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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/implement/team-roster.html
March 01, 2017 - Infection Preventionist
Data driven
Collaborative
Problem solver
Advocate
Ensure … Physician Champion
Resourceful
Problem solver
Influencer
Data driven
Educate peers … Frontline Champion
Resourceful
Problem solver
Inspire others to commit to goals and interventions
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-j.pdf
July 01, 2017 - The Problem
Patients often express dissatisfaction because they are not getting everything they need … Health plans, medical groups, and physician practices can play two important roles to
counter this problem … Such programs are based on self-efficacy theory and emphasize
problem solving, decision making, and … The Problem
6.J.2. The Intervention
6.J.3. Benefits of These Interventions
6.J.4.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/evolution-cg-1-4.pdf
August 01, 2021 - whether respondents have seen a doctor or other health
provider 3 or more times for the same health problem … was
simplified to ask respondents whether they got health care 3 or more times for
the same health problem … o The term “or want advice about a health problem” was revised to “has a
health problem.”
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digital.ahrq.gov/technology/clinical-informatics
January 01, 2023 - Hettinger, Aaron Zachary
Project Name
Cognitive Engineering for Complex Decisionmaking & Problem … Investigator(s)
Agarwal, Ritu
Cognitive Engineering for Complex Decisionmaking & Problem … Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care - Final Report. … Hettinger, Aaron Zachary
Project Name
Cognitive Engineering for Complex Decisionmaking & Problem
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - There is a problem with disrespectful behavior by those working in this unit. … about this item: When patient safety problems happen, this unit does not do anything
to ensure the problem … When an event is reported in this unit, it feels like the person is being written up, not the
problem … reported, it feels like the person is the focus of blame
instead of focusing on the root causes of the problem … consequences or think they
will get in trouble if they ask questions about something they think might be a problem
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - Problem statement: If a patient is harmed in the perioperative area, a typical first response is to … This is known as “first-order” problem solving because each situation is treated as if it were unique … First-order problem solving focuses on the here and now, work-arounds, and “quick fixes.” … Purpose of this tool: This tool helps you with second-order problem solving. … First order problem solving focuses on the here and now, work-arounds, and "quick fixes."
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6l.pdf
August 01, 2017 - The Problem
When patients with chronic illness report that their clinicians do not explain things well … Sometimes, the problem is that they are trying to
fit it into an acute care visit, whether or not the … The Intervention
One antidote to this problem is the planned visit,
which is a component of the Chronic … The Problem
6.L.2. The Intervention
6.L.3. Benefits of This Intervention
6.L.4.
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool3a.html
March 01, 2025 - For example, you might ask: "What do you think has caused this problem? … May I tell you more details about your medical problem?" … Review What To Do if a Problem Arises In the RED studies, we heard over and over from patients that what … I certainly hope that you will do well at home, but just in case there is a problem, here are some phone … Furthermore, if a patient has a problem or question between the time he or she leaves the hospital and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4b_combo_pdi_casestudy.pdf
December 01, 2015 - One specific problem was that physicians were ordering temporary
lines such as peripherally inserted … cell transplant division and
made it clear to everyone why physicians needed to take ownership of the problem … Drilling down to the root causes of the problem revealed a variety of issues. … By clarifying how the existing phone-based ordering process contributed to the problem, the
improvement … presentation template so that it would support her need to educate clinicians and staff
about the problem
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
June 01, 2015 - Problem Exploration: The problem
exploration phase involves understanding
patient/provider problems … Characterize the problem in the most general way possible.
2. … One way to characterize the problem is the failure in making a hand-off. … Providing a selection of ways to
categorize a problem (e.g., this could be a work
flow problem) and … Promotes a problem-centered focus.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Final-DX-Safety-items-12-15-2022.docx
January 01, 2022 - The processes start when a patient seeks care for a health problem, and include:
· Gathering, integrating … The amount of time for appointments is long enough to fully evaluate the patient’s presenting problem … this office have enough time to review the relevant information related to the patient’s presenting problem
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Final-DX-Safety-items-2022-1215-ENGLISH-508.pdf
January 01, 2022 - The amount of time for appointments is long
enough to fully evaluate the patient’s presenting
problem … this office have enough time to
review the relevant information related to the
patient’s presenting problem … The processes start when
a patient seeks care for a health problem, and include:
o Gathering, integrating
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
June 27, 2024 - didn’t happen by
involving the patient in weighing the pre-determined options for a pre-specified problem … Purposeful SDM: A problem-based approach to caring for patients with shared decision making. … Problem-based shared decision-making in diabetes care: a secondary analysis of video-recorded encounters … working
together
making
progress
addressing
problem
working
together … Inquiry
making
progress
addressing
problem
working
together
Me thod: Conversa tional
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psnet.ahrq.gov/node/41796/psn-pdf
January 18, 2013 - Retained surgical items: a problem yet to be solved. … Retained surgical items: a problem yet to be solved. … https://psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-solved
Stories of retained surgical … https://psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-solved
https://psnet.ahrq.gov/issue
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/04-pt-narratives-support-px-strategy-lee.pdf
April 02, 2025 - responses
17
How Patients’ Creative Ideas May Prompt Organizational Learning for Innovation
Problem … a light on extant challenge that
may be hiding in plain sight and provides a strategy to solve the problem
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024537-sockolow-final-report-2020.pdf
January 01, 2020 - Problem occurrence patterns. … Reasons for purposeful problem exclusion from the POC include the problem
was resolved/stable or of … There’s a
problem with the problem list: Patterns of patient problem occurrence across phases of the … with the Problem List. … with the Problem List.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-3.html
June 01, 2021 - improvement effort relies on leadership support and buy-in. 22 Staff need to know that once they identify a problem … Empower frontline care providers to develop their own problem-solving strategies, and encourage team … Control
Boundary spanning
What professional, organizational, or geographic boundaries do the problem
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/ptoutcsurvey.pdf
April 07, 2025 - hospital stay, the doctors and nurses may have told you the name of your
primary diagnosis or main problem … Do you know what your main problem was? … __________________________
If YES, Can you please list the name of your primary diagnosis or main problem … hospital stay, the doctors and nurses may have told you the name of your
primary diagnosis or main problem … Do you know what your main problem was?
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www.ahrq.gov/teamstepps-program/curriculum/implement/teach.html
January 01, 2024 - Review Slide 29, "Step 2: Define the Problem or Opportunity for Improvement." … Explain that the problem may have been defined in the pre-implementation phase, but the Change Team should … Review Slide 30, "Example: Problem Definition." … They may not know what specific problem is being targeted, how large the intervention will be, when it
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www.ahrq.gov/funding/grantee-profiles/grtprofile-mahler.html
June 01, 2024 - The problem: most people aren’t actually having a heart attack. … This is the problem that Simon A. Mahler, M.D., is confronting. Dr.