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Showing results for "problem".

121. Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. | PSNet
     psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
     November 16, 2022 - Commentary Development of "SWARM" as a model for high reliability, rapid problem … Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning … Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning

122. The Importance of Investing in Care for People with Multiple Chronic Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mcc_infographic_printable.pdf
     June 02, 2025 - MCC IS A LARGE & GROWING PROBLEM Almost one in three Americans lives with MCC. … The prevalence of MCC increases with age, however this problem affects a large number of working aged … the elderly. 80% 49% 18% 7% 0-17 18-44 45-64 65+ % OF US POPULATION WITH MCC BY AGE The problem … . 32% = 96.5 million people28% 24% 2001 2006 2010 % OF US POPULATION WITH MCC OVER TIME THE PROBLEM … prescriptions AVERAGE NUMBER OF PRESCRIPTIONS PER YEAR (new + refilled) To address the growing problem

123. The Importance of Investing in Care for People with Multiple Chronic Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mcc_infographic.pdf
     June 02, 2025 - MCC IS A LARGE & GROWING PROBLEM Almost one in three Americans lives with MCC. … The prevalence of MCC increases with age, however this problem affects a large number of working aged … the elderly. 80% 49% 18% 7% 0-17 18-44 45-64 65+ % OF US POPULATION WITH MCC BY AGE The problem … ages. 32% = 96.5 million people28%24% 2001 2006 2010 % OF US POPULATION WITH MCC OVER TIME THE PROBLEM … RX RX To address the growing problem of MCC, the US healthcare system must transform from a disease-specific

124. Antibiotic Stewardship Program (ASP) Development
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-slides.pptx
     June 01, 2021 - PROBLEM: No discussion with the family or attempt to educate. … PROBLEM(S): No evaluation of resident. … PROBLEM: No diagnostic criteria used to evaluate the resident. … PROBLEM(S): No evaluation of resident. … PROBLEM(S): No evaluation of resident.

125. Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it? | PSNet
     psnet.ahrq.gov/issue/overkill-avalanche-unnecessary-medical-care-harming-patients-physically-and-financially-what
     March 29, 2010 - A previous AHRQ WebM&M perspective explored overuse as a patient safety problem. … Patient Safety March 27, 2024 Overdiagnosis and overtreatment as a quality problem … April 13, 2016 The persistent problem of diagnostic error.

126. Aspirin Workflow (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/aspirin-workflow.pdf
     June 02, 2025 - Aspirin Workflow Aspirin M A Information Criterion IVD is on Problem List AND Aspirin is not on … : • Medication List • Medication Allergy List • Contraindication on Problem List Clinical Condition … Contra­ indication No Place & pend order for Aspirin without dose Yes Place Contraindication on Problem

127. Cognitive Engineering for Complex Decision Making & Problem Solving in Acute Care - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs022542-hettinger-final-report-2020.pdf
     January 01, 2020 - Cognitive Engineering for Complex Decision Making & Problem Solving in Acute Care - Final Report … Cognitive Engineering for Complex Decision Making & Problem

128. Retained guidewires in the Veterans Health Administration: getting to the root of the problem. | PSNet
     psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem
     March 13, 2013 - Retained guidewires in the Veterans Health Administration: getting to the root of the problem … Retained Guidewires in the Veterans Health Administration: Getting to the Root of the Problem. … Retained Guidewires in the Veterans Health Administration: Getting to the Root of the Problem.

129. Patient safety in emergency departments: a problem for health care systems? An international survey. | PSNet
     psnet.ahrq.gov/issue/patient-safety-emergency-departments-problem-health-care-systems-international-survey
     February 26, 2020 - Study Patient safety in emergency departments: a problem for health care systems? … Patient safety in emergency departments: a problem for health care systems? … Patient safety in emergency departments: a problem for health care systems?

130. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. | PSNet
     psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic
     January 12, 2022 - Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem … Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem … Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem

131. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
     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 drops. … first-order problem solving.

132. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
     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. … problem solving. … for first-order problem solving drops. … first-order problem solving.

133. 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.

134. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? | PSNet
     psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution
     March 01, 2023 - .: is malpractice liability part of the problem or part of the solution? … The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part … The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part

135. Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them? | PSNet
     psnet.ahrq.gov/issue/spinal-surgery-complications-unsolved-problem-world-health-organization-safety-surgical
     March 08, 2023 - Study Spinal surgery complications: an unsolved problem-Is the World Health Organization … Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist … Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist

136. 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

137. 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.

138. 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.

139. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
     January 01, 2024 - to be solved at one point in time, rather than a recurring and evolving problem that is influenced by … representation 17 Practice iterative and dynamic problem representation (1) Problem representation … The second way to conceive of problem representation is as an individual’s mental representation of a … problem representation in this case upon the patient’s first presentation could be: A middle-aged … The importance of early problem representation during case presentations.

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865884/psn-pdf
     May 29, 2024 - to be solved at one point in time, rather than a recurring and evolving problem that is influenced … to be solved.8,9,10 Problem representation is a key activity in most diagnostic reasoning curricula … The second way to conceive of problem representation is as an individual’s mental representation of … The importance of early problem representation during case presentations. … Reasoning on rounds: summary statement or problem representation?