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Showing results for "problem".

341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46512/psn-pdf
     August 17, 2018 - The problem with using patient complaints for improvement. … The problem with using patient complaints for improvement. … https://psnet.ahrq.gov/issue/problem-using-patient-complaints-improvement Patient complaints can provide … https://psnet.ahrq.gov/issue/problem-using-patient-complaints-improvement https://psnet.ahrq.gov/issue

342. 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?

343. A Frontline Management System To Sustain Improvement in Safety Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/kit.html
     June 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 … strategies, goals, and mission, promotes cross-departmental collaboration and facilitates cooperation in problem-solving … Common understanding and execution of problem-solving methods ensures that huddles and visual management

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45324/psn-pdf
     August 31, 2016 - The problem with medication reconciliation. August 31, 2016 Pevnick JM, Shane R, Schnipper JL. … The problem with medication reconciliation. … https://psnet.ahrq.gov/issue/problem-medication-reconciliation Medication reconciliation has demonstrated … https://psnet.ahrq.gov/issue/problem-medication-reconciliation https://psnet.ahrq.gov/primer/medication-reconciliation

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44701/psn-pdf
     June 07, 2016 - The problem with preventable deaths. June 7, 2016 Hogan H. The problem with preventable deaths. … https://psnet.ahrq.gov/issue/problem-preventable-deaths A key goal of patient safety improvement is … https://psnet.ahrq.gov/issue/problem-preventable-deaths https://psnet.ahrq.gov/issue/preventing-medical-injury

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44640/psn-pdf
     February 20, 2016 - The problem with Plan-Do-Study-Act cycles. February 20, 2016 Reed JE, Card AJ. … The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52. … https://psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles Rapid-cycle improvement methods have been … https://psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34599/psn-pdf
     January 30, 2008 - Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line … Paper 4359-02 https://psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem … https://psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line … https://psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line

348. 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

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45188/psn-pdf
     June 01, 2016 - Reporting and second-order problem solving can turn short-term fixes into long-term remedies. … https://psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long … https://psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long-term-remedies … https://psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long-term-remedies

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46813/psn-pdf
     March 14, 2018 - Our other prescription drug problem. March 14, 2018 Lembke A, Papac J, Humphreys K. … Our Other Prescription Drug Problem. … https://psnet.ahrq.gov/issue/our-other-prescription-drug-problem Unintended consequences can emerge … https://psnet.ahrq.gov/issue/our-other-prescription-drug-problem https://psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study

351. 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.”

352. Knowledge Creation | Digital Healthcare Research
     digital.ahrq.gov/goal/knowledge-creation
     January 01, 2023 - Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care Description … 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

353. TeamSTEPPS for Diagnosis Improvement: Knowledge Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-knowledge-assessment.pdf
     February 01, 2022 - Mutual support, coaching, communication, problem solving. b. … diagnostic error: “the failure to establish an accurate and timely explanation of the patient’s health problem … A problem in hospitals but rare in outpatient settings. d. A & B. e. All of the above. … What is the problem, what are solutions, what has already been tried, what am I concerned about, what … What is the problem, what are the consequences, what help do I need, what has been tried, what are

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34720/psn-pdf
     April 21, 2011 - Human error and the problem of causality in analysis of accidents. April 21, 2011 Rasmussen J. … Human error and the problem of causality in analysis of accidents. … https://psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents Reporting on a growing … https://psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45298/psn-pdf
     April 22, 2017 - The problem with root cause analysis. April 22, 2017 Peerally MF, Carr S, Waring J, et al. … The problem with root cause analysis. … https://psnet.ahrq.gov/issue/problem-root-cause-analysis Root cause analysis (RCA) is a strategy to … https://psnet.ahrq.gov/issue/problem-root-cause-analysis https://psnet.ahrq.gov/primer/root-cause-analysis

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44868/psn-pdf
     June 17, 2016 - Patient safety and the problem of many hands. June 17, 2016 Dixon-Woods M, Pronovost P. … Patient safety and the problem of many hands. … https://psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands Although individual and organizational … https://psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands https://psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35374/psn-pdf
     January 02, 2017 - Intimidation: practitioners speak up about this unresolved problem. … Intimidation: Practitioners Speak Up About This Unresolved Problem. … https://psnet.ahrq.gov/issue/intimidation-practitioners-speak-about-unresolved-problem This survey, … https://psnet.ahrq.gov/issue/intimidation-practitioners-speak-about-unresolved-problem https://psnet.ahrq.gov

358. 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

359. 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

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837660/psn-pdf
     July 08, 2022 - The problem also needs to be highlighted in the problem list and discharge summary of the patient’s … Clearly highlight the problem in the medical record A reintubation or unexpected ICU admission due to … Affected patients usually remember that they had a significant problem during a previous procedure; … problem has been identified, it is paramount that the patient is informed about the nature of the problem … A multiple-hospital anaesthetic problem register: establishment of a regionally organized system for