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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pptx
April 02, 2025 - AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool D.1 Slide ‹#›
Diagnose the problem … Step 1
Diagnose the Problem
Performance Improvement
Model
Source: Langley GJ, Nolan KM, Nolan TW … Step 1
Diagnose the Problem
Describe Improvement Initiative – Project Charter (Tool D.2)
Review and Select
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pptx
April 02, 2025 - AHRQ Quality Indicators
How to Improve Hospital Quality and Safety
Tool D.1 Slide ‹#›
Diagnose the problem … Step 1
Diagnose the Problem
Performance Improvement
Model
Source: Langley GJ, Nolan KM, Nolan TW … Step 1
Diagnose the Problem
Describe Improvement Initiative – Project Charter (Tool D.2)
Review and Select
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pdf
April 02, 2025 - Diagnose the problem
2. Plan and implement best practices
3. Measure results and analyze
4. … Step 1
Diagnose the Problem
Performance
Improvement
Model
Source: Langley GJ, Nolan KM, Nolan TW … Step 1
Diagnose the Problem
• Describe Improvement Initiative – Project Charter (Tool D.2)
• Review and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pdf
April 02, 2025 - Diagnose the problem
2. Plan and implement best practices
3. Measure results and analyze
4. … Step 1
Diagnose the Problem
Performance
Improvement
Model
Source: Langley GJ, Nolan KM, Nolan TW … Step 1
Diagnose the Problem
• Describe Improvement Initiative – Project Charter (Tool D.2)
• Review and
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-6.html
July 01, 2023 - The patient and their family member or other support person inform the clinician about a health problem … with the patient/family/support person to develop a plan to diagnose and treat the patient’s health problem … The clinician recommends using an AI-based algorithm developed to evaluate the patient’s health problem … may provide updates about the patient's status after an intervention designed to address the health problem … autonomy should be preserved, AI will have variable levels of autonomy depending on the diagnostic problem
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www.ahrq.gov/hai/tools/surgery/modules/implementation/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
First-order problem solving
Recovers for one patient, but … Slide 5: Problem-Solving Goal
What is the long-term impact on patient safety culture? … Red arrow pointing down is captioned "First-order problem-solving addresses immediate need, but does … Green arrow pointing up is captioned "Second-order problem-solving addresses future needs and improves
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/section5part2.html
January 01, 2020 - Various operational issues in the practice could contribute to this problem:
The physicians may not … Articulating the issue in writing helps you formalize the problem and describe it completely. … It also helps everyone on the improvement team focus on the same problem. … Step 2: Ask why the problem happens and write the answer down below the problem.
Why? … All patients who report a problem scheduling appointments.
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-2.html
July 01, 2022 - The charter will be a dynamic document that encompasses the following elements:
Problem statement … Problem Statement. … A problem statement is a concise description of the issues that need to be addressed by the team and … A good problem statement should consider the nature of the problem and how it impacts patient care. … The team should establish goals and objectives that directly relate to the above problem statement.
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/postdischarge-doc.html
March 01, 2025 - If new problem since discharge: Had the patient: ___ Contacted or seen clinician? … _____________________ Medicine 2 :_________________________________________________________________ Problem … _____________________ Medicine 3 :_________________________________________________________________ Problem … Problems Did patient/caregiver know what constituted an emergency and what to do if a nonemergent problem
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
September 01, 2015 - Describe how Appreciative Inquiry (AI) differs from the problem-solving approach to quality
improvement … Table 9.1 shows how AI compares to traditional problem-focused approaches. … Problem
Appreciative
lnQuiry
Table 9.1. … Focus of Appreciative Inquiry compared to traditional problem-focused
approaches
Problem Focused Appreciative … AI compared to traditional problem solving
Reproduced from: Taylor J.
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www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
January 01, 2024 - Methods: We followed the planned, five-step phased approach of Problem Analysis, Design, Development, … Given that there were more than 20 small projects conducted in the Problem Analysis phase alone, in … Steps in Problem Analysis for Aims 1 and 2. … with interview guides designed to explore in-depth
the early findings of problem analysis with (1) … Representative results from Aim 1 Problem Analysis nursing questionnaire about monitor alarms.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-suppl-items.doc
April 02, 2025 - The amount of time for appointments is long enough to fully evaluate the patient’s presenting problem … this office have enough time to review the relevant information related to the patient’s presenting problem … The processes start when a patient seeks care for a health problem, and include:
Gathering, integrating
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www.ahrq.gov/hai/cauti-tools/impl-guide/index.html
October 01, 2015 - Interpreting CAUTI Data Trends
Contents
Overview
The Purpose of This Guide
The Problem
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-hqm-report-exec-summary.pdf
November 17, 2021 - In summary, the report will be amended with
the following key points:
• Frame the Problem. … The NAC recommended that AHRQ develop a statement of the
problem to be solved with quality measurement … In
addition, the NAC suggested that AHRQ should clarify the problem they are trying to answer
with … quality measurement and the overall framework they will use to solve this problem. … Frame the Problem.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_apptaide.pdf
December 01, 2017 - 5
The Problem(s) I Need to Look For
I should… …if I have the following problem(s):
❑ Call 911
❑ … ❑ Call _________________
❑ Schedule follow-up appointment
I should… …if I have the following problem … Preparingfor Your Appointment
Before My Appointment
During My Appointment
My Medicine List
The Problem
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www.ahrq.gov/research/findings/final-reports/ptflow/appendix-d.html
April 01, 2020 - patient flow improvement strategies, including: (1) recognizing that ED crowding is a hospital-wide problem … , not an emergency department (ED) problem; (2) building multidisciplinary, hospital-wide teams to oversee … multidisciplinary teams, quality-related committees, and technology investments, which facilitate (3) a systematic problem-identification … and problem-solving process, resulting in (4) new treatment protocols and practices, which in turn result
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6e.pdf
July 07, 2017 - The Problem
Both the ease and the speed of the specialist referral process are major concerns for
patients … generates greater anxiety and
contributes to a greater risk of adverse clinical
outcomes. 2 This problem … Specialist referrals are a serious problem for some health plan members. … Rapid Referral Programs
July 2017 6.E-4
One way to address this problem is for a group practice to … The Problem
6.E.2. Intervention #1: The Referral Agreement
6.E.2.a. Key Elements
6.E.2.b.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-burnout-slides.pdf
December 10, 2024 - 1,000,000 Nurses
Plus other health care and biomedical science professionals
Individual or system problem … E.g., “Brainstorm ways to promote collegiality in your
hallway or work unit.”
o Personal strengths/problem … solving/coping/resources for
thriving and flourishing
E.g., “Talk about a work-related problem that … Then, come up with a plan of action
to solve the problem.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-6.html
August 01, 2020 - Beyond solving the travel problem for rural, elderly, and disadvantaged populations, telehealth supports
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www.ahrq.gov/es/questions/question-builder/online.html
Create a list of questions that you can take with you whether you are getting a checkup, talking about a problem … To talk about a health problem
To get or change a medicine