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Showing results for "problem".

181. Human factors engineering in healthcare systems: the problem of human error and accident management. | PSNet
     psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
     June 13, 2011 - Commentary Human factors engineering in healthcare systems: the problem of human … Human factors engineering in healthcare systems: the problem of human error and accident management. … Human factors engineering in healthcare systems: the problem of human error and accident management.

182. 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.

183. Sustainability-Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
     May 01, 2017 - process or outcome 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 … Changing role throughout the project Can pick and choose among offered activities Other Problem … Problem solving: If change goals are not aligned and integrated with the strategic goals, performance

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838075/psn-pdf
     September 14, 2022 - Crisis recovery in surgery: error management and problem solving in safety-critical situations. … Crisis recovery in surgery: error management and problem solving in safety-critical situations. … https://psnet.ahrq.gov/issue/crisis-recovery-surgery-error-management-and-problem-solving-safety-critical … situational awareness and workload management; checklists for non-normal situations; decision making and problem … https://psnet.ahrq.gov/issue/crisis-recovery-surgery-error-management-and-problem-solving-safety-critical-situations

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866638/psn-pdf
     September 04, 2024 - The problem with 'never events'. September 4, 2024 Zaslow J, Fortier J, Garber G. … The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616. doi:10.1136/bmjqs-2023-016981. … https://psnet.ahrq.gov/issue/problem-never-events Never events are serious, but preventable, adverse … https://psnet.ahrq.gov/issue/problem-never-events https://psnet.ahrq.gov/primer/never-events https://

186. Risk Assessment | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/risk
     January 01, 2023 - provide a visual means of conveying all suspected and possible causes and consequences of a specific problem … Potential Problem Analysis Description A potential problem analysis (PPA) is a systematic method … The problem causes are rated according to their likelihood of occurrence and the severity of their consequences … The goal of a root cause analysis is to identify a problem’s origin by following a series of steps. … This allows the analyst or analyzing team to identify the exact issue, identify the reason for the problem

187. Management Practices for Sustainability Module 5: Visual Management | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-slides.html
     June 01, 2017 - work by staff, the daily safety huddle, visual management, escalation, observation of safety work, problem … Keep the board free of clutter Integrate the board with daily huddles Start simple Manage the problem … Slide 10: Testing and Implementation: Common Problems and Tips for Visual Management Boards Problem … #1: Privacy and safety measures Problem #2: We already have a visual board, focused on patient … flow Problem #3: The board is not updated consistently Solution #1: Cover the board

188. "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. | PSNet
     psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift
     January 22, 2016 - Study "Mr Smith's been our problem child today... … "Mr Smith's been our problem child today…": anticipatory management communication (AMC) in VA end-of-shift … "Mr Smith's been our problem child today…": anticipatory management communication (AMC) in VA end-of-shift

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866352/psn-pdf
     July 24, 2024 - Patient falls in the operating room: why is this still a problem in 2024? … Patient falls in the operating room: why is this still a problem in 2024? … https://psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024 Patient falls are a … https://psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024 https://psnet.ahrq.gov

190. 108. Treatment Recommendations: Counseling (Continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide108.html
     October 01, 2014 - Common elements of practical counseling (problem-solving/skills training) Practical counseling … (problem solving/ skills training) treatment component Examples Recognize danger situations … Develop coping skills —Identify and practice coping or problem-solving skills.

191. Postdiscalldoc (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdiscalldoc.docx
     June 02, 2025 - If new problem since discharge: Had the patient: Contacted or seen clinician? … e.g., has not obtained, is not taking correctly, has concerns, including side effects): Medicine 1: Problem … patient/caregiver back Called outpatient pharmacy and called patient/caregiver back Other: Medicine 2: Problem … patient/caregiver back Called outpatient pharmacy and called patient/caregiver back Other: Medicine 3: Problem … Problems Did patient/caregiver know what constituted an emergency and what to do if a nonemergent problem

192. Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial. | PSNet
     psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician-phone-communication
     December 30, 2014 - Study Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician … Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication … Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication

193. Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. | PSNet
     psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review
     February 23, 2011 - Review Quality of medication use in primary care—mapping the problem, working to … Quality of medication use in primary care--mapping the problem, working to a solution: a systematic review … Quality of medication use in primary care--mapping the problem, working to a solution: a systematic review

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47855/psn-pdf
     June 19, 2019 - Medication Overload: America's Other Drug Problem. June 19, 2019 Brownlee S; Garber J. … https://psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem Overprescribing is a common … problem that contributes to patient harm. … culture of prescribing, deficits in information and knowledge, and fragmented care contribute to the problem … https://psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem https://psnet.ahrq.gov/issue

195. Team Roster (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-roster.docx
     April 01, 2022 - Physician Champion · Resourceful · Problem solver · Influencer · Data driven · Subject matter expert … List: Bedside Nurses · Resourceful · Problem solver · Inspire others to commit to project goals and … Infection Preventionist · Subject matter expert · Data driven · Collaborative · Problem solver · Advocate … Nurse Educator · Works across units · Subject matter expert · Problem solver · Collaborative · Meet … Performance Improvement Specialist · Subject matter expert · Data driven · Problem solver · Works across

196. Teaching Pre-Implementation Measurement | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/implement/pre-measure.html
     May 01, 2023 - In discussing Slide 13, “Define a Measurable Goal or Problem You Plan To Address,” it’s important to … that TeamSTEPPS always should have a defined goal or be introduced in response to a clearly identified problem … Also explain that effective measurement requires clarity about the problem and what observable changes … It is being discussed as a pre-implementation topic because quantifying your problem at the beginning

197. AHCP Template for Manual Creation: English-Speaking Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/ahcptemplen.pdf
     June 02, 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

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47857/psn-pdf
     June 14, 2019 - The wicked problem of patient misidentification: how could the technological revolution help address … The wicked problem of patient misidentification: How could the technological revolution help address … https://psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution … https://psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address … https://psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73581/psn-pdf
     January 01, 2022 - Applying human factors engineering to address the telemetry alarm problem in a large medical center. … Applying human factors engineering to address the telemetry alarm problem in a large medical center. … https://psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large … https://psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center … https://psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center

200. Question Builder | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/questions/question-builder/online.html
     June 09, 2025 - Create a list of questions that you can take with you whether you are getting a checkup, talking about a problem … To talk about a health problem To get or change a medicine