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  1. 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:
  2. Postdisphone (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdisphone.docx
    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]? … CALLER: Since you left the hospital, do you feel your main problem, [diagnosis], has improved, worsened … 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?
  3. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/postdischarge-phone.html
    March 01, 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]? … CALLER: Since you left the hospital, do you feel your main problem, [diagnosis], has improved, worsened … 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?
  4. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/postdischarge-phone.html
    March 01, 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]? … CALLER: Since you left the hospital, do you feel your main problem, [diagnosis], has improved, worsened … 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?
  5. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
    November 01, 2019 - Another example of a technical problem would be failure to administer needed antibiotics to septic … When considering possible technical solutions to a problem, it is important to assess their ease of … First-order problem solving involves solving one problem at a time. … Second-order problem solving uses both technical and adaptive interventions. … change than first- order problem solving.
  6. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
    June 01, 2017 - General capacity to improve on more than one outcome or process Partnership itself   ProblemProblem solving: If key elements are lacking, has a strategy been developed to address this issue? … Problem solving: If positive incentives are inadequate or disincentives are identified, have strategies …   Can pick and choose among offered activities   Other   ProblemProblem solving: If change goals are not aligned and integrated with the strategic goals, performance
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
    January 01, 2017 - Slide 5 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 6 Problem-Solving Goal SAY: First-order problem solving addresses the immediate need but does … ASK: How can you make sure that everyone is aware of the problem?
  8. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-blank-temp.html
    May 01, 2017 - Improvement Study Template Ambulatory Surgery Center Slide 2: Problem … Statement problem statement here> Slide 3: Improvement Team Project Leader(s … Observed performance: Current performance: Below Goal by X or Goal Achieved Slide 10: Cause of the Problemproblem> Slide 11: Corrective Actions/Interventions Intervention
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
    February 01, 2004 - Problem types used for coding error reports Problem Type Definition Problematic communication and … (Problem type: Decision) Diagnostic “Patient with E.coli oh 157. … (Problem type: Other) Equipment “Dictation was not completed due to a new technical problem not encountered … (Problem type: Execution) Problem Type Categories Example error report Problematic communication … Problem types used for coding error reports Table 3.
  10. www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
    February 01, 2017 - Use the Learning from Defects (LFD) tool to perform second-order problem solving. … Slide 6: Problem-Solving Hierarchy First-Order Problem Solving Recovers for one patient, but … Slide 7: Problem-Solving Goal First-order problem solving addresses immediate need, but does not … Second-order problem solving addresses future needs and improves overall patient safety culture. … Image: Counterbalanced arrows illustrate first-order problem solving versus second-order problem solving
  11. Sustainability-Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
    May 01, 2017 - process or outcome General capacity to improve on more than one outcome or process Partnership itself ProblemProblem solving: If key elements are lacking, has a strategy been developed to address this issue? … Problem solving: If positive incentives are inadequate or disincentives are identified, have strategies … Changing role throughout the project Can pick and choose among offered activities Other ProblemProblem solving: If change goals are not aligned and integrated with the strategic goals, performance
  12. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-slides.html
    June 01, 2017 - work by staff, the daily safety huddle, visual management, escalation, observation of safety work, problem … Keep the board free of clutter Integrate the board with daily huddles Start simple Manage the problem … Slide 10: Testing and Implementation: Common Problems and Tips for Visual Management Boards Problem … #1: Privacy and safety measures Problem #2: We already have a visual board, focused on patient … flow Problem #3: The board is not updated consistently Solution #1: Cover the board
  13. Team Roster (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-roster.docx
    April 01, 2022 - Physician Champion · Resourceful · Problem solver · Influencer · Data driven · Subject matter expert … List: Bedside Nurses · Resourceful · Problem solver · Inspire others to commit to project goals and … Infection Preventionist · Subject matter expert · Data driven · Collaborative · Problem solver · Advocate … Nurse Educator · Works across units · Subject matter expert · Problem solver · Collaborative · Meet … Performance Improvement Specialist · Subject matter expert · Data driven · Problem solver · Works across
  14. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide108.html
    October 01, 2014 - Common elements of practical counseling (problem-solving/skills training) Practical counseling … (problem solving/ skills training) treatment component Examples Recognize danger situations … Develop coping skills —Identify and practice coping or problem-solving skills.
  15. www.ahrq.gov/teamstepps-program/curriculum/implement/pre-measure.html
    May 01, 2023 - In discussing Slide 13, “Define a Measurable Goal or Problem You Plan To Address,” it’s important to … that TeamSTEPPS always should have a defined goal or be introduced in response to a clearly identified problem … Also explain that effective measurement requires clarity about the problem and what observable changes … It is being discussed as a pre-implementation topic because quantifying your problem at the beginning
  16. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-advancing-methods-4.pdf
    March 03, 2021 - Plan/ Solutions: Results: Patient Experience score for FY ended above Max% DO (I m pr ov e) Problem … •More people returned the survey, but this was a follow-up question to having a problem. … •Because their problem was not resolved in a way they felt we heard their concern. … •We did not verify that we understood and addressed the problem we thought they had. … Why •Why did we not verify that they felt our actions rectified their problem?
  17. Ahcpsample (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/ahcpsample.docx
    September 01, 2012 - Question or Problem with this Packet? … Call your Discharge Educator: (555) 555-2222 Serious health problem? Call Dr. … mg gum Gum Chew ** Bring this Plan to ALL Appointments** Oscar Sanchez What is my main medical problem … : Noncardiac Chest Pain Noncardiac chest pain is pain that is not caused by a heart problem … My Medical Problem: High Blood Pressure High blood pressure is also called hypertension.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview.pptx
    May 01, 2017 - Healthcare Improvement (IHI) team studied 10 leading health care organizations that are addressing this problem … for frontline managers and staff Key elements Daily huddles Use of visual boards at the front line Problem-solving … jpeg image3.jpeg image5.tif Daily Safety Huddle • Standard agenda • Data review • Problem … tracking Visual Management • Outcomes over time • Checklist compliance • Problem log Escalation • … surgical checklist • Infection control procedures Observation of Safety Work:unit lead & senior leader Problem
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt.pptx
    May 01, 2017 - Keep the board free of clutter Integrate the board with daily huddles Start simple Manage the problem … #1: Privacy and safety measures Problem #2: We already have a visual board, focused on patient flow … Problem #3: The board is not updated consistently Solution #1: Cover the board when not in use 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 •
  20. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/echo/about/209_echo-reporting-measures.pdf
    January 01, 2004 - MCO only) Getting clinician happy with Delays in treatment while wait for plan approval Problem … materials or on the Internet Helpfulness of customer service Filling out paperwork Big problem … Small problem Not a problem Perceived improvement Q31 Q32 Compare ability to deal with

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