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Showing results for "problem".

  1. Patient safety problems in adolescent medical care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care
    April 11, 2011 - Study Patient safety problems in adolescent medical care. Citation Text: Woods D, Holl JL, Klein JD, et al. Patient safety problems in adolescent medical care. J Adolesc Health. 2006;38(1):5-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  2. Children’s Hospital Uses AHRQ’s Pediatric QI Toolkit To Bring Physicians Together To Reduce CLABSIs (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/standalone_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

  3. 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

  4. 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.

  5. 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

  6. Tool 9: Transitional Care Planning (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool9_trans_care.docx
    July 28, 2016 - The easier it is to “see a problem, fix a problem,” the easier it will be for your hospital staff to … no ability to speak English Actions to Take Prior to Discharge Use the improvement motto, “See a problem … , fix a problem.”

  7. 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

  8. 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

  9. Tool: Advocacy and Assertion | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
    June 01, 2023 - State the problem—real or perceived. Offer a solution. Obtain an agreement. … State the problem, real or perceived: "And if I considered it rude, the patient may have as well. … If you were in this situation, what would you do to address the problem?

  10. Health-E-Access Telemedicine Interview Guide (pdf file)

    digital.ahrq.gov/sites/default/files/docs/survey/health-e-access-telemedicine-interview-guide%20.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. … What was the biggest problem?

  11. Appendix A. Team Roster | Agency for Healthcare Research and Quality

    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

  12. Primary Care Workflow Diagrams (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/pc-workflowdiagrams.pdf
    January 01, 2018 - with Suspected CAP (Pre- Implementation) Patient calls front desk with complaints of breathing problem … (Pre- Implementation) with Data Elements Patient calls front desk with complaints of breathing problem … with Suspected CAP (Post- Implementation) Patient calls front desk with complaints of breathing problem

  13. Schadow, Gunther | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/schadow-gunther
    January 01, 2023 - Schadow, Gunther Evaluation of the VA/KP problem list subset of SNOMED … Evaluation of the VA/KP problem list subset of SNOMED as a clinical terminology for electronic prescription … e-Prescribing Medication and indication linkage: a practical therapy for the problem … Medication and indication linkage: a practical therapy for the problem list?

  14. 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

  15. Module 1: Overview - Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-fac-notes.html
    June 01, 2017 - Researchers have wondered about this problem. … The IHI team studied 10 leading health care organizations that have made headway in solving this problem—leaders … like daily huddles, the use of visual boards to present data at the front line, having well-understood problem … Moving to the bottom center: Problem solving methods are key for identifying and addressing problems … Without skill in problem solving methods, the huddles and visual management boards end up seeming pointless

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35486/psn-pdf
    December 06, 2011 - .: is malpractice liability part of the problem or part of the solution? … The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part … https://psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part … https://psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution … https://psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37148/psn-pdf
    March 11, 2009 - CMS: your mistake, your problem. March 11, 2009 Lubell J. CMS: your mistake, your problem. … https://psnet.ahrq.gov/issue/cms-your-mistake-your-problem This article discusses the challenges hospitals … https://psnet.ahrq.gov/issue/cms-your-mistake-your-problem https://psnet.ahrq.gov/issue/medicare-says-it-wont-cover-hospital-errors

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34804/psn-pdf
    January 05, 2017 - Incident reporting system does not detect adverse drug events: a problem for quality improvement. … The incident reporting system does not detect adverse drug events: a problem for quality improvement … https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem- … https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement … https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement

  19. National Content Series Discussion Guide - The Culture of Culturing: The Importance of Knowing When To Order Urine Cultures | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/worksheet.html
    May 01, 2017 - A ssessment – What did Nurse Nohai think was the problem?     … Bell does not usually have a problem getting around, but he fell three times in the past week.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42261/psn-pdf
    July 16, 2013 - The recurring problem of retained swabs and instruments. … The recurring problem of retained swabs and instruments. … https://psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments This review discusses … https://psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments https://psnet.ahrq.gov/
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