Results

Total Results: 3,871 records

Showing results for "problem".

441. Hospital Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
     September 01, 2009 - (More about this item: “Speak up” means to notify someone in authority about the problem.) C4. … retaliation or think they will get in trouble if they ask questions about something they think might be a problem … When an event is reported, it feels like the person is being written up, not the problem. … person is the focus of blame and gets in trouble instead of focusing on the causes or solutions to the problem

442. Tell a Story To Engage People in a Health Care Quality Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/explain/communicate/story.html
     November 01, 2018 - A problem a patient faced because she didn’t check out the performance of a particular facility.

443. Diagnostic Error in the Testing Process | Agency for Healthcare Research and Quality
     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

444. Project Report - Lean Sigma (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/nurse_empower-slides/How-CUSP-Enables-Nurse-Empowerment-Nov-15-2011-508.ppt
     January 01, 2011 - It Empowers Nurses Driven by frontline staff – Nurses Identifies problem areas: What staff think are … (better if she covers the unit) Expecting a solution at that meeting Administrator tries to “solve” problem

445. AHRQ Safety Program for Perinatal Care: Shadowing Another Professional Tool (doc file)
     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

446. Exhibit 6.8. Kaizen Activities | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-8.html
     November 01, 2014 - * Visual display of the many potential causes for a problem or effect. ** Visual aid or device

447. Exhibit 1.8. Kaizen Activities | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-8.html
     November 01, 2014 - * Visual display of the many potential causes for a problem or effect. ** Visual aid or device

448. Lessons in Safety Climate and Safety Practices from a California Hospital Consortium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
     April 01, 2003 - the chain of command regarding patient safety issues. 17.2 12.9 -4.2 Reporting a patient safety problem … training goals. 14.8 13.4 -1.5 I will suffer negative consequences if I report a patient safety problem … Confusion among 25-gauge, orange syringes was clearly a potential problem in other facilities, and shortly … after the incident the Institute for Safe Medication Practices published a warning about this problem … She communicated the problem to managers at a management meeting by applying colored-coded stickers

449. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part I (pdf file)
     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

450. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
     January 01, 2003 - Methods: The survey tool was designed to measure willingness to report errors, problem-solving processes … The second factor was related to problem-solving and the positive aspects of leadership, and the third … In an effort to identify other potential problem areas, we looked at other items that fell in the 2.50 … These consultations ensured that the online report would Problem-solving processes 1 1.5 2 2.5 3 … One additional problem that surfaced during the data collection period was the appearance of another

451. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
     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].

452. Exhibit 3.9. Training Curriculum | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-9.html
     November 01, 2014 - Detailing the problem and solution on a single piece of paper ensures the examination process is focused

453. How To Avoid the Harms of Antibiotic Overuse | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-1-slides.html
     February 01, 2019 - Antibiotic resistance is a growing problem Often forced to use older antibiotics to deal with resistant … Engaging Physicians and Other Providers 2 Remind others that antibiotic resistance is a growing problem

454. 5 Tk2 P3T1-Sample Policy Phase 3 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.doc
     May 01, 2014 - or an older narrow-spectrum drug would suffice are believed to be the primary contributors to this problem

455. Development of a Screening Tool for Safe Wheelchair Seating (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
     January 01, 2001 - Number of subjects identified by raters as having a seating problem within each domain Item rated … This occurred for three of the items for one or more pair of raters indicating no problem with knees … cut-point is simply that each REAPS item is intended to examine seated posture, and identification of a problem … Number of subjects identified by raters as having a seating problem within Table 2.

456. Module 5: Situation Monitoring
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
     January 10, 2022 - identify potential issues or minor deviations early enough to correct and handle them before they become a problem … Failure to establish an explanation for the health problem. Failure to communicate the explanation. … Summary Situation monitoring enables team members to identify potential issues before they become a problem … learned that: Situation monitoring enables team members to identify potential issues before they become a problem

457. TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdf
     January 10, 2022 - potential issues or minor deviations early enough to correct and handle them before they become a problem … • Failure to establish an explanation for the health problem. …                     • Situation monitoring enables team members to identify potential issues before they become a problem … that: • Situation monitoring enables team members to identify potential issues before they become a problem

458. Tk2 T4 Common Suspected Infections Tools To Improve Communication And Decisionmaking (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
     October 01, 2016 - among soldiers in the Middle East, multidrugresistant Acinetobacter infections have emerged as a huge problem … This is the other side of the problem. … In contrast, a new drug for a chronic problem such as high cholesterol or congestive heart failure will

459. Guidance for Teaching Section 4: Implementation | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/implement/pre-teach.html
     May 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.

460. Improving Hospital Inpatient Nursing Care: A Case Study of One Hospital's Intervention to Improve the Patient's Care Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/compare/WR_751_AHRQ_Quigley_08_26_10.pdf
     April 01, 2010 - Collecting and evaluating these data and confirming the problem comprised the first step in the hospital … To confirm the suspected problem, the hospital: • Compared its performance not only with that of other … The charge nurse does not have patient responsibilities but focuses on problem solving and ensuring … An increasing number of patients over time reported not having a problem talking to their nurses about … These items were a problem both in terms of absolute levels as well as compared to both the Patient