-
www.ahrq.gov/sites/default/files/2025-05/stein-report.pdf
January 01, 2025 - emergency medicine, ectopic pregnancy, ultrasound
Purpose
Ectopic pregnancy is a significant problem … population of first-trimester pregnant patients with the above
complaints.14, 16 Despite being a common problem … been shown to increase the amount of
time patients remain in the emergency department.21 This problem
-
www.ahrq.gov/sites/default/files/2024-07/seid-sobo-report.pdf
January 01, 2024 - that your patient understands what you’re
saying and you communicate to each other….part of the whole problem … child’s doctor to be more thorough – rather than taking a cursory and
isolated look at the presenting problem … to thoroughly examine the child and delve deeper to
identify the possible underlying cause behind a problem … you….the doctor will check your ears, your heartbeat, your
throat…even if you go their with another problem … “They don’t do anything….they put a Band-Aid on whatever is the problem, they
don’t try to find out
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
June 01, 2023 - Nobody knows the root of the problem. … [Following the diagnostic mistake or problem I wish the care team had] followed up with [the patient] … Awareness of a problem does not always result in a willingness or readiness to fully describe all aspects … involve quite egregious harms. 46,47
The harder it is for patients to attribute responsibility for a problem
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/worksheet.docx
May 01, 2017 - Safety Issues Worksheet for Senior Executive Partnership
Purpose: To enhance communication and shared problem
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/babies-opioids.pdf
January 01, 2015 - and HHS are working to address
the opioids crisis by making data available
to better understand the problem
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
December 01, 2017 - Slide 35: Example of Defects Addressed: Instruments
Problem
Conflict with colorectal surgical instrument … Slide 36: Case Study: Laparoscopic Surgery Trays
Problem
Laparoscopic gastrointestinal tray had … Image: Problem, barriers, intervention, and impact are located within arrows pointing to descriptions … Slide 38: Examples of Defects Addressed
Postings
Problem
Circulating nurse and scrub technician … Slide 40: Examples of Defects Addressed
Update doctor preference cards (DPCs)
Problem
Equipment
-
www.ahrq.gov/patient-safety/resources/learning-lab/optimizing-safety-long-desc.html
June 01, 2020 - Develop a systematic method to study patient safety using a stepwise approach of problem analysis through … electronic medical record (EMR)—provides easily recognizable visual cues (e.g., color-coding) to avoid this problem
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
June 04, 2008 - Sometimes the best approach in helping to solve a
problem is to develop educational articles for members … to respond quickly to the FDA’s
queries about whether they too might have experienced a particular problem … This would provide the ability to quickly amplify a particular
4
problem, so that the FDA could … ascertain whether a problem might be widespread. … health care facilities about problems with cells, tissues,
and related products, in addition to the problem
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_2b_IDEAL_Booklet_508.pdf
June 02, 2025 - Strategy 4: IDEA Discharge Planning (Tool 2b)
Be Prepared to Go Home
Booklet
Before you leave the hospital, we want to make sure
you feel ready to be at home. During your hospital stay,
your doctors and nurses will make sure to answer your
questions and address your concerns. We want you to
have all …
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-presenters-notes.pdf
January 05, 2022 -
• Tools to support four critical leadership functions
‒
include:
Planning: Briefs
‒ Problem … Briefs are held for planning purposes; huddles are used for problem solving;
and debriefs and reflection … Huddles are held for problem‐solving purposes. … • High-performing leaders ensure teams engage in
planning, problem solving, and improvement over … • High‐performing team leaders ensure teams engage in planning, problem
solving, and improvement
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
July 23, 2008 - revealed three transcript exerpts that
were workarounds, done to cope rather
than address the safety problem … solutions for patient safety-related
communication problems (continued)
Solutions
Communication
problem … that a nurse clinician, a nurse manager, or a charge nurse would make rounds with
us, so if there’s a problem … continued)
18 (7%)
(continued)
Double-check
to make sure
nurse is aware
of the order
“The problem … Clinicians had comparatively few suggestions for addressing
the problem of communication across transitions
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/boarding-response-to-rep.-dingell.pdf
December 31, 2024 - to convene a task force with broad stakeholder
representation to inform solutions to this urgent problem … significantly worsened during and
since the COVID-19 pandemic.1 To date, efforts to address this problem
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide66.html
October 01, 2014 - in quitting (provide counseling and medication) (Continued)
Provide practical counseling (problem-solving
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide209.html
October 01, 2014 - Use problem-solving counseling methods and provide social support and pregnancy-specific self-help materials
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
June 04, 2008 - The design professions have been slow to comprehend the gravity
and character of the problem. … errors.10
A Comparison with Building Life Safety
Education and training about the patient safety problem … The Scope of the Problem
Medical mistakes, or errors, in which the design of the physical environment … To date, no study of this problem has been
published. … No problem is more intractable in a building
project than having team members who are “incentivized”
-
www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/mcdonald-summit2016-breakout.pdf
June 02, 2025 - theory-based, literature-informed,
ground-controlled action
Rapid prototyping/piloting to solve the “problem
-
www.ahrq.gov/practiceimprovement/initiatives.html
September 01, 2019 - We are tackling this problem by partnering with and training over 100 hospitals and health systems to
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/cati-script.pdf
July 01, 2016 - In the last 12 months, if you had a health problem, how often did your primary care
provider or other … primary care professional in this office follow up on a health problem you
had, either at the next … In the last 12 months, did you get health care 3 or more times for the same condition or
problem? … Is this a condition or problem that has lasted for at least 3 months? … Any other emotional problem?
66q. Substance problems (drugs or alcohol)?
66r. Stroke?
66s.
-
www.ahrq.gov/teamstepps-program/curriculum/implement/pre.html
December 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/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
June 01, 2021 - In other words, each problem can become an opportunity for improvement. … Based on these data, your team has a sense of the scope of the problem. … Third, select one problem and collect baseline data before starting an intervention.