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Showing results for "problem".

401. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
     May 01, 2017 - 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 … commendable and necessary, it is also vital to learn from the defect and then apply second-order problem

402. AHRQ Final Progress Report: Developing an Integrated Engineering-Based Model to Reduce Infections in the ICU (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/mastrangelo-report.pdf
     January 01, 2024 - This problem persists despite the fact that the best practices to reduce the occurrence 1 mailto:rborotka … This research utilized a complex system modeling framework to tackle this problem. … Methods This research combines engineering techniques into a system-level complex model to address the problem … These results confirm the initial assumption that looking at this problem from a systems perspective

403. Strategies for Improving Patient Experience with Ambulatory Care: Standards for Customer Service (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-q.pdf
     November 01, 2017 - The Problem Achieving high levels of member satisfaction requires two ingredients:  A deep knowledge … Another problem with developing standards is that some of the behaviors are hard to describe. … on CAHPS Measures CAHPS Item (from Health Plan Survey 3.0): In the last 12 months, how much of a problem … The Problem 6.Q.2. The Intervention 6.Q.3.

404. Strategies for Improving Patient Experience with Ambulatory Care: Standards for Customer Service (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/cahps-strategy-6-q.pdf
     November 01, 2017 - The Problem Achieving high levels of member satisfaction requires two ingredients:  A deep knowledge … Another problem with developing standards is that some of the behaviors are hard to describe. … on CAHPS Measures CAHPS Item (from Health Plan Survey 3.0): In the last 12 months, how much of a problem … The Problem 6.Q.2. The Intervention 6.Q.3.

405. Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
     December 01, 2017 - Now, there are many solutions that have been proposed to this problem. … There are considerable ways to attack this problem and it can be difficult to know exactly what to do … Second-order problem solving, which takes it to the next step, this is fixing the system factors that … allowed the problem to occur. … I don't have to tell you that we in health care are very, very good at first-order problem solving.

406. Paul Tedrick (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
     June 03, 2014 - Now, there are many solutions that have been proposed to this problem. … There are considerable ways to attack this problem and it can be difficult to know exactly what to do … Second-order problem solving, which takes it to the next step, this is fixing the system factors that … allowed the problem to occur. … I don’t have to tell you that we in health care are very, very good at first-order problem solving.

407. Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14notes.html
     June 01, 2014 - Medical Office Survey on Patient Safety Culture Notes Previous Page Next Page Table of Contents Medical Office Survey on Patient Safety Culture Executive Summary Chapter 1. Introduction Chapter 2. Survey Administration Statistics Chapter 3. Medical Office Characteristics Chapter 4. Charact…

408. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses5.html
     August 01, 2022 - Addressing the problem of diagnostic error by understanding and optimizing the diagnostic process in

409. Emergency Nurses Association content and transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
     September 01, 2015 - When looking at this from a CAUTI perspective, some relevant questions are: Problem identification … • Questions around ownership: Whose problem is it? … So whose problem is urinary catheterization anyway? Emergency nurses? Inpatient nurses? Providers? … Assumptions around catheter use and the issues they create become the problem of the institution, not … ” and “my problem” into “our problem.”

410. Emergency Nurses Association content and transcript (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
     September 01, 2015 - When looking at this from a CAUTI perspective, some relevant questions are: Problem identification … • Questions around ownership: Whose problem is it? … So whose problem is urinary catheterization anyway? Emergency nurses? Inpatient nurses? Providers? … Assumptions around catheter use and the issues they create become the problem of the institution, not … ” and “my problem” into “our problem.”

411. Chapter 1: Attaining Zoning and Building Permits | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp1.html
     May 01, 2014 - Another sign of inadequate readiness is a group's unwillingness to accept some responsibility for a problem … As a cornerstone of your community's health system, you can do your part to address the problem. … Involving staff in the problem-solving and decisionmaking is different than telling them what to do. … community members reported that clinicians don't address weight; they address the disease/presenting problem

412. Appendix. Example of the SBAR and CUS Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2ap.html
     October 01, 2014 - attention and action: SBAR SBAR Tool S ituation (identify yourself, the resident, and the problem

413. Improving Patient Safety in Long-Term Care Facilities, Module 3 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
     June 01, 2012 - The resident can’t be helped if no one knows there might be a problem. … This kind of problem can be fixed best if discussion is encouraged, and the care team works together … Thinking beyond blame to expecting teamwork and problem solving makes it much easier to speak up, be … It is important to determine whether the resident has fallen down because of another medical problem … If the person has many risk factors for falling, it may be that the fall is the main problem.

414. About the Toolkit Development | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/about.html
     March 01, 2017 - To address this problem, AHRQ funded a 3-year project to help staff in ICUs use CUSP principles to reduce

415. Appropriate Assertion Call (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion.html
     April 01, 2013 - Be hard on the problem, not on the people. … It’s important to note, though, that this question has the notion of a problem, and so you are speaking … Jill Marstellar: Yes, I mean it’s definitely a problem, and I do think that you hit the nail on the … Jill Marstellar: I think you are right that it’s a problem. … It’s a tough problem to know how to try to address it.

416. P12: Using a Televideo-based Training Model for Providers to Expand Treatment for Opioid Use Disorder in Rural New Mexico | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p12-salvador.html
     May 01, 2024 - Study Overview Problem: Opioid use is the main driver of overdose deaths—which are increasing at an … model is a televideo-based strategy for remotely training health care providers using both didactic and problem-based

417. 114-Mrsa-Prevention-Learning-From-Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention Learning From Defects Tool ICU & Non-ICU Problem statement: Healthcare … months to reach a conclusion due to multiple steps in the process (e.g., research and understand the problem

418. Strategy 4: IDEA Discharge Planning (Tool 2b) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_2b_IDEAL_Booklet_508.docx
     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 the information …

419. Tool: SBAR | Agency for Healthcare Research and Quality
     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.

420. Using Patient Cases for Learning | Agency for Healthcare Research and Quality
     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