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digital.ahrq.gov/ahrq-funded-projects/value-new-drug-labeling-knowledge-e-prescribing/citation/evaluation-vakp
January 01, 2023 - Evaluation of the VA/KP problem list subset of SNOMED as a clinical terminology for electronic prescription … Evaluation of the VA/KP problem list subset of SNOMED as a clinical terminology for electronic prescription … Evaluation of the VA/KP problem list subset of SNOMED as …
Principal Investigator
Schadow,
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psnet.ahrq.gov/issue/computerized-physician-order-entry-medications-and-clinical-decision-support-can-improve
May 29, 2019 - Computerized physician order entry of medications and clinical decision support can improve problem … Computerized physician order entry of medications and clinical decision support can improve problem list … existing computerized provider order entry system, improved the accuracy of physician documentation of problem … Computerized physician order entry of medications and clinical decision support can improve problem list … April 29, 2018
Indication alerts to improve problem list documentation.
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psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
June 26, 2019 - Commentary
The problem with Plan-Do-Study-Act cycles. … The problem with Plan-Do-Study-Act cycles. … The problem with Plan-Do-Study-Act cycles. … July 19, 2023
The problem with the '5 whys.'
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psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research
May 25, 2022 - Commentary
Overdiagnosis and overtreatment as a quality problem: insights from healthcare … Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. … Tactics discussed include clear articulation of the problem and contributing factors, use of theory-driven … Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. … September 15, 2021
The problem with…using stories as a source of evidence and learning
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psnet.ahrq.gov/issue/application-engineering-problem-solving-methodology-address-persistent-problems-patient
March 18, 2020 - Study
Application of an engineering problem-solving methodology to address persistent … Application of an engineering problem-solving methodology to address persistent problems in patient safety … This case study reports on a collaboration between engineers and safety professionals to address the problem … Application of an engineering problem-solving methodology to address persistent problems in patient safety
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digital.ahrq.gov/ahrq-funded-projects/cognitive-engineering-complex-decisionmaking-problem-solving-acute-care/final-report
January 01, 2023 - Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care - Final Report … Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care - Final Report. … Hettinger, Aaron Zachary
Project Name
Cognitive Engineering for Complex Decisionmaking & Problem
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psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and-assessment-success
April 29, 2018 - Study
Problem list completeness in electronic health records: a multi-site study … Problem list completeness in electronic health records: A multi-site study and assessment of success … A patient problem list is a catalog of all health issues affecting a patient. … Problem lists in electronic health records (EHRs) can play important roles for patient care and help … However, to serve these purposes, the problem list must be accurate and complete.
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digital.ahrq.gov/ahrq-funded-projects/long-term-effectiveness-telephone-intervention-problem-solving-tips/citation/tips
January 01, 2023 - Telephone Intervention-Problem Solving (TIPS) for schizophrenia spectrum disorders: responses of stable … Telephone Intervention-Problem Solving (TIPS) for schizophrenia spectrum disorders: responses of stable … Investigator
Beebe, Lora
Project Name
The Long Term Effectiveness of Telephone Intervention Problem
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digital.ahrq.gov/ahrq-funded-projects/long-term-effectiveness-telephone-intervention-problem-solving-tips/citation/long-term
January 01, 2023 - The long-term effects of cellular telephone-delivered telephone intervention problem solving (TIPS) for … The long-term effects of cellular telephone-delivered telephone intervention problem solving (TIPS) for … Investigator
Beebe, Lora
Project Name
The Long Term Effectiveness of Telephone Intervention Problem
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psnet.ahrq.gov/issue/confusion-about-epinephrine-dosing-leading-iatrogenic-overdose-life-threatening-problem
August 04, 2021 - Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem … Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a … near misses due to incorrect dosing of epinephrine and gives examples of potential solutions to the problem … Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a
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psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem
April 19, 2017 - Commentary
'Bad apples': time to redefine as a type of systems problem? … 'Bad apples': time to redefine as a type of systems problem? … comments on a study whose findings suggest the need to broaden the approach to identify and assess problem … 'Bad apples': time to redefine as a type of systems problem?
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psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving-orientation-safety
October 21, 2020 - Study
Speaking up and taking action: psychological safety and joint problem-solving … Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement … This study explored the association of psychological safety and joint-problem-solving orientation (JPS … Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement
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digital.ahrq.gov/ahrq-funded-projects/value-new-drug-labeling-knowledge-e-prescribing/citation/medication-and
January 01, 2023 - Medication and indication linkage: a practical therapy for the problem list? … Medication and indication linkage: a practical therapy for the problem list?
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
April 01, 2022 - The Problem
6.P.2. The Intervention
6.P.3. Implementing This Intervention
6.P.4. … The Problem
No matter how well you manage the customer service at your organization, problems are inevitable … researchers have found that the most satisfied customers are ones that have never experienced a serious problem … Fix the problem quickly and fairly.
Offer atonement.
Follow up.
Remember your promises. … Involve the person in helping to solve the problem.
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digital.ahrq.gov/ahrq-funded-projects/care-transitions-and-teamwork-pediatric-trauma-implications-health-information/citation/characterizing
January 01, 2023 - Characterizing the utilization of the problem list for pediatric trauma care. … Characterizing the utilization of the problem list for pediatric trauma care.
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psnet.ahrq.gov/issue/problem-my-five-moments-hand-hygiene
September 09, 2020 - Commentary
The problem with 'My Five Moments for Hand Hygiene'. … The problem with ‘My Five Moments for Hand Hygiene’. … The problem with ‘My Five Moments for Hand Hygiene’. … June 17, 2020
The problem with making Safety-II work in healthcare.
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psnet.ahrq.gov/issue/problem-making-safety-ii-work-healthcare
April 28, 2021 - Commentary
The problem with making Safety-II work in healthcare. … The problem with making Safety-II work in healthcare. … The problem with making Safety-II work in healthcare.
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psnet.ahrq.gov/issue/crisis-recovery-surgery-error-management-and-problem-solving-safety-critical-situations
November 30, 2022 - Study
Crisis recovery in surgery: error management and problem solving in safety-critical … Crisis recovery in surgery: error management and problem solving in safety-critical situations. … situational awareness and workload management; checklists for non-normal situations; decision making and problem … Crisis recovery in surgery: error management and problem solving in safety-critical situations.
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-data-visualizations-diabetes/citation/understanding
January 01, 2023 - Understanding individual and collaborative problem-solving with patient-generated data: challenges and … Understanding individual and collaborative problem-solving with patient-generated data: challenges and
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/study.html
May 01, 2017 - Elements
Element
Definition
Things To Keep in Mind
The Purpose
Define the problem … Speculating about the cause of a problem before a thorough analysis and team discussion can result in … The Goal
Collect baseline data and set an improvement goal after the problem has been fully diagnosed … Cause of the Problem
If the goal was not met, discuss reasons why it was not met. … Brainstorm with your team the possible causes of the problem.