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Showing results for "problem".

161. Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. | PSNet
     psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
     May 24, 2016 - Book/Report Organizational Learning from Experience in High-Hazard Industries: Problem … Citation Text: Organizational Learning from Experience in High-Hazard Industries: Problem Investigations … Citation Citation Text: Organizational Learning from Experience in High-Hazard Industries: Problem

162. Reporting and second-order problem solving can turn short-term fixes into long-term remedies. | PSNet
     psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long-term-remedies
     May 07, 2018 - Newspaper/Magazine Article Reporting and second-order problem solving can turn short-term … Citation Text: Reporting and second-order problem solving can turn short-term fixes into long-term … Cite Citation Citation Text: Reporting and second-order problem

163. Psn-Pdf (pdf file)
     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

164. Psn-Pdf (pdf file)
     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

165. Module 2: PowerPoint Presentation
     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 •

166. Procedure Manual Appendix XIII. Template for Scoping the “Decision Problem” to Address Through Decision Modeling | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-xiii-template-scoping-decision-problem-address-through-decision-modeling
     July 01, 2017 - Template for Scoping the “Decision Problem” to Address Through Decision Modeling Share to … Based on items 1 and 2, provide a clear written statement of the decision problem/objective and scope … Template for Scoping the “Decision Problem” to Address Through Decision Modeling . U.S.

167. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
     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.

168. To tell the truth, the whole truth, may do patients harm: the problem of the nocebo effect for informed consent. | PSNet
     psnet.ahrq.gov/issue/tell-truth-whole-truth-may-do-patients-harm-problem-nocebo-effect-informed-consent
     October 03, 2018 - Commentary To tell the truth, the whole truth, may do patients harm: the problem … To tell the truth, the whole truth, may do patients harm: the problem of the nocebo effect for informed … To tell the truth, the whole truth, may do patients harm: the problem of the nocebo effect for informed

169. Table 2. Self-management Support Content and Prerequisites for Coaches | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/design-table2.html
     July 01, 2018 - Develop problem-solving skills and help with problem-solving. Provide emotional support . … Provide followup regarding reassessment, goals, problem-solving, reinforcement, prompts, and reminders … Protocols for providing support (for motivating, building confidence, problem solving, setting goals

170. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
     February 01, 2017 - Slide 6: 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 7: Problem-Solving Goal Say: First-order problem solving addresses the immediate need but … Ask: How can you make sure that everyone is aware of the problem?

171. Identifying Targets for Improving Antibiotic Use
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
     November 01, 2019 - needed equipment Solution is straightforward, usually requiring resources but not culture change 4 Problem … be hard to implement because they require consensus, teamwork, communication, change in habits 5 Problem … Discuss drivers of the problem (e.g., fear of offending colleagues, difficulty explaining change in … Solving First-order problem solving Solves one problem in one particular instance Generally does not … help prevent future harm from occurring Second-order problem solving Uses adaptive interventions

172. After Hospital Care Plan for: Oscar Sanchez [Sample] (pdf file)
     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:

173. Psn-Pdf (pdf file)
     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:/

174. 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?

175. Postdischarge Followup Phone Call Script (Patient Version) | Agency for Healthcare Research and Quality
     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?

176. Postdischarge Followup Phone Call Script (Patient Version) | Agency for Healthcare Research and Quality
     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?

177. Identifying Targets for Improvement in Antibiotic Decision Making (pdf file)
     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.

178. Sustainability Tool - Sustainability Module | Agency for Healthcare Research and Quality
     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   Problem … Problem 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   Problem … Problem solving: If change goals are not aligned and integrated with the strategic goals, performance

179. Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke. | PSNet
     psnet.ahrq.gov/issue/implicit-bias-stroke-care-recurring-old-problem-rising-incidence-young-stroke
     June 08, 2010 - Review Implicit bias in stroke care: a recurring old problem in the rising incidence … Implicit bias in stroke care: A recurring old problem in the rising incidence of young stroke. … Implicit bias in stroke care: A recurring old problem in the rising incidence of young stroke.

180. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     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?