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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-g.pdf
July 31, 2017 - The Problem
People rarely complain about the technical aspects of the health care they receive
because—in … History-taking skills
Issues related to communicating across cultures
Communicating with “problem … 6.G-3
Some programs also address
weaknesses in written
communications, which can be a
serious problem … Many individuals in this stage are unaware or
under-aware that a problem exists. … The Problem
6.G.2. The Intervention
6.G.3. Example
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www.ahrq.gov/hai/cauti-tools/ena-slides/part1a.html
October 01, 2015 - So whose problem is urinary catheterization anyway? Emergency nurses? Inpatient nurses? Providers? … Assumptions around catheter use and the issues they create become the problem of the institution, not … Slide 57
Perception -- whose problem is it?
CAUTI does not "belong" to the ED. … Slide 61
The problem with assumptions
Problematic Expectations
Because it is customary for many … Slide 62
Problem with assumptions
Assumption of a catheter in place.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-section-5-table-2.pdf
May 01, 2010 - (p. s168) Clinicians should use
neutral terms to discuss the problem with
families, such as ‘weight … appropriate
setting for weight discussions because the
setting frames the condition as a health
problem … Solving the
problem of childhood
obesity within a generation.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-j.pdf
July 01, 2017 - The Problem
Patients often express dissatisfaction because they are not getting everything they need … Health plans, medical groups, and physician practices can play two important roles to
counter this problem … Such programs are based on self-efficacy theory and emphasize
problem solving, decision making, and … The Problem
6.J.2. The Intervention
6.J.3. Benefits of These Interventions
6.J.4.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a4_pdi_casestudy.pdf
December 01, 2015 - One specific problem was that physicians were ordering temporary lines such as
peripherally inserted … cell transplant division and made it clear to everyone
why physicians needed to take ownership of the problem … Drilling down to the root causes of the problem revealed a variety of issues. … By clarifying how the existing phone-based ordering process contributed to the problem, the
improvement … presentation template so that it would support her need to educate clinicians and staff
about the problem
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/156-what-are-4es.pptx
October 01, 2024 - Communicate the importance of the problem. … Use baseline data to demonstrate the magnitude of the problem. … They meet with leaders and staff to communicate the severity of the MRSA problem and how they plan to … Healthcare workers may not be aware that the problem exists.
Share the data with the staff. … culture contamination and a discussion of methods for addressing the problem.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-knowledge-assessment.pdf
February 01, 2022 - Mutual support, coaching, communication, problem solving.
b. … diagnostic error: “the failure to establish an accurate and timely explanation of the patient’s health
problem … A problem in hospitals but rare in outpatient settings.
d. A & B.
e. All of the above. … What is the problem, what are solutions, what has already been tried, what am I concerned
about, what … What is the problem, what are the consequences, what help do I need, what has been tried,
what are
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/appa.html
October 01, 2015 - A concise statement of the problem. … R
Recommendation/Request – What action/recommendation is needed to correct the problem?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/team-roster.docx
March 01, 2017 - Infection Preventionist
Data driven
Collaborative
Problem solver
Advocate
· Ensure data collection/ … Physician Champion
Resourceful
Problem solver
Influencer
Data driven
· Educate peers about HAIs/CAUTI … Frontline Champion
Resourceful
Problem solver
· Inspire others to commit to goals and interventions
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/chart-abstraction-instructions-aspirin.pdf
June 02, 2025 - eligible encounters during measurement
period (year prior and including) with IVD diagnosis on active problem … Is patient ≥ 18 yo on RepPeriod AND have an IVD diagnosis on problem list as of RepPeriod
or encounter … Does encounter note or problem list indicate a high risk of bleeding where the risks of
therapy out weight
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-worksheet.docx
March 01, 2017 - · Assessment – What did Nurse Nohai think was the problem? … Bell does not usually have a problem getting around, but he fell three times in the past week.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-mahler.html
June 01, 2024 - The problem: most people aren’t actually having a heart attack. … This is the problem that Simon A. Mahler, M.D., is confronting. Dr.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
January 01, 2004 - patient
injuries leads to “unscientific theories,” which result in
“counterproductive responses to the problem … Patient safety represents a difficult and complex problem.
Dr. … Indeed, it is difficult to overemphasize the complexity
of the problem, given the fragmented nature … We are learning that safety is an emergent property of systems, not a problem that
can be easily and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/tool-examples.docx
March 01, 2017 - In a solution that paired technical problem solving with accountability, the facility established a single … The intranet site allowed the senior leadership team members to solve a problem with a minimal amount … change in attitudes, beliefs, and behaviors
· Clarifying decision-making, conflict management, and problem-solving
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6l.pdf
August 01, 2017 - The Problem
When patients with chronic illness report that their clinicians do not explain things well … Sometimes, the problem is that they are trying to
fit it into an acute care visit, whether or not the … The Intervention
One antidote to this problem is the planned visit,
which is a component of the Chronic … The Problem
6.L.2. The Intervention
6.L.3. Benefits of This Intervention
6.L.4.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
June 02, 2025 - in which CUSP teams help unit staff understand the effects of preventable harm caused by a clinical problem … 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 … (Technical)
· Are decisionmaking, problem-solving, and conflict management processes understandable?
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-3.html
June 01, 2021 - improvement effort relies on leadership support and buy-in. 22 Staff need to know that once they identify a problem … Empower frontline care providers to develop their own problem-solving strategies, and encourage team … Control
Boundary spanning
What professional, organizational, or geographic boundaries do the problem
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form_Word_doc_for_html_only.doc
June 02, 2025 - MEDICAL CARE REFERRAL FORM
USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM AND INFECTION MAY … Name and relationship:_____________________Contact Date_______Time_________ DESCRIPTION OF CURRENT PROBLEM
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/055-guide-nursing-practice.docx
October 01, 2024 - 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
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www.ahrq.gov/evidencenow/projects/alcohol/index.html
October 01, 2024 - EvidenceNOW: Managing Unhealthy Alcohol Use
Problem Unhealthy alcohol use is one of the Nation … The COVID-19 pandemic has added to the problem with increased isolation, unemployment, and other stresses