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www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
December 01, 2012 - particularly important in the unit if complicated care plans are to be effectively managed by the care team
Problem
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ptoutcome-mail.html
March 01, 2025 - hospital stay, the doctors and nurses may have told you the name of your primary diagnosis or main problem … Do you know what your main problem was? … ____________________________ If YES, Can you please list the name of your primary diagnosis or main problem
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www.ahrq.gov/hai/cusp/modules/engage/exec-notes.html
December 01, 2012 - One method of engagement is sharing stories about patients affected by this problem and estimating the … number of patients who could be harmed as a result of this problem. … This technical solution to their unit-based problem—the line cart and supply checklist—increased staff … Verify the decisionmaking, conflict management, and problem-solving processes are clear, and
Ensure … (Technical)
Are decisionmaking, problem-solving, and conflict management processes understandable?
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
December 01, 2017 - Briefing and Debriefing Tool
AHRQ Safety Program for Surgery
Introduction
Problem
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety-apa.html
September 01, 2022 - Formulate, or contribute to, an accurate problem representation expressed in a concise summary statement … How would you summarize the patient’s problem and your findings? … How would you communicate the patient’s problem and your findings to the diagnostic team?
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6m.pdf
October 01, 2017 - The Problem
Dissatisfaction with how providers communicate can arise when people need more
attention … This problem is particularly common for patients with chronic conditions, who are often
struggling to … Some medical groups get around this problem by
conducting the group visits in the evenings; other organizations … The Problem
6.M.2. The Intervention
6.M.3. Benefits of This Intervention
6.M.4.
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
March 01, 2025 - Plan for what to do if a problem arises. … Review of what to do if a health or medical problem arises. … You will need to problem solve with the patient if there are barriers to keeping appointments. … Discuss What To Do If a Problem Arises Always end the call by reviewing what the patient or caregiver … should do if a problem arises at any time (any hour and day of the week).
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
August 01, 2022 - Was the problem reported? To whom?
What happened when the problem was reported?
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-summary.html
August 01, 2024 - 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
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/013-strategies-prevent-bcc.docx
October 01, 2024 - Practical guidance for clinical microbiology laboratories: a comprehensive update on the problem of blood … culture contamination and a discussion of methods for addressing the problem.
-
www.ahrq.gov/hai/cusp/toolkit/culture-checkup.html
December 01, 2012 - Culture Check-Up Tool
CUSP Toolkit
Health care provider roles
Problem statement: Improving
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
May 01, 2014 - Healthcare Research and Quality
MEDICAL CARE REFERRAL FORM
USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM … Name and relationship:_____________________Contact Date_______Time_________
DESCRIPTION OF CURRENT PROBLEM
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - framing as “diagnostic errors,” since an error is seen by patients as implying culpability for the problem … Considering only respondents for whom the diagnostic problem happened 3 or more years in the past, 28 … events will also be the most undercounted by surveys fielded by the delivery systems within which the problem … Open-ended questions should be designed to provide information about both the emergence of the problem … switched doctors after the event; a comparable percentage switched hospitals if they had a diagnostic problem
-
www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
September 28, 2016 - Diagnosis
2015
The failure to:
(a)establish an accurate and timely
explanation of the patient’s health
problem … Diagnostic Error:
Magnitude of the Problem
• 12 million or 5 % U.S. adults seeking outpatient care … epidemiology, burden of harm, economic costs of
diagnostic error, and current efforts to address the problem … organizations
• Launch Action Collaborative:
o To develop broad recognition of the magnitude of the
problem … Slide Number 50
Slide Number 51
Slide Number 52
Diagnostic Error: �Magnitude of the Problem
Study
-
www.ahrq.gov/talkingquality/distribute/timing/index.html
March 01, 2016 - The problem with being too early is that people are likely to put the information aside and then forget … The problem with being so thorough is that flooding the market with information can be expensive and … One way to get around this problem is to make the information available through links on existing Web
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/2022-HSOPS-WPS-database-report-appendix-508.pdf
January 01, 2022 - (Item WPC1*) 52% 51% 69%
In this unit, there is a problem with patients or visitors being
verbally … (Item WPC1*) 69% 55% 54%
In this unit, there is a problem with patients or visitors being
verbally … (Item WPC1*) 63% 74%
In this unit, there is a problem with patients or visitors being verbally
aggressive … Verbal Aggression From Providers or Staff % Strongly Disagree/Disagree
In this unit, there is a problem … (Item WPC1*) 68% 62% 62% 65%
In this unit, there is a problem with patients or visitors being
verbally
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.docx
December 23, 2009 - change; list the key business reasons for initiating the project, specifically stating the business problem … Describe the business reason(s) for initiating the project, specifically stating the business problem
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/d2-projectcharter.pdf
December 23, 2009 - change; list the key business reasons for initiating the project,
specifically stating the business problem … Describe the business reason(s) for initiating the project, specifically stating the business problem
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
November 01, 2015 - The issue is with inappropriate and microbial use I think is a major problem. … Another problem with a pressure with antibiotics and their side effects and physical, more resistant … There is a problem. … It spread very rapidly and is now a global problem. 6 percent of eyes lives at UW are the Nap I or the … The problem that we're running into with maintaining Foleys is we really don't have any great ideas for
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
September 09, 2014 - The issue is with inappropriate and microbial use I think is a major problem. … Another problem with a pressure with antibiotics and their side effects and physical, more resistant … There is a problem. … It spread very rapidly and is now a global problem. 6 percent of eyes lives at UW are the Nap I or the … The problem that we’re running into with maintaining Foleys is we really don’t have any great ideas for