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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-workplace-safety-report-appendix.pdf
January 01, 2024 - These single items ask respondents if there is a problem with
providers or staff being verbally aggressive … (Item WPC1*)
63% 56% 51% 47% 40% 50%
In this unit, there is a problem with patients or visitors being … (Item WPC1*)
51% 47% 58%
In this unit, there is a problem with patients or visitors being verbally … (Item WPC1*)
47% 43% 63%
In this unit, there is a problem with patients or visitors being
verbally … (Item WPC1*)
56% 48% 56% 66% 59% 49% 52% 49% 71%
In this unit, there is a problem with patients or
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
April 02, 2025 - Observing Patient Care Rounds
Problem statement: Interdisciplinary rounds are in the best interest of … Problem
Team Members Affected
Patient Care Not Addressed
Suggestions for Improvement
-
www.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
April 01, 2022 - A five-stage systems engineering cycle, including problem analysis, design, development, implementation … Over 5 years, four synergistic projects engaged health system-based reengineering and design teams in problem … EHRLL used a variety of systems engineering and problem analysis tools at four institutions to facilitate … ” that overcomes stigma, barriers, and inefficiencies to address this important clinical and social problem
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082cesareancoding.xls
January 01, 2012 - Improvement(R) (AMA-PCPI) 2.16.840.1.113883.3.526.3.1386 Vertex Fetal Presentation Condition/Diagnosis/Problem … Improvement(R) (AMA-PCPI) 2.16.840.1.113883.3.526.2.1485 Vertex Fetal Presentation Condition/Diagnosis/Problem … Improvement(R) (AMA-PCPI) 2.16.840.1.113883.3.526.2.1485 Vertex Fetal Presentation Condition/Diagnosis/Problem … Improvement(R) (AMA-PCPI) 2.16.840.1.113883.3.526.2.1485 Vertex Fetal Presentation Condition/Diagnosis/Problem … Improvement(R) (AMA-PCPI) 2.16.840.1.113883.3.526.2.1485 Vertex Fetal Presentation Condition/Diagnosis/Problem
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.pdf
March 01, 2022 - Product
Documentation
Patient/Family Sustainment/Operations
• Project/QI champions
participate in problem … -
solving and discuss
practice with peer group
• Multidisciplinary
approach to problem-
solving
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.docx
March 01, 2022 - Product Documentation
Patient/Family
Sustainment/Operations
Project/QI champions participate in problem-solving … and discuss practice with peer group
Multidisciplinary approach to problem-solving: project/QI champions
-
www.ahrq.gov/news/newsroom/case-studies/202402.html
July 01, 2024 - Adams, R.N., that they had a problem. … She took the problem to Adams. "I told Bettina, 'Go to AHRQ.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-sops-hospital-survey-workplace-item-set-webcast-yount.pdf
April 02, 2025 - Addressing Workplace Aggression From
Patients or Visitors 56% 18% -38%
In this unit, there is a problem … visitors being verbally aggressive toward
providers or staff.
48% 13% -35%
In this unit, there is a problem
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
April 02, 2025 - Problem 2. Potential Problem 3. No Apparent Problem
© Barbara Braden and Nancy Bergstrom, 1988.
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/culture-checkup-tool.html
July 01, 2023 - Culture Checkup Tool
AHRQ Safety Program for Perinatal Care
Problem statement:
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/mccannon/mccannon.ppt
February 17, 2011 - Slide 1
The Spread Problem
The Challenge and Promise of Delivery System Research: A Meeting of AHRQ … Centers for Medicare and Medicaid Services
February 17, 2011
*
Ground to Cover
The Spread Problem … effectiveness on a smaller scale
Degree of awareness
Degree of confidence
*
*
Framing
Problem
-
www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
December 01, 2017 - Identification and Mitigation Tool
AHRQ Safety Program for Surgery
Introduction
Problem … Step 1: Assemble Interdisciplinary Team
First, compose a diverse team to examine a specific quality problem
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict-resolution-slides/slides.html
October 01, 2014 - a circular chart showing the steps:
Get Person's Attention leading to Express Concern then State Problem … care
Depersonalize the conversation
Actively avoid being perceived as judgmental
Be hard on the problem … CONFRONTATION —Meet the problem head on (win-win)
Return to Contents
Slide 13.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
May 01, 2017 - Considerations include how widespread the problem is, how different your score is from
others (i.e., … Articulating the issue in writing helps
you formalize the problem and describe it completely. … It also helps everyone on the
improvement team focus on the same problem. … happens and write the answer down below the
problem. … All patients who report a problem scheduling appointments.
-
www.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html
July 01, 2023 - In-depth reviews assessed practices on the following domains:
How important is the problem? … All practices were then summarized on the following domains: scope of the problem, strength of evidence
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/DxSftyRpt-Updated-2022.pdf
January 01, 2022 - this office have enough time to review the relevant
information related to the patient’s presenting problem … this office have enough time to review the relevant
information related to the patient’s presenting problem … this office have enough time to review the relevant information related to the patient’s
presenting problem … item “The amount of time for appointments is long enough to fully
evaluate the patient’s presenting problem … The amount of
time for
appointments is
long enough to fully
evaluate the
patient’s presenting
problem
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - error as, “the failure to (a) establish
an accurate and timely explanation of the patient’s health problem … ; (2) communication, confusion about the explanation of
the health care problem; and (3) timeliness, … it took too long to receive
an explanation for a health care problem. … and “Has a
physician ever misdiagnosed your endometriosis as a
mental health problem (before you were … NASEM1 The failure to (a) establish an accurate and timely explanation of the patient’s health problem
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/new_model_thinking.pdf
February 01, 2014 - PREVENTION
A New Model of Thinking in Clinical Preventive Services
The Harms of Screening: an Unseen Problem … PREVENTION A New Model of Thinking in Clinical Preventive Services
The Harms of Screening: an Unseen Problem
-
www.ahrq.gov/funding/process/review/peerproc.html
July 01, 2021 - Significance: Does this study address an important problem? … Does the applicant acknowledge potential problem areas and consider alternative tactics? … Importance and Impact (if applicable): What are the importance of the problem addressed and the potential … impact of the solution of this problem on health or on health care delivery?
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
October 01, 2024 - Slide 4
How Can Safety Be Such a Big Problem? … When creating a team to address a safety problem, it’s important to remember that diverse groups offer … The CUSP team applies systems thinking, seeking to understand the why behind the problem without blame … Show a reluctance to simplify both the problem and the solution. … When you are problem solving, evaluate feasibility.