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psnet.ahrq.gov/node/44961/psn-pdf
May 09, 2017 - parent-reported-errors-and-adverse-events-hospitalized-children
Whether patient and family understanding of safety issues … Physician reviewers evaluated parents' reports and designated incidents as
errors or quality issues … these were confirmed by the study team as medical errors, with the remainder considered either quality
issues
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www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Plan-a-Communications-Strategy.html
December 01, 2019 - focus first on developing questionnaires and implementing surveys before they turn their attention to issues … the consumer-oriented principles underlying CAHPS call for the opposite approach: focus on reporting issues … For example, if your audience is unfamiliar with health care quality issues, you may want to provide
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www.ahrq.gov/ncepcr/communities/pbrn/registry/clinical-directors-network-inc.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 … cervix, colorectal; Depression and other mental health disorders: PTSD, depression; Women's health issues
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hcup-us.ahrq.gov/datainnovations/clinicaldata/WAFinalReport042309.jsp
July 01, 2016 - In general, technical issues were considered to be minimal while
issues related to use, analysis, comparability … Cost issues were raised but not emphasized as much as use issues. … Again, assume there are no issues related to obtaining and using the data. … This group also delved into specific issues around particular data elements. … Some of the issues
were unrelated to the data collection proposed for this project, such as issues with
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hcup-us.ahrq.gov/datainnovations/clinicaldata/WAFinalReport042309.pdf
April 23, 2009 - In general, technical issues were considered to be minimal while
issues related to use, analysis, comparability … Cost issues were raised but not emphasized as much as use issues. … Again, assume there are no issues related to obtaining and using the data. … This group also delved into specific issues around particular data elements. … Some of the issues
were unrelated to the data collection proposed for this project, such as issues
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
May 01, 2017 - Team factors
Team factors may involve issues with teamwork, communication, inadequate supervision, and … 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, … 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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
March 15, 2016 - The second
illustrates some of the issues that can arise when documenting and coding each PDI. … In the following section, issues specific to the PDIs are
discussed, including issues and actions specific … Documentation and Coding Issues for Individual PDIs
Some specific documentation issues for the PDIs … Some specific coding
issues for the PDIs are listed in Table 2. … These issues were identified through a search of
published papers on QI measurement issues, and from
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digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - Specifically, five articles dealt with provider issues, four articles with
issues affecting hospitals … and health care systems, five with medication and e-prescribing issues,
two with cost issues, and one … Hospital and Health Care System Issues
Four articles address the issues faced by hospitals in adopting … Local financial,
organizational, and technological issues must be addressed. … Structured product labeling
improves detection of drug-intolerance issues.
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/hypertensive-disorders-pregnancy-final-rec-bulletin.pdf
September 19, 2023 - Task Force Issues Final Recommendation Statement on Screening for Hypertensive Disorders of Pregnancy … 1
www.uspreventiveservicestaskforce.org
Task Force Issues Final Recommendation Statement … have their blood pressure measured at each prenatal visit
to help identify and prevent serious health issues … “Because these
conditions can cause serious health issues, screening is an important way to keep pregnant
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/type-2-diabetes-medications-update_surveillance.pdf
December 31, 2013 - No issues identified. … No issues identified. … No issues identified. … No issues identified. … No issues identified.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-end-of-life-indicators-symposium_research.pdf
April 01, 2010 - Planning, and Decision-Making ......................................................3
Psychosocial Issues … (e.g. housing, meal preparation),
higher-level issues (e.g. fears, understanding), and a timeline for … Discussion
Examining the priority issues of all the domains exposed a number of cross-cutting
themes … Symptoms and other end-of-life issues often interrelate, and may need to be addressed together. … Priority Issues and Potential Solutions for Domains
Domains Priority Issues Potential Solutions
Better
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psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
December 23, 2012 - Related Resources From the Same Author(s)
Oversight Hearing on Recent Patient Safety Issues … September 2, 2016
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease … Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues … May 1, 2015
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease Treatment
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-8-workgroups-task-force
July 08, 2017 - This workgroup identifies issues that need further consideration, recommends the creation of new workgroups … as needed to address these issues, and incorporates input from all other workgroups into Task Force … publishing articles on USPSTF methods related to child and maternal health, addressing methodological issues … coordination with the Community Preventive Services Task Force, knowledge gaps, and other methodological issues
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psnet.ahrq.gov/issue/critical-thinking
August 22, 2007 - Theor Issues Ergon Sci. 2011;12:204-272. … Share
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June 1, 2011
Theor Issues … Theor Issues Ergon Sci. 2011;12:204-272.
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psnet.ahrq.gov/issue/patient-safety-old-and-new-issue
June 01, 2011 - Theor Issues Ergon Sci. 2023;8(5):365-507. … Theor Issues Ergon Sci. 2023;8(5):365-507.
View more articles from the same authors. … Theor Issues Ergon Sci. 2023;8(5):365-507.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FinalResultsofLOINCMapEval.jsp
October 05, 2010 - Conference Calls and follow-up e-mails to address any questions/ issues with Data Requirements. … Transmission of file
What issues were encountered in complying with data requests? … Issues Encountered in Complying with Data Requests
Hospital Two
Barriers
How was issue … Multiple reviews and team meetings of AHCA and 3M project guidelines
What issues, challenges or … Transmission of Data
Were issues encountered during data transmission?
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psnet.ahrq.gov/node/45207/psn-pdf
August 17, 2016 - While similar safety issues and root causes
were identified across all units and services, medication … safety issues were more common on internal
medicine and surgical units. … On the other hand, collaboration issues were more frequent in emergency
medicine units.
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
August 01, 2022 - Issues Related to the TEP Recommendations
There are a number of limitations, implementation issues, … To some extent, this has reflected an interest by TEP members in issues related to implementation of … However, for future work, it will be critical to consider these issues. … Legal considerations : Beyond the issues discussed above related to maintaining confidentiality, there … There may be issues with other Federal agencies that currently have consumer reporting systems or may
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - She also
vaguely remembered being given a number at the hospital to call if she had any issues at home … Create a resource network to troubleshoot issues raised on the call. … may uncover more issues than "Do you have any
questions about your discharge medications?" … Track call outcomes to help inpatient providers learn from issues addressed in the call. … arise after discharge, the time needed to adequately address issues may be much longer.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-fac-notes.html
June 01, 2017 - Say:
Huddles provide an excellent opportunity to “clear the deck” of any issues. … by reviewing any concerns that might touch on safety from the previous day, and consider any safety issues … Review issues that are actively being tracked, such as quality improvement projects: what is the status … If issues are raised, record them and follow up with additional exploration or discussion after the huddle … And finally, don’t forget to follow up on issues identified during the huddle, and make sure staff