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Showing results for "problem".

221. Choosing the Right Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/nhguide/about/choosing-the-right-toolkit.html
     October 01, 2016 - may be helpful to consider the following questions: Has the nursing home identified a particular problem … If the nursing home has not identified a problem, it may want to start monitoring antimicrobial use with … This may help the antimicrobial stewardship team identify a problem on which to focus.   … expected to identify problems or opportunities for improvement, that represent high risk, high volume, or problem-prone

222. Antibiotic-Targets-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
     June 01, 2021 - First-order problem solving involves solving one problem at a time by focusing on one particular instance … This type of problem solving generally does not help prevent future harm from occurring. … Solving an adaptive problem is complex. … An adaptive solution to this problem involves encouraging a culture of safety. … · Use second-order problem solving to determine technical and adaptive solutions.

223. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
     January 01, 2017 - Objectives After this session, you will be able to— Describe difference between first-order and second-order problem … defects in care more likely to occur Use the Learning from Defects (LFD) tool to perform second-order problem … Hierarchy First-Order Problem Solving Second-Order Problem Solving Recovers for one patient, but does … Learn From Defects ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 7 First-order problem … solving addresses immediate need, but does not improve patient safety culture Second-order problem

224. Module 1- Component Kit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
     May 01, 2017 - . · Well-Understood and Routinely Executed Problem-Solving and Escalation Methods. … (2) simple issues that have an obvious “just fix it” solution; (3) issues that are symptomatic of a problem … Problem Solving and Escalation Well-understood problem solving methods (e.g., Model for Improvement; … Common understanding and execution of problem-solving methods ensures that huddles and visual management … tracking Visual Management • Outcomes over time • Checklist compliance • Problem log Escalation •

225. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
     December 01, 2017 - Slide 4: Problem-Solving Hierarchy Say: First-order problem solving resolves an issue for one patient … Instead of relying on first-order problem solving, practice second-order problem solving. … Slide 5: Problem-Solving Goal Say: First-order problem solving doesn’t encourage a positive patient … solving to second-order problem solving. … Does the hospital reward first-order problem-solving instead of second-order problem-solving?

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836927/psn-pdf
     April 13, 2022 - The problem with making Safety-II work in healthcare. … The problem with making Safety-II work in healthcare. … https://psnet.ahrq.gov/issue/problem-making-safety-ii-work-healthcare The Safety-II framework uses a … https://psnet.ahrq.gov/issue/problem-making-safety-ii-work-healthcare https://psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44427/psn-pdf
     October 13, 2015 - Problem list completeness in electronic health records: a multi-site study and assessment of success … Problem list completeness in electronic health records: A multi- site study and assessment of success … https://psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and … - assessment-success A patient problem list is a catalog of all health issues affecting a patient. … However, to serve these purposes, the problem list must be accurate and complete.

228. Architecture | Digital Healthcare Research
     digital.ahrq.gov/technology/architecture
     January 01, 2023 - Hettinger, Aaron Zachary Project Name Cognitive Engineering for Complex Decisionmaking & Problem … Solving in Acute Care 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 … Value in a Community Network Cognitive Engineering for Complex Decisionmaking & Problem

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836717/psn-pdf
     March 09, 2022 - The problem with…using stories as a source of evidence and learning. March 9, 2022 Iedema R. … The problem with … using stories as a source of evidence and learning. … https://psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning Patients and families … https://psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning https://psnet.ahrq.gov

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46804/psn-pdf
     January 01, 2021 - Retained guidewires in the Veterans Health Administration: getting to the root of the problem. … Retained Guidewires in the Veterans Health Administration: Getting to the Root of the Problem. … https://psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem … https://psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46082/psn-pdf
     February 25, 2019 - The opioid crisis: can improving diagnosis help solve the problem? February 25, 2019 Carr S. … https://psnet.ahrq.gov/issue/opioid-crisis-can-improving-diagnosis-help-solve-problem The opioid epidemic … has been widely discussed, but little research has examined how misdiagnosis can contribute to the problem … https://psnet.ahrq.gov/issue/opioid-crisis-can-improving-diagnosis-help-solve-problem https://psnet.ahrq.gov

232. Strategies for Improving Patient Experience with Ambulatory Care: Service Recovery Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-p.pdf
     November 02, 2017 - The Problem No matter how well you manage the customer service at your organization, problems are inevitable … Fix the problem quickly and fairly. 4. Offer atonement. 5. Follow up. 6. … Involve the person in helping to solve the problem. … They include a process for tracking problems and complaints to help identify the source of the problem … The Problem 6.P.2. The Intervention 6.P.3. Implementing This Intervention 6.P.4.

233. Fairbanks, Rollin J. | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/fairbanks-rollin-j
     January 01, 2023 - Project Name Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care … Project Name Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care … Project Name Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care … Project Name Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care … Project Name Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73627/psn-pdf
     January 01, 2022 - The problem with 'My Five Moments for Hand Hygiene'. … The problem with ‘My Five Moments for Hand Hygiene’. … https://psnet.ahrq.gov/issue/problem-my-five-moments-hand-hygiene The “My Five Moments for Hand Hygiene … https://psnet.ahrq.gov/issue/problem-my-five-moments-hand-hygiene https://psnet.ahrq.gov/issue/my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report

235. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
     June 01, 2021 - intervention is effective. 2 Changing the System 2 View Potential Harms as Opportunities1 Reframe a problem … or error as an opportunity to prevent the same problem from occurring again System design Can result … 17 Changing the System 17 Review Consider system/active failures which may have led to the problem … Apply 4 moments Identify a problem Learn from the problem to improve the system 18 Changing the System

236. PowerPoint Presentation: Learn From Defects Through Sensemaking
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
     December 01, 2017 - Instead of relying on first-order problem solving, practice second-order problem solving. … ACTIVITY: What are your examples of first-order problem solving? … How can you translate this into second-order problem solving? … solving to second-order problem solving. … Does the hospital reward first-order problem-solving instead of second-order problem-solving?

237. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pptx
     June 02, 2025 - AHRQ Quality Indicators How to Improve Hospital Quality and Safety Tool D.1 Slide ‹#› Diagnose the problem … Step 1 Diagnose the Problem Performance Improvement Model Source: Langley GJ, Nolan KM, Nolan TW … Step 1 Diagnose the Problem Describe Improvement Initiative – Project Charter (Tool D.2) Review and Select

238. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pptx
     June 02, 2025 - AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool D.1 Slide ‹#› Diagnose the problem … Step 1 Diagnose the Problem Performance Improvement Model Source: Langley GJ, Nolan KM, Nolan TW … Step 1 Diagnose the Problem Describe Improvement Initiative – Project Charter (Tool D.2) Review and Select

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72673/psn-pdf
     January 27, 2021 - 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. … https://psnet.ahrq.gov/issue/implicit-bias-stroke-care-recurring-old-problem-rising-incidence-young-stroke … https://psnet.ahrq.gov/issue/implicit-bias-stroke-care-recurring-old-problem-rising-incidence-young-stroke

240. Improvement Methods Overview (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pdf
     June 02, 2025 - Diagnose the problem 2. Plan and implement best practices 3. Measure results and analyze 4. … Step 1 Diagnose the Problem Performance Improvement Model Source: Langley GJ, Nolan KM, Nolan TW … Step 1 Diagnose the Problem • Describe Improvement Initiative – Project Charter (Tool D.2) • Review and