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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.
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www.ahrq.gov/sites/default/files/2024-09/segall-report.pdf
January 01, 2024 - This contribution is significant because it will inform efforts to study this problem in real-world … Weights
Patient off the monitor (leads off) Call HUC 5
Make phone call within 3 minutes 4
State correct problem … Converting to a different rhythm (e.g., Afib) Ask to speak to the patient’s nurse 3
State correct problem … -
degree heart block, runs of Afib
Call HUC 5
Ask to speak to the patient’s nurse 3
State correct problem … )
Return to a normal sinus rhythm
Call HUC 5
Ask to speak to the patient’s nurse 3
State correct problem
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship4.html
August 01, 2024 - to correctly interpret a diagnostic test result may reflect knowledge gaps or cognitive error, the problem
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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
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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.
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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/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-nembhard.pdf
June 02, 2025 - Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Impact of the Intervention on Staff Experience
Impact of the Intervention on Staff Experience
Ingrid Nembhard, PhD
Professor of Health Care Management
The Wharton School
University of Pennsylvania
Data Collection: Staff Sur…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-mentalhealth-cg30-adult.html
May 01, 2021 - Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0/3.1: Access to Mental Health Care Services
Population version: Adult
Instructions for adding these items
After the last item before the "About You" section, add the following subheading, formatted to be consistent with existing subheadin…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-mentalhealth-hp50-adult.html
May 01, 2021 - Supplemental Items for the CAHPS Health Plan Adult Survey 5.0/5.1: Access to Mental Health Care Services
Population version: Adult
Instructions for adding these items
After the last item before the "About You" section, add the following subheading, formatted to be consistent with existing subheadings: …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/american-indian-eng-851.docx
March 04, 2009 - primary doctor or nurse is the one you would see if you need a check-up, want advice about a health problem … the last 12 months, did your primary doctor or nurse suggest that you see a specialist for a health problem … In the last 12 months, did a doctor or other health professional recommend a treatment for a health problem … , have you seen a doctor or other health professional three or more times for the same condition or problem … Is this a condition or problem that has lasted for at least 3 months?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/Improving_diagnosis_flyer.pdf
April 01, 2019 - AHRQ is a key leader in the effort to combat this problem. … $2 million in fiscal
year 2019 for AHRQ to initiate a research agenda to understand and solve the problem
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english-2023.docx
January 01, 2023 - A patient was unable to get an appointment within 48 hours for an acute/serious problem
1
2
3
4 … When there is a problem in our office,
we see if we need to change the way
we do things
1
2
3
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/assessing/takeheart-summary-presentation.pptx
April 26, 2023 - planned
What worked and didn’t
What we were and were not able to accomplish
2
Part 1: Background
The Problem … The Evidence-Based Solutions
3
3
The Problem
The problem: glaring underuse of Cardiac Rehab … to meet each patient's individual needs, optimizing its benefits.
4
The Solutions
To address this problem … 2022)
Modified due to COVID: end date 12/2022
7
7
Project Objectives
Raise awareness about the problem
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_2_Nurse_Chklst_508.pdf
June 02, 2025 - What is the patient’s problem now?
R = Recommendation. What does the patient need?
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide73.html
October 01, 2014 - clinician should ask the patient to identify barriers or impediments to quitting and provide treatment (problem-solving
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-rev.pdf
January 01, 2024 - Organizational Learning
When there is a problem in our office, we see if we need to change the
way … Access to Care
A patient was unable to get an
appointment within 48 hours for an
acute/serious problem … Organizational Learning % Strongly Agree/Agree
When there is a problem in our office, we see if we … A patient was unable to get an appointment within 48 hours for
an acute/serious problem
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/professional-tool.docx
May 01, 2017 - Program for Perinatal Care
Shadowing Another Professional Tool
Shadowing Another Professional Tool
Problem
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod2.html
October 01, 2014 - If the case reflects a situation that's familiar to participants, with a problem they want to solve, … Plan: Identify a problem and design a change to address it.
Do: Implement a small change. … Project teams must:
Have basic knowledge of the problem. … Identifying the Problem
Identify the Problem
The problem and its extent—that is, what are the barriers … Next, the project team will decide what problem to address in order to help communicate change.
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www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
January 01, 2024 - We decided that information hazards were the main problem identified and
selected the step in patient … -Physician misses problem of acute coronary syndrome in hospitalized patient and
patient dies, doctor … -Physician realizes error in adjustment of anticoagulation medication (based on
computer problem), is … That is, underlying many of the
hazards we identified and analyzed was an information problem. … Adverse outpatient drug events--a problem and an opportunity.[see comment][comment].
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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