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  1. 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?
  2. www.ahrq.gov/news/newsroom/case-studies/201540.html
    January 01, 2016 - Army veteran with hepatitis C who suffers from post-traumatic stress and a pregnant woman with a drug problem
  3. Dxpages (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/dxpages.docx
    June 02, 2025 - Pages Noncardiac Chest Pain Noncardiac chest pain is pain that is not caused by a heart problem
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
    April 01, 2025 - Ideally, the team will include people from every role that is relevant to the problem. … Sharing stories about patients who were affected by the problem is a powerful tool for engagement. … The team focuses on communicating the problem. … Begin by outlining a problem statement. Determine as a team “why” this happened. … Then ask: “If this cause was corrected, is it likely that the problem would recur?”
  5. www.ahrq.gov/research/publications/search.html?page=18
    September 01, 2008 - Training Program for Pharmacy Staff This training program is designed to introduce pharmacists to the problem … of low health literacy in patient populations and to identify the implications of this problem for the
  6. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-fac-notes.html
    June 01, 2017 - There are also dedicated methods for problem escalation and problem solving so that staff have the core … Remember, one of the central benefits is that it is a problem-surfacing mechanism. … We’ll have more to say about problem solving in an upcoming module.
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles-facnotes.docx
    May 01, 2017 - There are also dedicated methods for problem escalation and problem solving so that staff have the core … Remember, one of the central benefits is that it is a problem-surfacing mechanism. … We’ll have more to say about problem solving in an upcoming module.
  8. www.ahrq.gov/funding/process/review/peerproc.html
    July 01, 2021 - Significance: Does this study address an important problem? … Does the applicant acknowledge potential problem areas and consider alternative tactics? … Importance and Impact (if applicable): What are the importance of the problem addressed and the potential … impact of the solution of this problem on health or on health care delivery?
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Wears_75.pdf
    May 27, 2008 - Computer scientists have extensively studied the problem of assured performance in safety-critical … human-computer interface20, 22 and unintended consequences due to changes in work practices.21 The problem … Due to a complex technical problem in the database management software unrelated to the previous fault … , not a software or IT problem. … , not just an IT problem
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
    January 01, 2003 - One physician described the general problem: “There are a lot of interactions, and a lot of potential … They also offered solutions based on their perceptions of the underlying problem in a given clinical … For this type of problem, physicians offered relatively low- cost potential solutions, including education … For this type of problem, physicians suggested information technology-based solutions such as automated … Physician and public opinions on quality of health care and the problem of medical errors.
  11. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
    May 01, 2017 - Considerations include how widespread the problem is, how different your score is from others (i.e., … Articulating the issue in writing helps you formalize the problem and describe it completely. … It also helps everyone on the improvement team focus on the same problem. … happens and write the answer down below the problem. …  All patients who report a problem scheduling appointments.
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
    January 01, 2003 - these findings, the FDA convened the Central Venous Catheter Working Group (CVC–WG) to assess the problem … An activity using a patient scenario for clinical problem-solving would stimulate active experimentation … The use of trial and error techniques in problem solving is characteristic of the accommodator.41, 55 … Transforming nursing education through problem-based learning. … Trends in research on the tutor in problem-based learning: conclusions and implications for educational
  13. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - simple questions about the issue of patient safety on their unit: What clinical or operational problem … Learning from defects can also be called second-order problem solving. … Health care providers have become very adept at first-order problem solving, which is recovery problem … This problem solving method approaches a defect by reacting to an issue, finding its solution, and moving … is commendable and necessary, it is also vital to learn from the defect and then apply second-order problem
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/pdsa-education.pdf
    June 02, 2025 - of EMR • Using the team rounding tool to screen for Principal Diagnosis • "Principal Hospital Problem
  15. 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?
  16. www.ahrq.gov/sites/default/files/2024-01/nembhard-report.pdf
    January 01, 2024 - Once hospitals entered the later phase, significant improvement required creative problem solving. … The other strategy is internal creative problem solving (learning by experimenting). … Internal creative problem solving. … We assessed whether hospitals utilized creative problem solving to develop new practices internally … solving Incomplete creative problem solving Low High Importing best practices Note.
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part1.pptx
    March 01, 2017 - If there is another possible explanation, then address that problem before you reach for antibiotics. … The resident may have a completely different problem, a different type of infection that's not being … Reason 21 Antibiotic resistance is a growing problem Often forced to use older antibiotics to deal with … [CLICK] Resistance to antibiotics is a growing problem, especially in long-term care facilities.  … 7 Engaging Physicians and Other Providers2 Remind others that antibiotic resistance is a growing problem
  18. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/dxpages.pdf
    June 02, 2025 - 6 Noncardiac Chest Pain Noncardiac chest pain is pain that is not caused by a heart problem
  19. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/patient-narratives-webinar-quality.pdf
    June 02, 2025 - expectation, hope High-quality patient experiences 37 Requirements for success Information Problem … identification Inclusive data: Problem capture for all groups Resources Elements needed to function
  20. Project Charter (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d2_pdi_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

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