental health service user and carer perspectives on safety issues … A qualitative exploration of mental health service user and carer perspectives on safety issues in UK … These interviews identified a broad range of safety issues; the authors suggest that patient safety in … A qualitative exploration of mental health service user and carer perspectives on safety issues in UK … Related Resources From the Same Author(s)
Health professionals' perspectives of safety issues
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psnet.ahrq.gov/issue/collaboration-focused-priority-issues-promotes-safety
May 05, 2018 - Newspaper/Magazine Article
Collaboration focused on priority issues promotes safety … Citation Text:
Collaboration focused on priority issues promotes safety. … Cite
Citation
Citation Text:
Collaboration focused on priority issues
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psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid
May 07, 2018 - Press Release/Announcement
Medication safety issues with newly authorized PAXLOVID … Citation Text:
Medication safety issues with newly authorized PAXLOVID. … Copy URL
Cite
Citation
Citation Text:
Medication safety issues
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psnet.ahrq.gov/issue/advanced-practice-nursing-students-identification-patient-safety-issues-ambulatory-care
March 02, 2012 - Study
Advanced practice nursing students' identification of patient safety issues … Advanced practice nursing students' identification of patient safety issues in ambulatory care. … Recent research has focused on identifying patient safety issues in the ambulatory setting . … In this study, advanced practice nursing students recognized more than 800 patient safety issues during … Advanced practice nursing students' identification of patient safety issues in ambulatory care.
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psnet.ahrq.gov/issue/staying-silent-about-safety-issues-conceptualizing-and-measuring-safety-silence-motives
August 28, 2019 - Study
Staying silent about safety issues: conceptualizing and measuring safety silence … Staying silent about safety issues: Conceptualizing and measuring safety silence motives. … This study found several motives explaining why employees stay silent about safety issues, including … Staying silent about safety issues: Conceptualizing and measuring safety silence motives.
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digital.ahrq.gov/ahrq-funded-projects/medicaid-and-chip/building-consumer-oriented-health-insurance-exchange-key
January 01, 2023 - Building a consumer-oriented health insurance exchange: Key issues
Zemel S, Aron A, Miller … Building a consumer-oriented health insurance exchange: Key issues.
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www.ahrq.gov/hai/cusp/toolkit/safety-checklist.html
December 01, 2012 - Safety Issues Worksheet for Senior Executive Partnership
CUSP Toolkit
Safety Tool
Who should … Identified Issues
Potential/Recommended
Solutions
Resources Needed
1.
2. … Alternate Formats
Safety Issues Worksheet for Senior Executive Partnership [ - 208 KB]
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/resources/qapi-leadership-rounding-guide-centers-for-medicare.pdf
June 02, 2025 - When employees raise issues or ask for help, assure them you will follow up.
4. … Follow up on previous issues or requests —share with staff how the issues were addressed or resolved. … Identify frequently noted issues/themes.
2. … Prioritize issues (e.g., by level of urgency, threat, ability to resolve).
3. … What barriers/issues do you
see threatening this
initiative or aspect of care or
service?
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/professional-tool.html
July 01, 2023 - 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 clinician approached more often for patient issues?
… If one clinician was approached more often, what patient care issues evolved (e.g., delay in care delivery
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digital.ahrq.gov/program-overview/research-stories/improving-electronic-health-record-usability-patient-safety
January 01, 2023 - To better understand EHR usability and safety issues, Dr. … Identifying EHR usability issues and potential harm to patients The research team developed algorithms … to identify usability and safety issues from patient safety event reports. … This tool can be used by any healthcare facility to identify specific issues in its EHR and to identify … potential solutions to those issues through usability improvements.
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/toolcon/index.html
June 01, 2020 - Small Numbers
Resource and Burden Issues
Development Process
Criteria Used
More Information … Sample Sizes
Resource and Burden Issues
Development Process
Criteria Used
More Information … Resource and Burden Issues
Development Process
Criteria Used
More Information and User Support … Sample Sizes
Resource and Burden Issues
Development Process
Criteria Used
More Information … Sample Sizes
Resource and Burden Issues
Development Process
Criteria Used
More Information
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psnet.ahrq.gov/issue/participation-ehr-based-simulation-improves-recognition-patient-safety-issues
April 24, 2013 - Study
Participation in EHR based simulation improves recognition of patient safety issues … Participation in EHR based simulation improves recognition of patient safety issues. … In this educational study, medical residents missed patient safety issues in a simulated review of … Participation in EHR based simulation improves recognition of patient safety issues. … February 1, 2023
Electronic health record use issues and diagnostic error: a scoping
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psnet.ahrq.gov/issue/electronic-health-record-use-issues-and-diagnostic-error-scoping-review-and-framework
September 14, 2011 - Review
Electronic health record use issues and diagnostic error: a scoping review … Electronic health record use issues and diagnostic error: a scoping review and framework. … EHR issues fell into three general areas: information gathering, medical decision-making, and plan implementation … The majority of issues were a related to providers’ cognitive processing, revealing an important area … Electronic health record use issues and diagnostic error: a scoping review and framework.
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psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and-patient-safety
September 14, 2016 - Review
Technology, governance and patient safety: systems issues in technology and … Technology, governance and patient safety: systems issues in technology and patient safety. … adverse events related to medical devices, equipment, and other technologies and discuss governance issues … Technology, governance and patient safety: systems issues in technology and patient safety. … December 31, 2014
Socio-technical issues and challenges in implementing safe patient