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Showing results for "problem".

61. PowerPoint Presentation: Learn From Defects for Sustainability
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
    December 01, 2017 - Problem solving breaks down into two types: first-order problem solving and second-order problem solving … First-order problem solving is where we fix an immediate problem. … SAY: This is the growth process from reactive first-order problem solving to proactive second-order problem … First-order problem solving Second-order problem solving What Is a Defect? … first-order problem solving.

62. Part 2: Trends in Priorities of the Heckler Report—Care for Substance Use Disorders | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-subuse.html
    June 01, 2018 - Same No Change People age 12 and over who needed treatment for illicit drug use or an alcohol problem … Treatment for Illicit Drug Use or 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 facility in the last 12 … noninstitutionalized population age 12 and over who needed treatment for illicit drug use or an alcohol problem … 2013, only 10.9% of people age 12 and over who needed treatment for illicit drug use or an alcohol problem

63. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
    June 01, 2021 - Identifying Targets 13 2 Problem Solving 14 1 First-order problem solving Solves one problem in … one particular instance Generally does not help prevent future harm from occurring Second-order problem … Targets   14 Technical Problems Technical solutions often require a checklist or protocol. 15 Problem … Start with a problem or potential harm that is easy to fix. … Use second-order problem solving to determine technical and adaptive solutions.

64. Implementation Planning | Agency for Healthcare Research and Quality
    www.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
    February 01, 2024 - Improving a team process includes the following steps: Identify a recurring problem or opportunity … Flowchart or map the process during which the targeted problem or opportunity for improvement occurs. … Define the problem, challenge, or opportunity for improvement. … Step 2: Define the Problem, Challenge, or Opportunity for Improvement Objective State the problem … Aims should align with your defined teamwork problem or opportunity for improvement.

65. Primary Care-Based Efforts To Reduce Potentially Preventable Readmissions | Agency for Healthcare Research and Quality
    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

66. A Path Forward for Diagnostic Safety Improvement Leadership | Agency for Healthcare Research and Quality
    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

67. DSF Measures 2-3 Attachment 11.1 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_XIA.pdf
    June 02, 2025 - V40.9 Unspecified mental or behavioral problem 10. V60.0 Lack of housing 11. … V61.20 Counseling for parent-child problem, unspecified 15. … F69 Unspecified mental or behavioral problem 10. Z59.0 Lack of housing 11. … Z71.89 Counseling for parent-child problem, unspecified 15.

68. DSF Measures 2-3 Attachment 11.1 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_XIA.pdf
    June 02, 2025 - V40.9 Unspecified mental or behavioral problem 10. V60.0 Lack of housing 11. … V61.20 Counseling for parent-child problem, unspecified 15. … F69 Unspecified mental or behavioral problem 10. Z59.0 Lack of housing 11. … Z71.89 Counseling for parent-child problem, unspecified 15.

69. Appendix B7: Wheelchair Seating Assessment (Text Description) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manwsa.html
    December 01, 2017 - If the resident is not comfortable in the wheelchair, describe the problem. _________________________ … _______________________________ * Anterior Superior Iliac Spine Identify the resident's seating problem … Problem: Resident Slides Out of Chair Reason: Posterior Pelvic Tilt __  Contoured cushion with large … flexion __  Contoured cushion with trough for femur(s) __  Other ________________________________ Problem …   Foot plate adjustment __  Heel loops __  Leg rests __  Other ________________________________ Problem

70. Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
    December 27, 2021 - Ask the PF to facilitate identifying a problem with the class or course. 4. … Three categories of causes may underlie a problem: human, physical, and organizational. … Work with practice members to identify the problem they want to solve or prevent. 2. … The practice may also want to include patients, depending on the nature of the problem. … Using five whys to review a simple problem.

71. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
    June 02, 2025 - Is there a measurable problem? … List reasons defining your problem and goals is essential. … Define the problem, challenge, or opportunity for improvement. … 1. 2. 3. 29 Example: Problem Definition Implementation Problem: Suboptimal communication among … Coach only to problem solve.

