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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6m.pdf
October 01, 2017 - The Problem
Dissatisfaction with how providers communicate can arise when people need more
attention … This problem is particularly common for patients with chronic conditions, who are often
struggling to … Some medical groups get around this problem by
conducting the group visits in the evenings; other organizations … The Problem
6.M.2. The Intervention
6.M.3. Benefits of This Intervention
6.M.4.
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - As this case illustrates, no true learning may occur and the problem investigated may be just as likely … The problem with root cause analysis. BMJ Qual Saf. 2017;26:417-422. [go to PubMed] 5. … Risk management in a dynamic society: a modelling problem. Saf Sci. 1997;27:183-213. … Patient safety and the problem of many hands. BMJ Qual Saf. 2016;25:485-488. [go to PubMed] 24. … August 20, 2018
The problem with root cause analysis.
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digital.ahrq.gov/organization/university-tennessee-knoxville
January 01, 2023 - Tennessee, Knoxville
The Long Term Effectiveness of Telephone Intervention Problem … Solving (TIPS)
Description
This project evaluated the impact of the “Telephone Intervention Problem
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psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020
March 03, 2021 - September 22, 2021
Indication alerts to improve problem list documentation. … June 9, 2021
Crisis recovery in surgery: error management and problem solving in safety-critical … Related Resources
Patient falls in the operating room: why is this still a problem
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digital.ahrq.gov/ahrq-funded-projects/value-new-drug-labeling-knowledge-e-prescribing
January 01, 2023 - Standards and Classifications
Medication and indication linkage: a practical therapy for the problem … Medication and indication linkage: a practical therapy for the problem list? … Support System , Electronic Prescribing , Standards and Classifications
Evaluation of the VA/KP problem … Evaluation of the VA/KP problem list subset of SNOMED as a clinical terminology for electronic prescription
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
March 01, 2025 - Plan for what to do if a problem arises. … Review of what to do if a health or medical problem arises. … You will need to problem solve with the patient if there are barriers to keeping appointments. … Discuss What To Do If a Problem Arises Always end the call by reviewing what the patient or caregiver … should do if a problem arises at any time (any hour and day of the week).
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - hospital staff to attend one-hour case review sessions, which focus on breakdowns
in communication, problem … These two aspects of the innovation allow for multilevel problem-solving. … strengths of RIC go beyond a more traditional M&M model and include improvements to communication
and problem-solving … This can be done by thoroughly describing the severity of the problem at the organization,
and by leveraging … It may be helpful to frame the problem as a
continuous quality improvement opportunity that builds on
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integrationacademy.ahrq.gov/sites/default/files/2020-07/MDHAQ.pdf
January 01, 2020 - How much of a problem has UNUSUAL fatigue or tiredness been for you OVER THE PAST WEEK? … FATIGUE IS
NO PROBLEM
{ { { { { { { { { { { { { { { { { { { { {
0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 … 4.5 5.0 5.5 6.0 6.5 7.0 7.5 8.0 8.5 9.0 9.5 10
FATIGUE IS A
MAJOR PROBLEM
10. … �Yes A fall, broken bone, or other accident or trauma
�No �Yes An important new symptom or medical problem
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
August 01, 2022 - Was the problem reported? To whom?
What happened when the problem was reported?
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-summary.html
August 01, 2024 - 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/hai/tools/mrsa/013-strategies-prevent-bcc.docx
October 01, 2024 - Practical guidance for clinical microbiology laboratories: a comprehensive update on the problem of blood … culture contamination and a discussion of methods for addressing the problem.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
May 01, 2014 - Healthcare Research and Quality
MEDICAL CARE REFERRAL FORM
USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM … Name and relationship:_____________________Contact Date_______Time_________
DESCRIPTION OF CURRENT PROBLEM
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digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-qa-020717.pdf
February 07, 2017 - We have software that automatically extracts
problem concepts for clinicians to choose from. … A shorter note that’s more to the point allows me to
understand what the problem is with that patient … ANSWER:
House staff were unfamiliar with dictation, and transcription errors were a problem. … Attendings working on their own did not have this
problem. … ANSWER:
Li Zhou:
It is a challenging problem.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - framing as “diagnostic errors,” since an error is seen by patients as implying culpability for the problem … Considering only respondents for whom the diagnostic problem happened 3 or more years in the past, 28 … events will also be the most undercounted by surveys fielded by the delivery systems within which the problem … Open-ended questions should be designed to provide information about both the emergence of the problem … switched doctors after the event; a comparable percentage switched hospitals if they had a diagnostic problem
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
September 28, 2016 - Diagnosis
2015
The failure to:
(a)establish an accurate and timely
explanation of the patient’s health
problem … Diagnostic Error:
Magnitude of the Problem
• 12 million or 5 % U.S. adults seeking outpatient care … epidemiology, burden of harm, economic costs of
diagnostic error, and current efforts to address the problem … organizations
• Launch Action Collaborative:
o To develop broad recognition of the magnitude of the
problem … Slide Number 50
Slide Number 51
Slide Number 52
Diagnostic Error: �Magnitude of the Problem
Study
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www.ahrq.gov/talkingquality/distribute/timing/index.html
March 01, 2016 - The problem with being too early is that people are likely to put the information aside and then forget … The problem with being so thorough is that flooding the market with information can be expensive and … One way to get around this problem is to make the information available through links on existing Web
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/2022-HSOPS-WPS-database-report-appendix-508.pdf
January 01, 2022 - (Item WPC1*) 52% 51% 69%
In this unit, there is a problem with patients or visitors being
verbally … (Item WPC1*) 69% 55% 54%
In this unit, there is a problem with patients or visitors being
verbally … (Item WPC1*) 63% 74%
In this unit, there is a problem with patients or visitors being verbally
aggressive … Verbal Aggression From Providers or Staff % Strongly Disagree/Disagree
In this unit, there is a problem … (Item WPC1*) 68% 62% 62% 65%
In this unit, there is a problem with patients or visitors being
verbally
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digital.ahrq.gov/sites/default/files/docs/resource/final-b14-archives-sarkar2075.pdf
January 01, 2013 - code into the patient’s LCR problem
list. … The LCR problem list will be the source of data for our i2iTracks registry.
a. … Go to Add New Problem.
d. Scroll to the bottom of the Billing Problem List.
e. … Go into Display Problem List to double check what was entered.
4. … Therefore, their LCR Problem List should not say Colorectal Cancer.
6.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.docx
December 23, 2009 - change; list the key business reasons for initiating the project, specifically stating the business problem … Describe the business reason(s) for initiating the project, specifically stating the business problem
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/d2-projectcharter.pdf
December 23, 2009 - change; list the key business reasons for initiating the project,
specifically stating the business problem … Describe the business reason(s) for initiating the project, specifically stating the business problem