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Showing results for "problem".

121. Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
     June 15, 2003 - However, the issues that arise are (1) approaching patient safety as a systems problem, and (2) overcoming … Problem-solving transforms knowledge into learning through the creation of new standards, processes, … Implementing regionwide problem-solving PRHI has supported regionwide problem-solving through the development … • Implementing rapid root-cause problem-solving at all levels of an organization. … Infection control—a problem for patient safety. N Engl J Med 2003 Feb 13;348(7):651–6.

122. Antibiotic-Targets-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
     June 01, 2021 - First-order problem solving involves solving one problem at a time by focusing on one particular instance … This type of problem solving generally does not help prevent future harm from occurring. … Solving an adaptive problem is complex. … An adaptive solution to this problem involves encouraging a culture of safety. … · Use second-order problem solving to determine technical and adaptive solutions.

123. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
     December 01, 2017 - Slide 3 Problem-Solving Hierarchy SAY: First-order problem solving resolves an issue for one patient … Instead of relying on first-order problem solving, practice second-order problem solving. … Slide 4 Problem-Solving Goal SAY: First-order problem solving doesn’t encourage a positive patient … solving to second-order problem solving. … Does the hospital reward first-order problem-solving instead of second-order problem-solving?

124. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pptx
     June 02, 2025 - AHRQ Quality Indicators How to Improve Hospital Quality and Safety Tool D.1 Slide ‹#› Diagnose the problem … Step 1 Diagnose the Problem Performance Improvement Model Source: Langley GJ, Nolan KM, Nolan TW … Step 1 Diagnose the Problem Describe Improvement Initiative – Project Charter (Tool D.2) Review and Select

125. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pptx
     June 02, 2025 - AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool D.1 Slide ‹#› Diagnose the problem … Step 1 Diagnose the Problem Performance Improvement Model Source: Langley GJ, Nolan KM, Nolan TW … Step 1 Diagnose the Problem Describe Improvement Initiative – Project Charter (Tool D.2) Review and Select

126. Improvement Methods Overview (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pdf
     June 02, 2025 - Diagnose the problem 2. Plan and implement best practices 3. Measure results and analyze 4. … Step 1 Diagnose the Problem Performance Improvement Model Source: Langley GJ, Nolan KM, Nolan TW … Step 1 Diagnose the Problem • Describe Improvement Initiative – Project Charter (Tool D.2) • Review and

127. Improvement Methods Overview (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pdf
     June 02, 2025 - Diagnose the problem 2. Plan and implement best practices 3. Measure results and analyze 4. … Step 1 Diagnose the Problem Performance Improvement Model Source: Langley GJ, Nolan KM, Nolan TW … Step 1 Diagnose the Problem • Describe Improvement Initiative – Project Charter (Tool D.2) • Review and

128. Readiness Assessment | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/implement/pre/ready.html
     January 01, 2024 - If You're Ready, Exactly What Problem Are You Trying To Fix? … Asking key stakeholders whether they perceive the issue as a problem, how large a problem they think

129. Management Practices for Sustainability - Module 1: Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-slides.html
     June 01, 2017 - Healthcare Improvement (IHI) team studied 10 leading health care organizations that are addressing this problem … frontline managers and staff Key elements Daily huddles Use of visual boards at the front line Problem-solving … Problem-solving skills applied at appropriate level. … work by staff, the daily safety huddle, visual management, escalation, observation of safety work, problem

130. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
     June 01, 2021 - intervention is effective. 2 Changing the System 2 View Potential Harms as Opportunities1 Reframe a problem … or error as an opportunity to prevent the same problem from occurring again System design Can result … 17 Changing the System 17 Review Consider system/active failures which may have led to the problem … Apply 4 moments Identify a problem Learn from the problem to improve the system 18 Changing the System

131. Changing-System-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
     June 01, 2021 - A problem that almost led to patient or resident harm is called a “near-miss.” … Then, the team can address the problem and takes steps to prevent it from happening again. … try to select two to five interventions to address the problem. … First, identify a problem. … The problem may also be something that frontline staff members notice as a potential problem or workaround

132. Pressure Ulcer Prevention Toolkit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
     June 02, 2025 - Problem: Requires moderate to maximum assistance in moving. … Potential Problem: Moves feebly or requires minimum assistance. … No Apparent Problem: Moves in bed and in chair independently and has sufficient muscle strength to lift … Friction and Shear Problem · Skin assessment and inspection q shift. · Minimum of 2 people + draw sheet … Potential Problem · Keep bed linens clean, dry, and wrinkle free. · Avoid massaging pressure points.

133. Re-Engineered Discharge Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/redtoolkitforms.pdf
     September 01, 2012 - Question or Problem with this Packet? … Call your Discharge Educator: (555) 555-2222 Serious health problem? Call Dr. … What To Do If a Problem Arises CALLER: Before we hang up, I want to make sure that if a medical problem … Do you know what your main problem was? … Do you know what your main problem was?

134. Module 4: PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation.pptx
     May 01, 2017 - Supervisor can report on gaps in daily huddle and use problem-solving methods to reduce the gaps. … jpeg image1.jpeg image5.tif Daily Safety Huddle • Standard agenda • Data review • Problem … tracking Visual Management • Outcomes over time • Checklist compliance • Problem log Escalation • … surgical checklist • Infection control procedures Observation of Safety Work:unit lead & senior leader Problem

135. SOPS® Diagnostic Safety Supplemental Items for the SOPS Medical Office Survey (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-suppl-items.doc
     June 02, 2025 - The amount of time for appointments is long enough to fully evaluate the patient’s presenting problem … this office have enough time to review the relevant information related to the patient’s presenting problem … The processes start when a patient seeks care for a health problem, and include: Gathering, integrating

136. Working With and Supporting Practice Leaders (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-21-leadership.pdf
     September 01, 2015 - This involves the leader identifying the problem, identifying the solution to the problem, and then … Examples include, “What is your ideal solution to this problem?” … problem and determine whether it is truly a “problem” or merely a misinterpretation of a situation … Think of a problem you have tried (and failed) to fix multiple times. … leaders then must gather information on the problem.

137. Tool 5 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/postdischarge-doc.html
     March 01, 2025 - If new problem since discharge: Had the patient:    ___ Contacted or seen clinician? … _____________________ Medicine 2 :_________________________________________________________________ Problem … _____________________ Medicine 3 :_________________________________________________________________ Problem … Problems Did patient/caregiver know what constituted an emergency and what to do if a nonemergent problem

138. Tool 5 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/postdischarge-doc.html
     March 01, 2025 - If new problem since discharge: Had the patient:    ___ Contacted or seen clinician? … _____________________ Medicine 2 :_________________________________________________________________ Problem … _____________________ Medicine 3 :_________________________________________________________________ Problem … Problems Did patient/caregiver know what constituted an emergency and what to do if a nonemergent problem

139. Appointment Aide: Preparing for Your Appointment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_apptaide.pdf
     December 01, 2017 - 5 The Problem(s) I Need to Look For I should… …if I have the following problem(s): ❑ Call 911 ❑ … ❑ Call _________________ ❑ Schedule follow-up appointment I should… …if I have the following problem … Preparingfor Your Appointment Before My Appointment During My Appointment My Medicine List The Problem

140. Section 2: Detailed Measure Specifications, Attachment 2: EHR Recommended Data Locations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdf
     June 02, 2025 - page 6 Age Info Usually in the registration of face page 7 ADHD diagnosis date Cpt or visit or problem … page 8 ADHD-focused evidence-based behavior therapy prescribed Note Discussion of diagnosis or problem