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www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/culture.html
April 01, 2022 - Coaching To Support Behavior Change (PDF, 272.4 KB)
Audio interview with Pat Posa – How To Have Difficult … Senior Leadership Engagement Matters (11:57 minutes; Transcript , PDF, 252.2 KB)
Video – Having Difficult
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/professional-tool.html
July 01, 2023 - Were any health care clinicians difficult to approach?
… Did the clinician you shadowed seem comfortable working with this difficult clinician?
… If yes, was it because another health care clinician was difficult to work with?
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology4.html
April 01, 2025 - As some of these findings may evolve, it can be difficult to seek secondary verification or consensus … It can also be difficult, or at least cumbersome, to capture this evidence directly, and often descriptions
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www.ahrq.gov/news/blog/ahrqviews/change-primary-care.html
August 01, 2019 - How did the team eventually succeed despite a difficult-to-use electronic health record (EHR) system, … The assistance provided by the practice facilitator helped the team conquer some of its most difficult … Through that research, AHRQ tried to understand not only why change can be so difficult, but also more
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/Post-UsabilityEvaluationQuestionnaire.pdf
November 08, 2010 - Difficult 0 1 2 3 4 5 6 7 8 9 Easy
c. Frustrating 0 1 2 3 4 5 6 7 8 9 Satisfying
d. … Exploring new features by trial and Difficult 0 1 2 3 4 5 6 7 8 9 Easy
error
12. … Remembering names and use of Difficult 0 1 2 3 4 5 6 7 8 9 Easy
commands
13. … Correcting your mistakes Difficult 0 1 2 3 4 5 6 7 8 9 Easy
17.
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psnet.ahrq.gov/node/60294/psn-pdf
May 06, 2020 - medically-necessary-time-sensitive-procedures-scoring-system-ethically-and-
efficiently-manage
Physicians may be faced with difficult … medically-necessary-time-sensitive-procedures-scoring-system-ethically-and-efficiently-manage
https://psnet.ahrq.gov/issue/covid-19-bears-down-doctors-confront-difficult-choices-elective-surgeries
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psnet.ahrq.gov/node/863308/psn-pdf
February 28, 2024 - Copious vomitus obstructed
the suction catheter and was difficult to remove. … Anesthetic factors such as difficult intubation, light anesthesia,
prolonged surgery duration, or positive … Difficult Airway
The Difficult Airway Algorithm outlined in the 2022 American Society of Anesthesiologists … view of the airway and in all likelihood, the resuscitation
attempts made securing the airway more difficult … Using these devices can be difficult in the
setting of aspiration, as the camera view can quickly become
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/ts-obc-webinar-052317.pptx
January 01, 2017 - Implementation
How to identify your quick win
PRC Suite – Stand your ground and don’t start with a difficult … Mod 1 05.2 Page ‹#›
Slide ‹#›
Training & Implementation
- 90 minutes presentation specifically on difficult … examples – locked in on your computer, cell phone, personal conversations
14
Effective Communication and Difficult … Building & Defining Current State
STEPP #2: Situational Awareness & Effective Communication
STEPP #3: Difficult
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www.cahps.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.healthcare411.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.innovations.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.monahrq.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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ce.effectivehealthcare.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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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - Given these difficult circumstances, Advanced Trauma Life Support (ATLS) guidelines were developed and … Options for handling these difficult injuries include packing, direct repair, and resection. … In this case, the liver was hard, presumably difficult to move, and the spleen was enlarged. … It is difficult to create tamponade around a mobilized liver. … Management of complex liver trauma is a difficult, but not impossible endeavor.
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - —As seen in this case, morbid obesity makes physical examination more difficult. … —Management of the airway in an obese patient can be extremely difficult. … —Venous access in morbidly obese patients can be extremely difficult and time consuming. … Difficult intubation: an analysis of 2000 incident reports. … Relative risk analysis of factors associated with difficult intubation in obstetric anesthesia.
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psnet.ahrq.gov/node/49474/psn-pdf
March 01, 2005 - —As seen in this case, morbid obesity makes physical examination more difficult. … Getting the morbidly obese patient into the correct
examination position may be extremely difficult. … —Management of the airway in an obese patient can be extremely difficult. … —Venous access in morbidly obese patients can be extremely difficult and time
consuming. … Difficult intubation: an analysis of 2000 incident reports.
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www.ahrq.gov/evidencenow/projects/urinary/resources/recruiting-physician-patient-dyads.html
November 01, 2014 - Summary
Recruiting physicians and patients for primary care research is difficult, and low participation
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-15.html
November 01, 2014 - Getting release time for staff and management engineers to work on the new Lean Hospital process was difficult
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
September 04, 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 … However, in clinical practice it is often hard to distinguish a simple case from a
difficult case. … The checklist
particularly improved accuracy
in the difficult cases.
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www.ahrq.gov/talkingquality/translate/labels/limit-info.html
November 01, 2018 - It is very difficult to present these topics accurately using language understandable to the many Americans … It is difficult to interpret such measures, particularly when making comparisons across plans or providers