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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_XIA.pdf
June 02, 2025 - V40.9 Unspecified mental or behavioral problem
10. V60.0 Lack of housing
11. … V61.20 Counseling for parent-child problem, unspecified
15. … F69 Unspecified mental or behavioral problem
10. Z59.0 Lack of housing
11. … Z71.89 Counseling for parent-child problem, unspecified
15.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_XIA.pdf
June 02, 2025 - V40.9 Unspecified mental or behavioral problem
10. V60.0 Lack of housing
11. … V61.20 Counseling for parent-child problem, unspecified
15. … F69 Unspecified mental or behavioral problem
10. Z59.0 Lack of housing
11. … Z71.89 Counseling for parent-child problem, unspecified
15.
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digital.ahrq.gov/principal-investigator/beebe-lora
January 01, 2023 - Beebe, Lora
Telephone Intervention-Problem Solving (TIPS) for schizophrenia … Telephone Intervention-Problem Solving (TIPS) for schizophrenia spectrum disorders: responses of stable … The long-term effects of cellular telephone-delivered telephone intervention problem solving (TIPS) for … Solving (TIPS)
The Long Term Effectiveness of Telephone Intervention Problem … The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS) - Final Report.
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psnet.ahrq.gov/issue/invited-article-managing-disruptive-physician-behavior-impact-staff-relationships-and-patient
February 03, 2010 - this area has investigated predictors of unprofessional actions and system-level solutions to the problem … September 24, 2010
Perspective
How to Identify and Manage Problem … April 22, 2011
Perspective
How to Identify and Manage Problem
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manwsa.html
December 01, 2017 - If the resident is not comfortable in the wheelchair, describe the problem. _________________________ … _______________________________
* Anterior Superior Iliac Spine
Identify the resident's seating problem … Problem: Resident Slides Out of Chair
Reason: Posterior Pelvic Tilt
__ Contoured cushion with large … flexion
__ Contoured cushion with trough for femur(s)
__ Other ________________________________
Problem … Foot plate adjustment
__ Heel loops
__ Leg rests
__ Other ________________________________
Problem
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psnet.ahrq.gov/node/74699/psn-pdf
January 26, 2022 - Indication alerts to improve problem list documentation. … Indication alerts to improve problem list documentation. … https://psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-documentation
Problem lists, while … on the problem list) in two different hospitals using
different EHRs. … Both sites resulted in a proportion of new problems being added to the problem list for the
medications
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psnet.ahrq.gov/issue/institutional-disclosure-promise-and-problems
August 12, 2015 - Study
Institutional disclosure: promise and problems.
Citation Text:
Wolk SW, Sine DM, Paull DE. Institutional disclosure: promise and problems. J Healthc Risk Manag. 2014;33(3):24-32. doi:10.1002/jhrm.21132.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3…
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psnet.ahrq.gov/issue/healthcare-problems-are-organizational-not-clinical
July 14, 2010 - Special or Theme Issue
Healthcare: The Problems Are Organizational Not Clinical.
Citation Text:
Healthcare: The Problems Are Organizational Not Clinical. J Org Behavior. 2006;27(7):809-1029.
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Save to your library
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Download PD…
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psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response
May 20, 2016 - Commentary
Healthcare-associated infections: a national patient safety problem and … Healthcare-associated infections: a national patient safety problem and the coordinated response. … Healthcare-associated infections: a national patient safety problem and the coordinated response.
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psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
June 09, 2011 - Book/Report
Classic
Root Cause Analysis: The Core of Problem … Citation Text:
Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition … Cite
Citation
Citation Text:
Root Cause Analysis: The Core of Problem
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psnet.ahrq.gov/node/865872/psn-pdf
May 15, 2024 - Speaking up and taking action: psychological safety and
joint problem-solving orientation in safety … Speaking up and taking action: psychological safety and
joint problem-solving orientation in safety … https://psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving … This study explored the association of psychological safety and joint-problem-
solving orientation ( … https://psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving-orientation-safety
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
December 27, 2021 - Ask the PF to facilitate identifying a problem with the class or course.
4. … Three categories of causes may underlie a
problem: human, physical, and organizational. … Work with practice members to identify the problem they want to solve or prevent.
2. … The practice may also want to include patients, depending on the nature of the problem. … Using five whys to review a simple problem.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
June 02, 2025 - Is there a measurable problem? … List reasons defining your problem and goals is essential. … Define the problem, challenge, or opportunity for improvement. … 1.
2.
3.
29
Example: Problem Definition
Implementation
Problem:
Suboptimal communication among … Coach only to problem solve.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdisphone.pdf
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]? … 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? … What To Do If a Problem Arises
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psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
February 24, 2011 - These include agreement that a problem exists, agreement that a proposed solution actually solves the … problem, and identifying obstacles and how they can be overcome. … February 26, 2025
Development of "SWARM" as a model for high reliability, rapid problem
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-sbuse.html
May 01, 2018 - Same
No Change
People age 12 and over who needed treatment for illicit drug use or an alcohol problem … Substance Abuse Treatment
People age 12 and over who needed treatment for illicit drug use or an alcohol problem … noninstitutionalized population age 12 and over who needed treatment for illicit drug use or an alcohol problem … 2012, only 10.8% of people age 12 and over who needed treatment for illicit drug use or an alcohol problem
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psnet.ahrq.gov/node/867602/psn-pdf
January 22, 2025 - Addressing racial and ethnic bias in pulse oximeters—a
wicked problem. … Addressing racial and ethnic bias in pulse oximeters—a wicked
problem. … https://psnet.ahrq.gov/issue/addressing-racial-and-ethnic-bias-pulse-oximeters-wicked-problem
Pulse … Improving accuracy of pulse oximeters is a complex problem with manufacturer, clinical, legal, and
regulatory … https://psnet.ahrq.gov/issue/addressing-racial-and-ethnic-bias-pulse-oximeters-wicked-problem
https:/
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
June 02, 2025 - Improvement Study Framework
Element
Definition
Things To Keep in Mind
The Purpose
Define the problem … determination will come later after the data have been analyzed.
· Speculating about the cause of a problem … The Goal
Collect baseline data and set an improvement goal after the problem has been fully diagnosed … Cause of the Problem
If the goal was not met, discuss reasons why it was not met. … · Brainstorm with your team the possible causes of the problem.
· Select the cause(s) you have the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles.pptx
May 01, 2017 - Surgery
Management Practices for Sustainability
Testing and Implementation: Common Problems and Tips
Problem … #1: Huddles don’t take place when facilitator is absent or busy Problem #2: Staff turnover has made … sustaining the huddle difficult Problem #3: Staff seem not to see the benefit of the huddle
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
•
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/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
Example: Missing equipment in line cart
First-order problem … Red arrow pointing down is captioned "First-order problem-solving." … Green arrow pointing up is captioned "Second-order problem-solving." … Build second-order problem solving skills necessary to learn from defects.