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Showing results for "problem".

  1. Executive Summary of SNAC Healthcare Quality Measurement Report (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-hqm-report-exec-summary.pdf
    November 17, 2021 - In summary, the report will be amended with the following key points: • Frame the Problem. … The NAC recommended that AHRQ develop a statement of the problem to be solved with quality measurement … In addition, the NAC suggested that AHRQ should clarify the problem they are trying to answer with … quality measurement and the overall framework they will use to solve this problem. … Frame the Problem.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862983/psn-pdf
    February 28, 2024 - the surgeon identified faulty positioning of the surgical retractor as the most likely cause of the problem … ventilator.8 If ventilation remains inadequate after switching to the Ambu bag, the origin of the problem … An ultrasound, chest radiograph, or flexible bronchoscopy may help to diagnose the cause of the problem … Mental stress from the “blame game” makes it more difficult to solve the problem in a timely manner. … If ventilation is successful with the bag-valve resuscitator, then the problem originated in the breathing

  3. Preventing Wrong-Drug and Wrong-Patient Errors with Indication Alerts in CPOE Systems – Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs024945-lambert-final-report-2022.pdf
    January 01, 2022 - based on alerts, and validated problem accuracy. … We hypothesize that indication alerts will double the likelihood that a problem is placed on the problem … on their problem list. 3. … problem on the problem list. … Indication alerts to improve problem list documentation.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43155/psn-pdf
    May 07, 2014 - Problem-based training improves recognition of patient hazards by advanced medical students during chart … Problem-based training improves recognition of patient hazards by advanced medical students during chart … https://psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced- medical-students-during … https://psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced-medical-students-during … https://psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced-medical-students-during

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42961/psn-pdf
    February 19, 2014 - Healthcare-associated infections: a national patient safety problem and the coordinated response. … Healthcare-associated infections: a national patient safety problem and the coordinated response. … https://psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and- coordinated-response … https://psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response … https://psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response

  6. Lee, Joyce | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/lee-joyce
    January 01, 2023 - Lee, Joyce Understanding individual and collaborative problem-solving … Understanding individual and collaborative problem-solving with patient-generated data: challenges and … adolescents and found that clinical and contextual data provided greater opportunity for self management and problem

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44402/psn-pdf
    January 22, 2016 - "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 … https://psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management- communication-amc-va-end-shift … https://psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift … https://psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35669/psn-pdf
    July 08, 2008 - Problem doctors: is there a system-level solution? July 8, 2008 Leape L, Fromson J. … Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107- 15. … https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution This commentary discusses the … definitions such as professional competence and disruptive behavior before examining the extent of the problem … https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution

  9. Primary Care Practice Facilitation Curriculum Module 9: Using Appreciative Inquiry with Practices (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
    September 01, 2015 - Describe how Appreciative Inquiry (AI) differs from the problem-solving approach to quality improvement … Table 9.1 shows how AI compares to traditional problem-focused approaches. … Problem Appreciative lnQuiry Table 9.1. … Focus of Appreciative Inquiry compared to traditional problem-focused approaches Problem Focused Appreciative … AI compared to traditional problem solving Reproduced from: Taylor J.

  10. USA, IL, Evanston | Digital Healthcare Research

    digital.ahrq.gov/location/usa-il-evanston
    January 01, 2023 - implemented indication alerts, which occur when an ordered or prescribed medication lacks a corresponding problem … on the patient’s problem list. … The research found a significant increase in problem placement rates, a modest increase in order abandonment

  11. Telemedicine for Pediatric Primary Care: Satisfaction Survey (pdf file)

    digital.ahrq.gov/sites/default/files/docs/survey/telemedicine-pediatric-primary-care-satisfaction-survey.pdf
    June 16, 2021 - What was the worst problem? … #  No Problem (Any response among #12 – #17 that is red indicates a “Problem”) 19. … What was the biggest problem? … #  No Problem (Any response among #25 – #30 that is red indicates a “Problem”) 32. … #  No Problem (Any response among #49 – #54 that is red indicates a “Problem”) 57.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44519/psn-pdf
    December 02, 2015 - Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review … Drug-Related-Problem Outcomes and Program Satisfaction from a Comprehensive Brown Bag Medication Review … https://psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive- brown-bag-medication … https://psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication … https://psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34736/psn-pdf
    October 24, 2017 - Medical Problem Solving: An Analysis of Clinical Reasoning. October 24, 2017 Elstein AS, ed. … https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning Clinical reasoning … relevance for those interested in patient safety and quality improvement is that competence may be problem … specific; thus, there is no generic approach to clinical problem solving that, when followed, ensures … https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33686/psn-pdf
    August 01, 2009 - in care, in the ways we learned from Toyota: see a problem and know that the problem you see is something … The problem with that approach is that all the factors that created the problem in the first place—breakdown … In the moment they have the problem, the problem gets swarmed. … to make the problem go away. … the problem, and solve the problem are very robust.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44616/psn-pdf
    November 04, 2015 - Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning … Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning … https://psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and- institutional-learning … https://psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning … https://psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42696/psn-pdf
    March 21, 2017 - 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 … https://psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician … https://psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician-phone-communication … https://psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician-phone-communication

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47445/psn-pdf
    October 24, 2018 - Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive … Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive … https://psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps … https://psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps-advance-intensive … https://psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps-advance-intensive

  18. Strategies for Improving Patient Experience with Ambulatory Care: Rapid Referral Programs (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6e.pdf
    July 07, 2017 - The Problem Both the ease and the speed of the specialist referral process are major concerns for patients … generates greater anxiety and contributes to a greater risk of adverse clinical outcomes. 2 This problem … Specialist referrals are a serious problem for some health plan members. … Rapid Referral Programs July 2017 6.E-4 One way to address this problem is for a group practice to … The Problem 6.E.2. Intervention #1: The Referral Agreement 6.E.2.a. Key Elements 6.E.2.b.

  19. Core Principles for the PCA Diagnostic Team | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-6.html
    July 01, 2023 - The patient and their family member or other support person inform the clinician about a health problem … with the patient/family/support person to develop a plan to diagnose and treat the patient’s health problem … The clinician recommends using an AI-based algorithm developed to evaluate the patient’s health problem … may provide updates about the patient's status after an intervention designed to address the health problem … autonomy should be preserved, AI will have variable levels of autonomy depending on the diagnostic problem

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36548/psn-pdf
    March 03, 2011 - When good doctors go bad: a systems problem. March 3, 2011 Leape L. … When good doctors go bad: a systems problem. Ann Surg. 2006;244(5):649-652. … https://psnet.ahrq.gov/issue/when-good-doctors-go-bad-systems-problem The author discusses the responsibilities … https://psnet.ahrq.gov/issue/when-good-doctors-go-bad-systems-problem
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