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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdiscalldoc.pdf
April 07, 2025 - If new problem since discharge:
Had the patient:
Contacted or seen clinician? … including side effects):
Medicine 1: ________________________________________________________________
Problem … _________________
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/patient-safety/settings/hospitals/red-toolkit/ahcptemplen.pdf
April 07, 2025 - After Hospital Care Plan for: [patient name]
Discharge Date: [discharge date]
Question or Problem … Call your Discharge Educator: (xxx) xxx-xxxx DE
PHOTO HERE
Serious health problem? … 5
** Bring this Plan to ALL Appointments**
[Insert Patient Name]
What is my main medical problem
-
psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three
April 21, 2015 - Study
How not to waste a crisis: a qualitative study of problem definition and its … How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals … How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
April 02, 2025 - Problem:
Requires moderate to maximum assistance in moving. … Potential Problem:
Moves feebly or requires minimum assistance. … No Apparent Problem:
Moves in bed and in chair independently and has sufficient muscle strength to lift … Friction and Shear
Problem
· Skin assessment and inspection q shift.
· Minimum of 2 people + draw sheet … Potential Problem
· Keep bed linens clean, dry, and wrinkle free.
· Avoid massaging pressure points.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/redtoolkitforms.pdf
September 01, 2012 - Question or Problem with this Packet? … Call your Discharge Educator: (555) 555-2222
Serious health problem? Call Dr. … What To Do If a Problem Arises
CALLER: Before we hang up, I want to make sure that if a medical problem … Do you know what your main problem was? … Do you know what your main problem was?
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/ahcptemplen.docx
April 07, 2025 - Appointments**
After Hospital Care Plan for: [patient name]
Discharge Date: [discharge date]
Question or Problem … Call your Discharge Educator: (xxx) xxx-xxxx DE PHOTO HERE
Serious health problem? … ** Bring this Plan to ALL Appointments**
[Insert Patient Name]
What is my main medical problem
-
www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ahcp-template-eng.html
March 01, 2025 - Hospital Care Plan for: [patient name] [Patient name] Discharge Date: [discharge date] Question or Problem … Call your Discharge Educator: (xxx) xxx-xxxx DE PHOTO HERE Serious health problem? … for ** Bring this Plan to ALL Appointments** [Insert Patient Name] What is my main medical problem
-
www.ahrq.gov/nhguide/about/choosing-the-right-toolkit.html
October 01, 2016 - may be helpful to consider the following questions:
Has the nursing home identified a particular problem … If the nursing home has not identified a problem, it may want to start monitoring antimicrobial use with … This may help the antimicrobial stewardship team identify a problem on which to focus.
… expected to identify problems or opportunities for improvement, that represent high risk, high volume, or problem-prone
-
psnet.ahrq.gov/issue/understanding-human-over-reliance-technology
February 24, 2016 - technology can diminish human decision-making, this newsletter article offers strategies to address the problem … May 7, 2018
Reporting and second-order problem solving can turn short-term fixes into
-
psnet.ahrq.gov/issue/indication-alerts-intercept-drug-name-confusion-errors-during-computerized-entry-medication
August 28, 2019 - medications were ordered and required users to click "OK" to ignore the alert, to add the drug to a problem … August 4, 2021
Indication alerts to improve problem list documentation.
-
psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study
July 17, 2013 - Study
Classic
Insights into the problem of alarm fatigue … Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational … Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
April 02, 2025 - Create a problem statement, such as, “Patients have stopped attending our diabetes
self-management classes … Design a change or counter-measure to correct the problem. … Create a problem statement and write it at the "head" of the fish. This is the "effect."
2.
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digital.ahrq.gov/technology/architecture
January 01, 2023 - Hettinger, Aaron Zachary
Project Name
Cognitive Engineering for Complex Decisionmaking & Problem … Solving in Acute Care
Cognitive Engineering for Complex Decisionmaking & Problem … Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care - Final Report. … Hettinger, Aaron Zachary
Project Name
Cognitive Engineering for Complex Decisionmaking & Problem … Value in a Community Network
Cognitive Engineering for Complex Decisionmaking & Problem
-
digital.ahrq.gov/ahrq-funded-projects/patient-centered-data-visualizations-diabetes
January 01, 2023 - Individuals with Chronic Care Needs , Physician
Understanding individual and collaborative problem-solving … Understanding individual and collaborative problem-solving with patient-generated data: challenges and
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-21-leadership.pdf
September 01, 2015 - This involves the leader identifying
the problem, identifying the solution to the problem, and then … Examples include, “What is your ideal solution to this problem?” … problem and determine whether it is truly a “problem” or merely a misinterpretation
of a situation … Think of a problem you have tried (and failed) to fix multiple times. … leaders then must gather information on the problem.
-
digital.ahrq.gov/principal-investigator/fairbanks-rollin-j
January 01, 2023 - Project Name
Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care … Project Name
Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care … Project Name
Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care … Project Name
Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care … Project Name
Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/redtoolkitforms.docx
September 01, 2012 - Question or Problem with this Packet? … Call your Discharge Educator: (555) 555-2222
Serious health problem? Call Dr. … What To Do If a Problem Arises
CALLER: Before we hang up, I want to make sure that if a medical problem … Do you know what your main problem was? … Do you know what your main problem was?
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management.html
June 01, 2017 - Word File , 261 KB; Text Version )
Example of PDSA Form ( Word File , 314 KB; Text Version )
Problem … Solving and Escalation
These resources help front line staff and leaders understand the problem-solving … and problem-escalation methods necessary to sustain improvements.
-
psnet.ahrq.gov/issue/why-we-need-single-definition-disruptive-behavior
November 01, 2017 - is needed to develop effective policy and research programs for responding to and addressing the problem … July 2, 2019
Problem list completeness in electronic health records: a multi-site study
-
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