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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/difficult-conversations-transcript.pdf
April 01, 2022 - Transcript: How To Have Difficult Conversations With Colleagues Around Infection Prevention Practices … Program for Intensive Care
Units: Preventing CLABSI and CAUTI
Transcript
How To Have Difficult … Today, we're discussing how to have difficult conversations with colleagues
around infection prevention … Kate: In the moment, why is it difficult to speak up, do you think, in some of these ICU
environments … In part, how to have a difficult conversation is to set an expectation for
a conversation in the first
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/mhs/outpatient-mental-health-survey-measures.pdf
October 04, 2024 - Response Options
• Very difficult
• Somewhat difficult
• Not very difficult
• Not difficult at all … Getting Mental Health Counseling
Q10 How difficult was it to find this mental health counselor? … Q12
How difficult was it to make appointments with your mental
health counselor? … Response Options
• Very difficult
• Somewhat difficult
• Not very difficult
• Not difficult at all … Response Options
• Very difficult
• Somewhat difficult
• Not very difficult
• Not difficult at all
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/mhs/cahps-outpatient-mental-health-survey-adult-english.pdf
February 05, 2025 - 1 Very difficult
2 Somewhat difficult
3 Not very difficult
4 Not difficult at all
4. … How difficult was it to find this mental
health counselor? … 1 Very difficult
2 Somewhat difficult
3 Not very difficult → Go to #12
4 Not difficult at all → … 1 Very difficult
2 Somewhat difficult
3 Not very difficult
4 Not difficult at all
13. … 1 Very difficult
2 Somewhat difficult
3 Not very difficult
4 Not difficult at all
26.
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www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-mentalhealth-hp50-adult.html
May 01, 2021 - 1 __ Extremely difficult
2 __ Very difficult
3 __ Somewhat difficult
4 __ Not very difficult … 5 __ Not at all difficult
After P-MH2
Note: Use with P-MH1. … In the last 6 months, how difficult was it for you to get your prescriptions for these mental health … 1 __ Extremely difficult
2 __ Very difficult
3 __ Somewhat difficult
4 __ Not very difficult … 5 __ Not at all difficult
After P-MH5
Note: Use with P-MH5.
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www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-mentalhealth-cg30-adult.html
May 01, 2021 - 1 __ Extremely difficult
2 __ Very difficult
3 __ Somewhat difficult
4 __ Not very difficult … 5 __ Not at all difficult
After C-MH2
Note: Use with C-MH1. … In the last 6 months, how difficult was it for you to get your prescriptions for these mental health … 1 __ Extremely difficult
2 __ Very difficult
3 __ Somewhat difficult
4 __ Not very difficult … 5 __ Not at all difficult
After C-MH5
Note: Use with C-MH5.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-19.html
November 01, 2014 - Staff turnover may make it difficult to maintain continuity on larger projects. … Engagement
If managers are not trained in Lean, it is difficult to get their support for a Lean … If staff do not see the applicability of Lean to the improvement project, it is difficult to engage them
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www.ahrq.gov/topics/sepsis.html
It is one of the most expensive and difficult to treat conditions in hospitals in the United States.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/04-outpt-mhs-webcast-hargraves.pdf
August 22, 2022 - response to
questions, that is, a “top box” response.
27
Access to Mental Health Counselors
• How difficult … • In the last 6 months, how difficult was it to make appointments
with your main mental health counselor … Responses: Very difficult, Somewhat difficult, Not very difficult, Not difficult at all
“Top Box” response … Measures Reliability
Composite
Internal
Consistency
Reliability Valid N
Counseling Access
How difficult … to find counselor 0.52 137How difficult to make appt. w/counselor
Counseling Communication*
How often
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/mhs/cahps-outpatient-mental-health-guidance.pdf
December 01, 2024 - Response Options
• Very difficult
• Somewhat difficult
• Not very difficult
• Not difficult at all … Response Options
• Very difficult
• Somewhat difficult
• Not very difficult
• Not difficult at all … Response Options
• Very difficult
• Somewhat difficult
• Not very difficult
• Not difficult at all … How difficult was it to find this mental health counselor?
