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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving.pptx
May 01, 2017 - Module 3: PowerPoint Presentation
Management Practices for Sustainability
Module 3: Problem Solving … No. 16(17)-0019-4-EF
May 2017
Module 3: Problem Solving and Escalation | ‹#›
AHRQ Safety Program … Concept Example
Problem: An undesirable gap between an expected state and the actual state of a system … Practices for Sustainability
Four Problem Boxes
Module 3: Problem Solving and Escalation | ‹#› … Try the Problem Triage flowchart as your initial guide
Module 3: Problem Solving and Escalation |
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/professional-tool.html
July 01, 2023 - Shadowing Another Professional Tool
AHRQ Safety Program for Perinatal Care
Problem
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www.ahrq.gov/hai/cusp/toolkit/shadowing.html
December 01, 2012 - Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of
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www.ahrq.gov/evidencenow/tools/burnout-in-primary-care.html
March 01, 2023 - Resource: Burnout in Primary Care (PDF, 1.5 MB, 16 pages)
Burnout is a serious and growing problem
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
May 01, 2017 - SLIDE 3
Title: What Is a Problem? What Is a Solution? … [1: ]
Often, it is appropriate to apply type 2 problem solving to understand why the problem occurred … When problem solving prevents organizational learning. … This is problem solving and escalation in action. … Turning to problem solving:
· A first test—can you assign a problem to one of the four boxes and follow
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
May 01, 2017 - What Are Problem Solving and Escalation? 2
2. What Is a Problem and What Is a Solution? 2
3. … What Are Problem Solving and Escalation? … What Is a Problem and What Is a Solution? … Problem Triage
Imagine that a staff member identifies a problem. … Such a problem will require deeper analysis to understand the root problems and the problem may require
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www.ahrq.gov/patients-consumers/diagnosis-treatment/diagnosis/index.html
December 01, 2017 - And it has tips to help you learn more about your specific problem and how it can be treated.
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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
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/qualifications.html
December 01, 2017 - Have good problem-solving skills to deal with challenges that may arise (e.g., change in leadership,
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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
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www.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions.html
December 01, 2023 - Potentially Preventable Readmissions
High rates of readmissions are a major patient safety problem
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-5.html
June 01, 2021 - patient harm resulting from diagnostic error, many leaders have not addressed this growing patient safety problem
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
April 06, 2008 - • What are the ramifications of the Problem Statement’s recurrence? … Unresolved Problem Statements then become
Prioritized Problem Statements and are assigned to the CUL … , as reflected by allocation of resources to problem correction. … Statements or creates a new Problem Statement. … The risk management
process—accomplished through the Problem Statement, Prioritized Problem Statement
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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:
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mcc_infographic_printable.pdf
June 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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mcc_infographic.pdf
June 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
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-slides.pptx
June 01, 2021 - PROBLEM:
No discussion with the family or attempt to educate. … PROBLEM(S):
No evaluation of resident. … PROBLEM:
No diagnostic criteria used to evaluate the resident. … PROBLEM(S):
No evaluation of resident. … PROBLEM(S):
No evaluation of resident.
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/aspirin-workflow.pdf
June 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