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Total Results: 7,956 records

Showing results for "problem".

81. Patient safety in emergency departments: a problem for health care systems? An international survey. | PSNet
    psnet.ahrq.gov/issue/patient-safety-emergency-departments-problem-health-care-systems-international-survey
    February 26, 2020 - Study Patient safety in emergency departments: a problem for health care systems? … Patient safety in emergency departments: a problem for health care systems? … Patient safety in emergency departments: a problem for health care systems?

82. A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist. | PSNet
    psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im-neurologist
    April 27, 2022 - Newspaper/Magazine Article A doctor gave me an inept diagnosis for a neurological problem … Citation Text: A doctor gave me an inept diagnosis for a neurological problem. … Citation Citation Text: A doctor gave me an inept diagnosis for a neurological problem

83. Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. | PSNet
    psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
    November 16, 2022 - Commentary Development of "SWARM" as a model for high reliability, rapid problem … 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

84. Part 2: Trends in Priorities of the Heckler Report—Care for Substance Use Disorders | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-subuse.html
    June 01, 2018 - Same No Change People age 12 and over who needed treatment for illicit drug use or an alcohol problem … Treatment for Illicit Drug Use or Alcohol Problem People age 12 and over who needed treatment for illicit … drug use or an alcohol problem and who received such treatment at a specialty facility in the last 12 … noninstitutionalized population age 12 and over who needed treatment for illicit drug use or an alcohol problem … 2013, only 10.9% of people age 12 and over who needed treatment for illicit drug use or an alcohol problem

85. Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it? | PSNet
    psnet.ahrq.gov/issue/overkill-avalanche-unnecessary-medical-care-harming-patients-physically-and-financially-what
    March 29, 2010 - A previous AHRQ WebM&M perspective explored overuse as a patient safety problem. … Patient Safety March 27, 2024 Overdiagnosis and overtreatment as a quality problem … April 13, 2016 The persistent problem of diagnostic error.

86. Rescue Improvement Conference Innovation Summary | PSNet
    psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
    September 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

87. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. | PSNet
    psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic
    January 12, 2022 - Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem … Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem … Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem

88. Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
    December 27, 2021 - Ask the PF to facilitate identifying a problem with the class or course. 4. … Three categories of causes may underlie a problem: human, physical, and organizational. … Work with practice members to identify the problem they want to solve or prevent. 2. … The practice may also want to include patients, depending on the nature of the problem. … Using five whys to review a simple problem.

89. Beebe, Lora | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/beebe-lora
    January 01, 2023 - Beebe, Lora Telephone Intervention-Problem Solving (TIPS) for schizophrenia … Telephone Intervention-Problem Solving (TIPS) for schizophrenia spectrum disorders: responses of stable … The long-term effects of cellular telephone-delivered telephone intervention problem solving (TIPS) for … Solving (TIPS) The Long Term Effectiveness of Telephone Intervention Problem … The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS) - Final Report.

90. Aspirin Workflow (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/aspirin-workflow.pdf
    April 02, 2025 - Aspirin Workflow Aspirin M A Information Criterion IVD is on Problem List AND Aspirin is not on … : • Medication List • Medication Allergy List • Contraindication on Problem List Clinical Condition … Contra­ indication No Place & pend order for Aspirin without dose Yes Place Contraindication on Problem

91. Physician burnout in the electronic health record era: are we ignoring the real cause? | PSNet
    psnet.ahrq.gov/issue/physician-burnout-electronic-health-record-era-are-we-ignoring-real-cause
    October 04, 2023 - Professional burnout is a pervasive problem among health care workers that can have serious effects … technology contributes to burnout, this commentary advocates for a broader approach to addressing the problem

92. Postdischarge Followup Phone Call Script (Patient Version) (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdisphone.pdf
    April 07, 2025 - Using your own words, can you explain to me what your main problem or diagnosis is? … CALLER: Do you have any questions for me about your main problem [diagnosis]? … What To Do If a Problem Arises CALLER: Before we hang up, I want to make sure that if a medical problem … CALLER: And what about if you [give example of urgent but not emergent problem] in the evening? … What To Do If a Problem Arises

93. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
    February 01, 2017 - Slide 6: Problem-Solving Hierarchy Say: First-order problem solving resolves an issue for one patient … Ask: What method of problem solving should we employ? … Say: Instead of relying on first-order problem solving, practice second-order problem solving. … Slide 7: Problem-Solving Goal Say: First-order problem solving addresses the immediate need but … Ask: How can you make sure that everyone is aware of the problem?

94. Racial disparities in maternal mortality. | PSNet
    psnet.ahrq.gov/issue/racial-disparities-maternal-mortality
    June 17, 2020 - reviews weaknesses of this approach which include a lack of emphasis on state-level analysis of the problem … to address  system-level contributors  to the problem.

95. Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. | PSNet
    psnet.ahrq.gov/issue/invited-article-managing-disruptive-physician-behavior-impact-staff-relationships-and-patient
    February 03, 2010 - this area has investigated predictors of unprofessional actions and system-level solutions to the problem … September 24, 2010 Perspective How to Identify and Manage Problem … April 22, 2011 Perspective How to Identify and Manage Problem

96. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
    December 01, 2017 - Use the Learning From Defects (LFD) tool to perform second-order problem solving. … Slide 4: Problem-Solving Hierarchy Example: Missing equipment in line cart First-order problem … Red arrow pointing down is captioned "First-order problem-solving." … Green arrow pointing up is captioned "Second-order problem-solving." … Build second-order problem solving skills necessary to learn from defects.

97. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
    January 01, 2017 - Slide 5 Problem-Solving Hierarchy SAY: First-order problem solving resolves an issue for one patient … ASK: What method of problem solving should we employ? … SAY: Instead of relying on first-order problem solving, practice second-order problem solving. … Slide 6 Problem-Solving Goal SAY: First-order problem solving addresses the immediate need but does … ASK: How can you make sure that everyone is aware of the problem?

98. Cognitive Engineering for Complex Decision Making & Problem Solving in Acute Care - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r01hs022542-hettinger-final-report-2020.pdf
    January 01, 2020 - Cognitive Engineering for Complex Decision Making & Problem Solving in Acute Care - Final Report … Cognitive Engineering for Complex Decision Making & Problem

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865872/psn-pdf
    May 15, 2024 - Speaking up and taking action: psychological safety and joint problem-solving orientation in safety … Speaking up and taking action: psychological safety and joint problem-solving orientation in safety … https://psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving … This study explored the association of psychological safety and joint-problem- solving orientation ( … https://psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving-orientation-safety

100. Risk Assessment | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/risk
     January 01, 2023 - provide a visual means of conveying all suspected and possible causes and consequences of a specific problem … Potential Problem Analysis Description A potential problem analysis (PPA) is a systematic method … The problem causes are rated according to their likelihood of occurrence and the severity of their consequences … The goal of a root cause analysis is to identify a problem’s origin by following a series of steps. … This allows the analyst or analyzing team to identify the exact issue, identify the reason for the problem