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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool3a.html
March 01, 2025 - For example, you might ask: "What do you think has caused this problem? … May I tell you more details about your medical problem?" … Review What To Do if a Problem Arises In the RED studies, we heard over and over from patients that what … I certainly hope that you will do well at home, but just in case there is a problem, here are some phone … Furthermore, if a patient has a problem or question between the time he or she leaves the hospital and
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-debrief-fac-notes.html
May 01, 2017 - the problem statement. … problem in the problem statement. … Slide 12: Cause of the Problem
Now, let's start talking about causes of the problem. … This is what we're going to try to address that problem. … Much bigger problem to deal with. So start small, that's the golden rule in testing.
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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/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
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/ptoutcsurvey.pdf
June 02, 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 … 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?
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
June 27, 2024 - didn’t happen by
involving the patient in weighing the pre-determined options for a pre-specified problem … Purposeful SDM: A problem-based approach to caring for patients with shared decision making. … Problem-based shared decision-making in diabetes care: a secondary analysis of video-recorded encounters … working
together
making
progress
addressing
problem
working
together … Inquiry
making
progress
addressing
problem
working
together
Me thod: Conversa tional
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www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
January 01, 2024 - In other words, no one has demonstrated the extent of the problem, nor
has anyone explicitly determined … Following the workaround, 41% of the pharmacists said that the problem was addressed.
6
Another … 41% had to work harder to make up for problem by staying later or doing double the
work the next day … Managing routine exceptions: A model of nursing problem solving
behavior. … [probe to clarify problems/solutions]
For each problem/solution, ask how frequently it occurs.
2.
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www.ahrq.gov/teamstepps-program/curriculum/implement/teach.html
January 01, 2024 - Review Slide 29, "Step 2: Define the Problem or Opportunity for Improvement." … Explain that the problem may have been defined in the pre-implementation phase, but the Change Team should … Review Slide 30, "Example: Problem Definition." … They may not know what specific problem is being targeted, how large the intervention will be, when it
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
June 01, 2015 - Problem Exploration: The problem
exploration phase involves understanding
patient/provider problems … Characterize the problem in the most general way possible.
2. … One way to characterize the problem is the failure in making a hand-off. … Providing a selection of ways to
categorize a problem (e.g., this could be a work
flow problem) and … Promotes a problem-centered focus.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - There is a problem with disrespectful behavior by those working in this unit. … about this item: When patient safety problems happen, this unit does not do anything
to ensure the problem … When an event is reported in this unit, it feels like the person is being written up, not the
problem … reported, it feels like the person is the focus of blame
instead of focusing on the root causes of the problem … consequences or think they
will get in trouble if they ask questions about something they think might be a problem
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-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 … the registration of
face page
8 Evidence of an ADHD diagnostic clinical exam Note Usually on the problem
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief-audio-facnotes.docx
June 02, 2025 - What the problem statement helps us do is, it makes the study pass what I call the "who cares" test. … problem in the problem statement. … Slide 11
Now, let's start talking about causes of the problem. … This is what we're going to try to address that problem. … Much bigger problem to deal with. So start small, that's the golden rule in testing.
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
June 02, 2025 - Problem 2. Potential Problem 3. No Apparent Problem
© Barbara Braden and Nancy Bergstrom, 1988.
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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
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/physician-survey-post-intervention-nw.pdf
January 01, 2014 - place to work
People in this practice operate as a real team
When we experience a problem … Strongly
Agree
Agree Disagree Strongly
Disagree
Don’t
Know
It addresses a common or high priority problem … promotes an enjoyable place to work: Off
People here operate as a real team: Off
When we experience a problem … : Off
Addresses a common or high priority problem: Off
Simple to implement: Off
Something I could
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - Format for in-depth reviews
How important is the problem? … Scope of the problem. … In general, we addressed two
issues: the frequency of the safety problem, and the severity
of each … This is due to the
desire by our TEP to include the target safety problem in
the table (if targeted … at a specific safety problem), more
specification, or an example of the PSP (e.g., adding “such
as
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5.html
February 01, 2023 - As you and the team better understand the behavior, you can problem-solve to develop additional individualized … Problem solve with staff about the specific behavior, brainstorm about solutions and be creative.
-
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