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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - Remember – Quality issues are often process related, not people related
Fix the process, fix the problem … The problem is that people stop to change when they don't see the result immediately. … Ensure administration is aware of your efforts and results
Encourage and reward participation and problem … We don’t all address a problem in the same way, and there are variations in our processes. … CUSP identifies problem areas:
What staff think are impeding patient care vs. what managers/directors
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-for-Hospitals-12-15-22.docx
December 01, 2022 - In this unit, there is a problem with patients or visitors being physically aggressive toward providers … In this unit, there is a problem with patients or visitors being verbally aggressive toward providers … In this unit, there is a problem with providers or staff being verbally aggressive toward
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www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
July 01, 2018 - Second order problem solving
Fixing the immediate problem
Fixing the system factors that allowed … the problem to occur
Slide 25
Principles of Safe Design Apply to Technical and Teamwork
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www.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - affect patient care. ( More about this item: "Speak up" means to notify someone in authority about the problem … 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
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-Hospitals-2022-1215-ENGLISH_508.pdf
January 01, 2022 - In this unit, there is a problem with patients or
visitors being physically aggressive toward
providers … In this unit, there is a problem with patients or
visitors being verbally aggressive toward
providers … In this unit, there is a problem with
providers or staff being verbally aggressive
toward
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops-wps-study-report.pdf
January 01, 2022 - These items ask respondents if there is a problem with providers or staff being
verbally aggressive … (Item WPC1*)
57% 51% 75% 60% 60% 73% 63% 71% 77% 57%
In this unit, there is a problem with patients … (Item WPC1*)
78% 58% 68% 81% 68% 67% 58% 61% 80%
In this unit, there is a problem with patients or … (Item WPC1*)
70% 24% 44% 66% 79% 74% 34% 79% 26%
In this unit, there is a problem with patients or … For example, for the item “In this unit, there is a problem with patients or visitors being
physically
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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
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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
-
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.
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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
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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
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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
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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.
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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
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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
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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
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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
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-planning.html
May 01, 2017 - Methods for Problem-Solving. … Without skill in problem-solving methods, other tools to support sustainability like visual boards do
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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
-
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