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Showing results for "problem".

181. Quality Improvement Study Template - Implementation Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-blank-temp.html
     May 01, 2017 - Improvement Study Template Ambulatory Surgery Center Slide 2: Problem … Statement problem statement here> Slide 3: Improvement Team Project Leader(s … Observed performance: Current performance: Below Goal by X or Goal Achieved Slide 10: Cause of the Problem … problem> Slide 11: Corrective Actions/Interventions Intervention

182. Incident reporting system does not detect adverse drug events: a problem for quality improvement. | PSNet
     psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement
     February 10, 2011 - Classic Incident reporting system does not detect adverse drug events: a problem … The incident reporting system does not detect adverse drug events: a problem for quality improvement. … The incident reporting system does not detect adverse drug events: a problem for quality improvement.

183. Learning from Errors in Ambulatory Pediatrics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
     February 01, 2004 - Problem types used for coding error reports Problem Type Definition Problematic communication and … (Problem type: Decision) Diagnostic “Patient with E.coli oh 157. … (Problem type: Other) Equipment “Dictation was not completed due to a new technical problem not encountered … (Problem type: Execution) Problem Type Categories Example error report Problematic communication … Problem types used for coding error reports Table 3.

184. Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
     February 01, 2017 - Use the Learning from Defects (LFD) tool to perform second-order problem solving. … Slide 6: Problem-Solving Hierarchy First-Order Problem Solving Recovers for one patient, but … Slide 7: Problem-Solving Goal First-order problem solving addresses immediate need, but does not … Second-order problem solving addresses future needs and improves overall patient safety culture. … Image: Counterbalanced arrows illustrate first-order problem solving versus second-order problem solving

185. 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

186. "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

187. 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

188. 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

189. 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

190. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery. | PSNet
     psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
     September 25, 2019 - to be solved at one point in time, rather than a recurring and evolving problem that is influenced by … From a psychological standpoint, problem representation can be conceived in two ways. 11 First, and … The second way to conceive of problem representation is as an individual’s mental representation of a … The importance of early problem representation during case presentations. … Reasoning on rounds: summary statement or problem representation?

191. 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

192. 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.

193. 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://

194. 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

195. How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. | PSNet
     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

196. 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

197. Improving Patient Experience: Data Analysis Methods webcast - Wellstar (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-advancing-methods-4.pdf
     March 03, 2021 - Plan/ Solutions: Results: Patient Experience score for FY ended above Max% DO (I m pr ov e) Problem … •More people returned the survey, but this was a follow-up question to having a problem. … •Because their problem was not resolved in a way they felt we heard their concern. … •We did not verify that we understood and addressed the problem we thought they had. … Why •Why did we not verify that they felt our actions rectified their problem?

198. 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

199. 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

200. Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. | PSNet
     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