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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety4.html
September 01, 2022 - Allow learners to verbalize ideas and suppositions about the structure of the problem. … Nurse educators can use patient cases to facilitate discussion and promote problem solving about diagnostic
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/sbar.html
November 01, 2019 - communicating the SBAR, patient identifiers such as age and gender, and a brief statement of the current problem … Assessment reports what the person communicating the SBAR thinks the problem is.
-
www.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - affect patient care. ( More about this item: "Speak up" means to notify someone in authority about the problem … retaliation or think they will get in trouble if they ask questions about something they think might be a problem … When an event is reported, it feels like the person is being written up, not the problem. … person is the focus of blame and gets in trouble instead of focusing on the causes or solutions to the problem
-
www.ahrq.gov/patient-safety/patients-families/index.html
October 01, 2024 - create a list of questions they can take to appointments if they are getting a checkup, talking about a problem … And it has tips to help you learn more about your specific problem and how it can be treated.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
July 01, 2023 - identify potential issues or minor deviations early enough to correct and handle them before they become a problem … members
Introduce each other
Use the patient’s proper name if she is in the room
Review the patient’s problem … During a case briefing, the team should review the patient’s problem list and history, devise a care … minor adjustments to their approach to teamwork.
7
Points of Discussion in Briefs & Huddles
Patient problem … Recognition and Prevention
Conduct a team brief upon patient intake to review the patient problem list
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www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
July 01, 2018 - Second order problem solving
Fixing the immediate problem
Fixing the system factors that allowed … the problem to occur
Slide 25
Principles of Safe Design Apply to Technical and Teamwork
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/ncepcr-older-adults-presentation.pptx
March 15, 2025 - Barnett et al. found that this problem has gotten worse over time (Ann Intern Med 2021). … Because fragmentation is caused by many factors, no single intervention will fix the problem. … However, the problem of fragmented care requires urgent attention. … huge role to play in the solution, but primary care cannot do this alone, because this is a “systems” problem … definitions
“…the failure to establish an accurate and timely explanation of the patient’s health problem
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses4.html
August 01, 2022 - the impact of suboptimal communication on patient harm, has been well documented but solutions to the problem … would seek to bridge them, recognizing the value in bringing all perspectives to bear on a specific problem … Ineffective communication between the nurse and the physician was the dominant issue, and a central problem
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/PCMH/about-pcmh-item-set-cg20.pdf
May 22, 2014 - stressful aspects of
patient’s life
- Anyone in provider’s office talked with patient about personal problem … ,
family problem, alcohol use, drug use, or a mental or emotional illness
About the CAHPS Patient-Centered … was
best
Shared
decisionmaking
PCMH10 PCMH6 Patient saw a specialist for a particular
health problem … Comprehensive-
ness
PCMH18
Anyone in provider’s office talked with
patient about personal problem … , family
problem, alcohol use, drug use, or a
mental or emotional illness
Comprehensive-
ness
About
-
www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
January 01, 2014 - To address this identified problem, Good Samaritan implemented a strategy to immediately direct a subset … The problem statement
should briefly describe the current practice that needs to be changed and how it … To the extent possible, the problem statement should contain measures of the problem. … Goals and Strategies
32
Problem Statement
Goal Statement
Strategy Description
2. … Goals and Strategies
37
Problem Statement
In 2007, we identified that our left-without-being-seen
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.pdf
October 01, 2016 - or an older
narrow-spectrum drug would suffice are believed to be the primary contributors to this problem … Use in all situations when a
resident has a new problem and infection may be suspected, and is being
-
www.ahrq.gov/hai/cauti-tools/ena-slides/part2a.html
October 01, 2015 - Documentation
Organized Data
Collecting organized data will help turn the concept of “your problem … ” and “my problem” into “our problem.” … Slide 128
Collecting organized data
"Our problem"
Tracks the workload
Alleviate conflict
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
December 01, 2017 - Slide 17
Problem
The emergency nurse at both the initial patient encounter and throughout the … decisions that affect patient safety, efficacy, efficiency and cost-effectiveness of care involving:
Problem … Slide 18
Problem
Clinical decision-making takes place in a social context. … environmental model of clinical decision-making (Wolf, 2011)
Core elements exert influence on accuracy in problem
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
March 01, 2016 - features that allow users to create lists of patients based on clinical characteristics such as
a problem … the clinical condition is a chronic illness, such as
diabetes, the presence of an ICD code on the problem … of a target population
would be all patients over age 18 with a diagnosis
of hypertension on the problem … report if the data
definition for the clinical condition is an
encounter diagnosis rather than a problem … list, which can be
modified at any time by adding or deleting
problem list entries
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
October 01, 2016 - among soldiers in the Middle East, multidrugresistant Acinetobacter infections have emerged as a huge problem … This is the other side of the problem. … In contrast, a new drug for a chronic problem such as high cholesterol or congestive heart failure will
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
September 01, 2015 - • Problem-solving. … Instead of a problem or something to be avoided, conflict
should be viewed as a resource for making … Productive conflict encourages better,
more-diverse thinking about a problem. … Destructive conflict shuts down discussion and problem
solving, and can prevent a group from moving … This almost always brings effective problem
solving to a halt, as it is difficult to force change in
-
www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - received quarterly reports from University HealthSystem Consortium® (UHC) that indicated a potential problem … noise" resulting from documentation issues made it difficult to gain consensus that they had a clinical problem
-
www.ahrq.gov/teamstepps-program/curriculum/implement/pre-teach.html
May 01, 2023 - List reasons defining your problem and goals is essential. … Describe options for measuring the extent of your problem and whether it is improving.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/10-diagnostic-safety-tool-patient-note-sheet.pdf
August 01, 2021 - � New problem � Followup � Medicine refill � Something else
Has there been a change in how you are feeling
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
July 01, 2023 - identify potential issues or minor deviations early enough to correct and handle them before they become a problem … During a case briefing, the team should review the patient’s problem list and history, devise a care … minor adjustments to their approach to teamwork.
7
Points of Discussion in Briefs & Huddles
Patient problem … SPPC-II
SCRIPT
In order to plan and pivot well, you and your team will want to review both the patient’s problem … Patient Response
Every Case Reporting
Every Unit
N/A Brief upon patient intake
Review the patient problem