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  1. 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
  2. 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
  3. 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
  4. 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
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_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
  6. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/affinity-diagram
    January 01, 2023 - IDENTIFY THE PROBLEM. Write out the problem so that everyone can see it. … Use brainstorming or a similar idea-generation technique to determine all aspects of the problem. … This resulting diagram will provide insight into the problem.
  7. www.ahrq.gov/teamstepps-program/curriculum/implement/pre/ready.html
    January 01, 2024 - If You're Ready, Exactly What Problem Are You Trying To Fix? … Asking key stakeholders whether they perceive the issue as a problem, how large a problem they think
  8. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-slides.html
    June 01, 2017 - Healthcare Improvement (IHI) team studied 10 leading health care organizations that are addressing this problem … frontline managers and staff Key elements Daily huddles Use of visual boards at the front line Problem-solving … Problem-solving skills applied at appropriate level. … work by staff, the daily safety huddle, visual management, escalation, observation of safety work, problem
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61029/psn-pdf
    October 14, 2020 - A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist. … https://psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im- neurologist … https://psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im-neurologist … https://psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im-neurologist
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47861/psn-pdf
    April 24, 2019 - Laney's story: the problem of delayed diagnosis of pediatric stroke. … Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. … https://psnet.ahrq.gov/issue/laneys-story-problem-delayed-diagnosis-pediatric-stroke Rare diseases pose … https://psnet.ahrq.gov/issue/laneys-story-problem-delayed-diagnosis-pediatric-stroke https://psnet.ahrq.gov
  11. 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.
  12. 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
  13. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
    June 01, 2021 - A problem that almost led to patient or resident harm is called a “near-miss.” … Then, the team can address the problem and takes steps to prevent it from happening again. … try to select two to five interventions to address the problem. … First, identify a problem. … The problem may also be something that frontline staff members notice as a potential problem or workaround
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
    June 02, 2025 - Problem: Requires moderate to maximum assistance in moving. … Potential Problem: Moves feebly or requires minimum assistance. … No Apparent Problem: Moves in bed and in chair independently and has sufficient muscle strength to lift … Friction and Shear Problem · Skin assessment and inspection q shift. · Minimum of 2 people + draw sheet … Potential Problem · Keep bed linens clean, dry, and wrinkle free. · Avoid massaging pressure points.
  15. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/redtoolkitforms.pdf
    September 01, 2012 - Question or Problem with this Packet? … Call your Discharge Educator: (555) 555-2222 Serious health problem? Call Dr. … What To Do If a Problem Arises CALLER: Before we hang up, I want to make sure that if a medical problem … Do you know what your main problem was? … Do you know what your main problem was?
  16. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/contingency-diagram
    January 01, 2023 - When evaluating a problem, ask: What could we do to make the problem occur? … Write these adjacent to problem actions from step two using a different color. 4.
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation.pptx
    May 01, 2017 - Supervisor can report on gaps in daily huddle and use problem-solving methods to reduce the gaps. … jpeg image1.jpeg image5.tif Daily Safety Huddle • Standard agenda • Data review • Problem … tracking Visual Management • Outcomes over time • Checklist compliance • Problem log Escalation • … surgical checklist • Infection control procedures Observation of Safety Work:unit lead & senior leader Problem
  18. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-suppl-items.doc
    June 02, 2025 - 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: Gathering, integrating
  19. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-21-leadership.pdf
    September 01, 2015 - This involves the leader identifying the problem, identifying the solution to the problem, and then … Examples include, “What is your ideal solution to this problem?” … problem and determine whether it is truly a “problem” or merely a misinterpretation of a situation … Think of a problem you have tried (and failed) to fix multiple times. … leaders then must gather information on the problem.
  20. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/postdischarge-doc.html
    March 01, 2025 - If new problem since discharge: Had the patient:    ___ Contacted or seen clinician? … _____________________ Medicine 2 :_________________________________________________________________ Problem … _____________________ Medicine 3 :_________________________________________________________________ Problem … Problems Did patient/caregiver know what constituted an emergency and what to do if a nonemergent problem