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digital.ahrq.gov/ahrq-funded-projects/information-needs-homecare-nurses-during-admission-and-care-planning/citation/problem
January 01, 2023 - There's a problem with the problem list: Incongruence of patient problem information across the home … There's a problem with the problem list: Incongruence of patient problem information across the home
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psnet.ahrq.gov/issue/problem-checklists
March 29, 2023 - Commentary
The problem with checklists. … The problem with checklists. BMJ Qual Saf. 2015;24(9):545-9. doi:10.1136/bmjqs-2015-004431. … The problem with checklists. BMJ Qual Saf. 2015;24(9):545-9. doi:10.1136/bmjqs-2015-004431.
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digital.ahrq.gov/ahrq-funded-projects/information-needs-homecare-nurses-during-admission-and-care-planning/citation/incongruence
January 01, 2023 - Incongruence of patient problem information across three phases of home care admission: there's a problem … with the problem list. … Incongruence of patient problem information across three phases of home care admission: there's a problem … with the problem list.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/problem
January 01, 2023 - Problem Solving
Kepner-Tregoe Matrix
Description
A Kepner-Tregoe … matrix is used to find causes of a problem. … This allows you to compare what the problem is, with what it is not, illuminating distinctive features … of the problem and pointing out its potential causes. … 5W2H
Description
5W2H is a tool that provides guiding questions when assessing a process or problem
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psnet.ahrq.gov/issue/problem-incident-reporting
February 28, 2024 - Commentary
The problem with incident reporting. … The problem with incident reporting. … The problem with incident reporting.
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psnet.ahrq.gov/issue/problem-never-events
July 12, 2023 - Commentary
The problem with 'never events'. … The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616. doi:10.1136/bmjqs-2023-016981. … The problem with ‘never events’. … August 7, 2024
Patient falls in the operating room: why is this still a problem in 2024
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www.ahrq.gov/practiceimprovement/delivery-initiative/mccannon/index.html
December 01, 2020 - The Spread Problem
Slide Presentation by Joe McCannon
On February 17, Joe McCannon made this … Sign up: Quality Measure Tools Email updates
Slide 1
The Spread Problem
The Challenge and Promise … for Medicare and Medicaid Services
February 17, 2011
Slide 2
Ground to Cover
The Spread Problem … Slide 15
Framing
Problem definition.
Explicit aim-setting.
Tacit aim-setting.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/potential-problem-analysis
January 01, 2023 - Potential Problem Analysis
Acronym
PPA
Description
A potential problem analysis … The problem causes are rated according to their likelihood of occurrence and the severity of their consequences … When a problem may occur.
When the schedule for the plan's completion is significant. … ESTIMATE THE RISK of each problem by assigning it a high, medium, or low rating for both its likelihood
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hospital-readmission-problem.pdf
April 02, 2025 - Hospital Readmissions: Not Just a Problem for Medicare
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Medicaid … www.ahrq.gov/cusptoolkit
Hospital Readmissions: Not Just a Problem for Medicare
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psnet.ahrq.gov/issue/problem-root-cause-analysis
August 28, 2024 - Commentary
The problem with root cause analysis. … The problem with root cause analysis. … The problem with root cause analysis.
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psnet.ahrq.gov/issue/problem-medication-reconciliation
May 08, 2017 - Commentary
The problem with medication reconciliation. … The problem with medication reconciliation. … The problem with medication reconciliation.
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psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
October 31, 2014 - Commentary
Classic
Problem doctors: is there a system-level … Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15. … definitions such as professional competence and disruptive behavior before examining the extent of the problem … Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15.
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psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
July 18, 2018 - Book/Report
Classic
Medical Problem Solving: An Analysis … Citation Text:
Medical Problem Solving: An Analysis of Clinical Reasoning. Elstein AS, ed. … relevance for those interested in patient safety and quality improvement is that competence may be problem … specific; thus, there is no generic approach to clinical problem solving that, when followed, ensures … Copy URL
Cite
Citation
Citation Text:
Medical Problem
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - Overuse as a Patient Safety Problem
Christopher Moriates, MD | September 1, 2014 … Overuse as a Patient Safety Problem. PSNet [internet]. … Overuse as a Patient Safety Problem. PSNet [internet]. … RW : How should we tackle this problem? … Overuse as a Patient Safety Problem. PSNet [internet].
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psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - "Superficial" Report Leads to "Deep" Problem
Citation Text:
Dhaliwal G. … "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. … "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. … Solutions Perhaps the weakest solution to this problem would be to initiate pre- or postgraduate efforts … "Superficial" Report Leads to "Deep" Problem. PSNet [internet].
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psnet.ahrq.gov/issue/problem-using-patient-complaints-improvement
February 20, 2019 - Commentary
The problem with using patient complaints for improvement. … The problem with using patient complaints for improvement. … The problem with using patient complaints for improvement. … March 27, 2019
The problem with making Safety-II work in healthcare.
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digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems/citation/indication
January 01, 2023 - Indication alerts to improve problem list documentation. … Indication alerts to improve problem list documentation.
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digital.ahrq.gov/ahrq-funded-projects/long-term-effectiveness-telephone-intervention-problem-solving-tips
January 01, 2023 - The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS)
Project … Research indicates that problem-solving interventions are among the most effective treatments to improve … adherence and reduce costs; however, problem-solving is seldom offered as a strategy because of the … Telephone Intervention-Problem Solving (TIPS) for schizophrenia spectrum disorders: responses of stable … The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS) - Final Report.
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - Opioid Overdose as a Patient Safety Problem
Irene Berita Murimi, PhD, MA, and G. … Opioid Overdose as a Patient Safety Problem. PSNet [internet]. … Opioid Overdose as a Patient Safety Problem. PSNet [internet]. … RW : Do you think the health care system is set up to manage this problem? … Opioid Overdose as a Patient Safety Problem. PSNet [internet].
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - How to Identify and Manage Problem Behaviors
Alan H. … How to Identify and Manage Problem Behaviors. PSNet [internet]. … How to Identify and Manage Problem Behaviors. PSNet [internet]. … RW: Take us through the pathophysiology of the development of a problem physician. … How to Identify and Manage Problem Behaviors. PSNet [internet].