11. … Why was it difficult to find your main mental health counselor?
12.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/patient-narratives-webinar-stories.pdf
July 01, 2020 - Communication
Discussing COVID
Providers may spend less time, but it’s okay
Masks can make communication difficult … insufficient, useful
Proximal
Communication:
Reassuring,
insufficient, useful
Access: Working,
difficult … necessary, hard
Proximal
Communication:
Reassuring,
insufficient, useful
Access: Working,
difficult … compassionate
Proximal
Communication:
Reassuring,
insufficient, useful
Access: Working,
difficult
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3.html
February 01, 2023 - Doing so leads to a difficult conversation with the night shift nurse. … Sally: I’m sorry you had such a difficult night, but I did run the situation by the team and they all … Although these are difficult decisions, it is important to keep the overall goal in mind. … Change in practice can be difficult, so this situation was an opportunity for staff to discuss the plan
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5.html
February 01, 2023 - Instructions
Unsafe Behavior Worksheet
All behavior is meaningful; however, it may be difficult … To staff, he may be anxious, combative, uncooperative and difficult.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role1.html
September 01, 2024 - All these factors occur within a fragmented and difficult to navigate healthcare system. 9 Importantly … It is difficult to partner with your medical team if they neither listen nor consult with you. … Perhaps counterintuitively, those who have experienced diagnostic limbo, had long or difficult diagnostic … This feeling is seen especially in patients with conditions that are difficult to diagnose or rare.
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www.ahrq.gov/patient-safety/reports/issue-briefs/dxchecklists-3.html
September 01, 2020 - The authors exposed the participants to both simple and difficult clinical case vignettes based on actual … For difficult cases, the content-specific checklist improved diagnostic accuracy, but the debiasing checklist … was not effective in either simple or difficult cases. 16
Taking all this research into account, content-specific
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-3.html
September 01, 2020 - The authors exposed the participants to both simple and difficult clinical case vignettes based on actual … For difficult cases, the content-specific checklist improved diagnostic accuracy, but the debiasing checklist … was not effective in either simple or difficult cases. 16
Taking all this research into account, content-specific
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www.ahrq.gov/nursing-home/resources/communication-playbook.html
February 01, 2021 - COVID Ready Communication Playbook
This playbook provides practical advice on how to talk about difficult
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - This section summarizes how
much we know about how to implement the PSP and how
difficult it is to … For the question of implementation difficulty, we used
three categories: difficult, for PSPs that require … large scale
organizational change; not difficult, for PSPs that require
protocols for drugs or devices … /
Not difficult
(implementation
of a “bundle”)-
to-moderate
(understanding
organization
culture … = not difficult, moderate, or difficult.
11
Discussion
Since the 2001 report, “Making Health Care
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www.ahrq.gov/sites/default/files/2024-10/klein-report.pdf
January 01, 2024 - Both phases employed an easy and a
difficult camera condition. … These
resources are limited and utilized by attentionally demanding (difficult) tasks2. … We hypothesized that difficult disruptions result in higher BFV
of the MCAs than easy disruptions, with … Participants performed the peg-transfer task in either an easy or a difficult
condition. … BFV ratios observed for
novices and experts in the easy and
difficult camera conditions in Phase 1.
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/functioning.html
April 01, 2022 - Cleaning (PDF, 372.7 KB)
Team Roster (Word, 271 KB)
Audio interview with Pat Posa – How To Have Difficult … (13:30 minutes; Transcript , PDF, 263.4 KB)
Video – Having Difficult Conversations About Preventing
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www.ahrq.gov/talkingquality/resources/writing/tip6.html
May 01, 2015 - comprehension or use of your report, they can be a good tool for alerting you that your text is too difficult … To determine whether your text is too difficult for your intended readers, start by estimating your audience … Anything written at a 10th grade level or above is considered difficult. … Circle any shorter words you think might be difficult for your readers.