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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6r-reminder-systems.html
March 01, 2020 - The Problem
6.R.2. The Intervention
6.R.2.a. Reminder Systems for Patients
6.R.2.b. … The Problem
Many patients do not receive important immunizations and other preventive services and … The Intervention
Two useful strategies for tackling this problem are:
Reminder Systems for Patients
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6i-shared-decisionmaking.html
April 01, 2023 - The Problem
6.I.2. The Intervention
6.I.3. Benefits of This Intervention
6.I.4. … The Problem
Although patients are far more informed than they were even 20 or 30 years ago, some people … One element of this problem is that patients often do not know enough about their treatment options to
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6d-internet.html
April 01, 2023 - The Problem
6.D.2. The Intervention
6.D.3. Benefits of This Intervention
6.D.4. … The Problem
Many health care consumers seek information about specific complaints, conditions or diseases … A related concern is that providing better access only addresses part of the problem.
-
www.ahrq.gov/sites/default/files/publications/files/goinghomeguide.pdf
April 01, 2010 - problem 4:
Notes about my medical problem 5:
Notes about my medical problem 6:
Notes about my medical … problem 7:
Notes about my medical problem 8:
Notes about my medical problem 9:
Notes about my … medical problem 10:
Notes about my medical problem 11:
Notes about my medical problem 12:
Notes … about my medical problem 13:
Notes about my medical problem 14:
Notes about my medical problem 15 … problem 18:
Notes about my medical problem 19:
Questions or Concerns:
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
September 01, 2021 - Such changes may represent a patient safety problem, and they can be a signal that the resident is at
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
June 01, 2020 - diagnostic error as the “failure to establish an accurate and timely explanation of the patient’s health problem … operationalized, namely:
Accurately identifying the explanation (or diagnosis) of the patient’s problem … measurement of diagnostic performance, which can then contribute to better system-level understanding of the problem
-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - Problem solving breaks down into two types: first-order problem solving and second-order problem solving … First-order problem solving is where we fix an immediate problem. … problem solving. … for first-order problem solving drops. … first-order problem solving.
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/mhsa.html
June 01, 2018 - Process: Treatment for illicit drug use or alcohol problem. … In rural and remote areas, limited availability of skilled care providers is also a major problem. … People Who Received Treatment for Illicit Drug Use or an Alcohol Problem
People age 12 and over who … needed treatment for illicit drug use or an alcohol problem and who received such treatment at a specialty … 2013, only 10.9% of people age 12 and over who needed treatment for illicit drug use or an alcohol problem
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mcc_infographic.pdf
April 02, 2025 - MCC IS A LARGE & GROWING PROBLEM
Almost one in three Americans lives with MCC. … The prevalence of MCC increases with age, however this
problem affects a large number of working aged … the elderly.
80%
49%
18%
7%
0-17 18-44 45-64 65+
% OF US POPULATION WITH MCC BY AGE
The problem … ages.
32% = 96.5 million people28%24%
2001 2006 2010
% OF US POPULATION WITH MCC OVER TIME
THE PROBLEM … RX
RX
To address the growing problem of MCC, the US healthcare system
must transform from a disease-specific
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mcc_infographic_printable.pdf
April 02, 2025 - MCC IS A LARGE & GROWING PROBLEM
Almost one in three Americans lives with MCC. … The prevalence of MCC increases with age, however this
problem affects a large number of working aged … the elderly.
80%
49%
18%
7%
0-17 18-44 45-64 65+
% OF US POPULATION WITH MCC BY AGE
The problem … .
32% = 96.5 million people28% 24%
2001 2006 2010
% OF US POPULATION WITH MCC OVER TIME
THE PROBLEM … prescriptions
AVERAGE NUMBER OF PRESCRIPTIONS PER YEAR (new + refilled)
To address the growing problem
-
www.ahrq.gov/teamstepps-program/diagnosis-improvement/index.html
October 01, 2024 - The TeamSTEPPS for Diagnosis Improvement Course applies the TeamSTEPPS framework to the specific problem … provides information about diagnostic errors that can be used to engage leaders and raise awareness of the problem
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-subuse.html
June 01, 2018 - Same
No Change
People age 12 and over who needed treatment for illicit drug use or an alcohol problem … Treatment for Illicit Drug Use or Alcohol Problem
People age 12 and over who needed treatment for illicit … drug use or an alcohol problem and who received such treatment at a specialty facility in the last 12 … noninstitutionalized population age 12 and over who needed treatment for illicit drug use or an alcohol problem … 2013, only 10.9% of people age 12 and over who needed treatment for illicit drug use or an alcohol problem
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc.html
November 01, 2018 - Such changes may represent a patient safety problem, and they can be a signal that the resident is at
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6c-opennotes.html
March 01, 2020 - The Problem
6.C.2. The Intervention
6.C.3. Benefits
6.C.4. Implementation
6.C.5. … The Problem
For a long time, patients have been deliberately excluded from access to the medical records
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6a-openaccess.html
March 01, 2020 - The Problem
6.A.2. The Intervention
6.A.3. Benefits of This Model
6.A.4. … The Problem
Most patients report that they always or usually received care as soon as they needed it … It is based on the supposition that the problem is not lack of capacity but an imbalance between supply
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
December 27, 2021 - Ask the PF to facilitate identifying a problem with the class or course.
4. … Three categories of causes may underlie a
problem: human, physical, and organizational. … Work with practice members to identify the problem they want to solve or prevent.
2. … The practice may also want to include patients, depending on the nature of the problem. … Using five whys to review a simple problem.
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/aspirin-workflow.pdf
April 02, 2025 - Aspirin Workflow
Aspirin
M
A
Information
Criterion
IVD is on Problem List AND Aspirin is
not on … :
• Medication List
• Medication Allergy List
• Contraindication on Problem List
Clinical
Condition … Contra
indication
No
Place & pend
order for Aspirin
without dose
Yes
Place
Contraindication on
Problem
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/worksheet.html
July 01, 2023 - AHRQ Safety Program for Perinatal Care
Purpose: To enhance communication and shared problem
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdisphone.pdf
April 07, 2025 - Using your
own words, can you explain to me what your main problem or diagnosis is? … CALLER: Do you have any questions for me about your main problem [diagnosis]? … What To Do If a Problem Arises
CALLER: Before we hang up, I want to make sure that if a medical problem … CALLER: And what about if you [give example of urgent but not emergent problem] in the
evening? … What To Do If a Problem Arises
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
February 01, 2017 - Slide 6: Problem-Solving Hierarchy
Say:
First-order problem solving resolves an issue for one patient … Ask:
What method of problem solving should we employ? … Say:
Instead of relying on first-order problem solving, practice second-order problem solving. … Slide 7: Problem-Solving Goal
Say:
First-order problem solving addresses the immediate need but … Ask:
How can you make sure that everyone is aware of the problem?