72. Postdischarge Followup Phone Call Script (Patient Version) (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdisphone.pdf
    June 02, 2025 - Using your own words, can you explain to me what your main problem or diagnosis is? … CALLER: Do you have any questions for me about your main problem [diagnosis]? … What To Do If a Problem Arises CALLER: Before we hang up, I want to make sure that if a medical problem … CALLER: And what about if you [give example of urgent but not emergent problem] in the evening? … What To Do If a Problem Arises

73. Part 2: Trends in Priorities of the Heckler Report—Care for Substance Use Disorders | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-sbuse.html
    May 01, 2018 - Same No Change People age 12 and over who needed treatment for illicit drug use or an alcohol problem … Substance Abuse Treatment People age 12 and over who needed treatment for illicit drug use or an alcohol problem … noninstitutionalized population age 12 and over who needed treatment for illicit drug use or an alcohol problem … 2012, only 10.8% of people age 12 and over who needed treatment for illicit drug use or an alcohol problem

74. Quality Improvement Study Framework (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
    June 02, 2025 - Improvement Study Framework Element Definition Things To Keep in Mind The Purpose Define the problem … determination will come later after the data have been analyzed. · Speculating about the cause of a problem … The Goal Collect baseline data and set an improvement goal after the problem has been fully diagnosed … Cause of the Problem If the goal was not met, discuss reasons why it was not met. … · Brainstorm with your team the possible causes of the problem. · Select the cause(s) you have the

75. Module 2: PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles.pptx
    May 01, 2017 - Surgery Management Practices for Sustainability Testing and Implementation: Common Problems and Tips Problem … #1: Huddles don’t take place when facilitator is absent or busy Problem #2: Staff turnover has made … sustaining the huddle difficult Problem #3: Staff seem not to see the benefit of the huddle Solution … jpeg image1.jpeg image5.tif Daily Safety Huddle • Standard agenda • Data review • Problem … tracking Visual Management • Outcomes over time • Checklist compliance • Problem log Escalation •

76. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
    December 01, 2017 - Use the Learning From Defects (LFD) tool to perform second-order problem solving. … Slide 4: Problem-Solving Hierarchy Example: Missing equipment in line cart First-order problem … Red arrow pointing down is captioned "First-order problem-solving." … Green arrow pointing up is captioned "Second-order problem-solving." … Build second-order problem solving skills necessary to learn from defects.

77. Table 2. Self-management Support Content and Prerequisites for Coaches | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ptmgmt/design-table2.html
    July 01, 2018 - Develop problem-solving skills and help with problem-solving. Provide emotional support . … Provide followup regarding reassessment, goals, problem-solving, reinforcement, prompts, and reminders … Protocols for providing support (for motivating, building confidence, problem solving, setting goals

78. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
    February 01, 2017 - Slide 6: Problem-Solving Hierarchy Say: First-order problem solving resolves an issue for one patient … Ask: What method of problem solving should we employ? … Say: Instead of relying on first-order problem solving, practice second-order problem solving. … Slide 7: Problem-Solving Goal Say: First-order problem solving addresses the immediate need but … Ask: How can you make sure that everyone is aware of the problem?

79. After Hospital Care Plan for: Oscar Sanchez [Sample] (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/ahcpsample.pdf
    September 01, 2012 - Question or Problem with this Packet? … Call your Discharge Educator: (555) 555-2222 Serious health problem? Call Dr. … : Noncardiac Chest Pain Noncardiac chest pain is pain that is not caused by a heart problem. … See your doctor and ask questions. 11 My Medical Problem: High Blood Pressure High … AveryFor my appointment onWednesday, August 8th, at 11:30 am My Medical Problem:

80. Identifying Targets for Improving Antibiotic Use
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
    November 01, 2019 - needed equipment Solution is straightforward, usually requiring resources but not culture change 4 Problem … be hard to implement because they require consensus, teamwork, communication, change in habits 5 Problem … Discuss drivers of the problem (e.g., fear of offending colleagues, difficulty explaining change in … Solving First-order problem solving Solves one problem in one particular instance Generally does not … help prevent future harm from occurring Second-order problem solving Uses adaptive interventions