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Showing results for "problem".

81. IV potassium given epidurally: getting to the "route" of the problem. | PSNet
    psnet.ahrq.gov/issue/iv-potassium-given-epidurally-getting-route-problem
    April 20, 2022 - Newspaper/Magazine Article IV potassium given epidurally: getting to the "route" of the problem … Citation Text: IV potassium given epidurally: getting to the "route" of the problem. … Citation Citation Text: IV potassium given epidurally: getting to the "route" of the problem

82. Cause-and-Effect Diagram | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cause-and-effect-diagram
    January 01, 2023 - provide a visual means of conveying all suspected and possible causes and consequences of a specific problem … Bear in mind the primary goal is to solve the problem rather than eliminate the symptoms. … Identifies many of the causes of a problem. … The outcome requires a good leader and participation of process owners who fully understand the problem

83. The problems of detecting medication errors in hospitals. | PSNet
    psnet.ahrq.gov/issue/problems-detecting-medication-errors-hospitals
    February 01, 2012 - method for estimating medication errors, and that previous efforts to assess the prevalence of the problem

84. Exhibit 4.13. Identify and Choose Priority Problem | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-13.html
    November 01, 2014 - Identify and Choose Priority Problem Previous Page Next Page Table of Contents Improving

85. Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study (pdf file)
    www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
    January 01, 2024 - Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN … Study Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study Final … NPPE was highly correlated to CWL; CWL increased 7.2% for each additional problem (P<0.001). … Encounter problem density in primary care: a better measure of complexity? … per hour (5 minutes 34 seconds spent per problem).

86. Patient falls in the operating room: why is this still a problem in 2024? | PSNet
    psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
    May 08, 2024 - Commentary Patient falls in the operating room: why is this still a problem in 2024 … Patient falls in the operating room: why is this still a problem in 2024? … Patient falls in the operating room: why is this still a problem in 2024?

87. The problem with…using stories as a source of evidence and learning. | PSNet
    psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning
    June 19, 2018 - Commentary The problem with…using stories as a source of evidence and learning. … The problem with … using stories as a source of evidence and learning. … The problem with … using stories as a source of evidence and learning. … Related Resources From the Same Author(s) Overdiagnosis and overtreatment as a quality problem

88. Root Cause Analysis | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/root-cause-analysis
    January 01, 2023 - Description Root cause analysis (RCA) is a popular technique used to determine why a problem occurred … 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

89. The $17.1 billion problem: the annual cost of measurable medical errors. | PSNet
    psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors
    May 26, 2021 - Study Classic The $17.1 billion problem: the annual cost … The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. … The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors.

90. Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/cognitive-engineering-complex-decisionmaking-problem-solving-acute-care
    January 01, 2023 - Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care … Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care - Final Report. … Project Name: Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care Document … Project Name: Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care Document … Project Name: Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care Document

91. What can physicians do to help curb the opioid crisis? | PSNet
    psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis
    December 18, 2019 - The persistent problem of opioid-related harm calls for changes in pain management practices and system … An Annual Perspective discussed the opioid crisis as a patient safety problem. … July 2, 2019 The opioid crisis: can improving diagnosis help solve the problem?

92. Teaching Patients: Integrated Ambulatory Care | The Academy
    integrationacademy.ahrq.gov/playbooks/behavioral-health-and-primary-care/implementing-plan/educate-patients-and-families-about-integrated-ambulatory-care
    March 01, 2024 - When patients understand the link between mind and body and the problem of fragmented care, they are … sheets: Collect psychosocial information along with medical information as part of the evaluation of any problem … Consider a “trial” of behavioral health care to reduce the impact of the patient’s underlying problem … Introduce behavioral health services as part of the practice’s normal protocol for the patient’s problem … Consider describing a patient’s problem using words that leave etiology open (e.g., distress, pain, struggle

93. Patient safety: this is public health. | PSNet
    psnet.ahrq.gov/issue/patient-safety-public-health
    July 19, 2023 - Medical error has been recognized as a serious problem in the United States. … July 19, 2023 The problem with the '5 whys.' … September 14, 2016 The problem with Plan-Do-Study-Act cycles.

94. Teaching Patients: Integrated Ambulatory Care | The Academy
    integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/educate-patients-and-families-about-integrated-care
    January 01, 2024 - When patients understand the link between mind and body and the problem of fragmented care, they are … sheets: Collect psychosocial information along with medical information as part of the evaluation of any problem … Consider a "trial" of behavioral health care to reduce the impact of the patient's underlying problem … Introduce behavioral health services as part of the practice's normal protocol for the patient's problem … Consider describing a patient's problem using words that leave etiology open (e.g., distress, pain, struggle

95. Strategies for learning from failure. | PSNet
    psnet.ahrq.gov/issue/strategies-learning-failure
    September 25, 2024 - detection and reporting of problems by frontline staff, and promote experimentation and creative problem-solving … September 25, 2024 Speaking up and taking action: psychological safety and joint problem-solving … March 8, 2017 Development of "SWARM" as a model for high reliability, rapid problem solving

96. Laney's story: the problem of delayed diagnosis of pediatric stroke. | PSNet
    psnet.ahrq.gov/issue/laneys-story-problem-delayed-diagnosis-pediatric-stroke
    April 24, 2018 - Commentary Laney's story: the problem of delayed diagnosis of pediatric stroke. … Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. … Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke.

97. Module 3: PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving.pptx
    May 01, 2017 - Module 3: PowerPoint Presentation Management Practices for Sustainability Module 3: Problem Solving … No. 16(17)-0019-4-EF May 2017 Module 3: Problem Solving and Escalation | ‹#› AHRQ Safety Program … Concept Example Problem: An undesirable gap between an expected state and the actual state of a system … Practices for Sustainability Four Problem Boxes Module 3: Problem Solving and Escalation | ‹#› … Try the Problem Triage flowchart as your initial guide Module 3: Problem Solving and Escalation |

98. Overdiagnosis in primary care: framing the problem and finding solutions. | PSNet
    psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions
    November 01, 2017 - Emerging Classic Overdiagnosis in primary care: framing the problem … Overdiagnosis in primary care: framing the problem and finding solutions. … Overdiagnosis in primary care: framing the problem and finding solutions.

99. Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. | PSNet
    psnet.ahrq.gov/issue/identifying-adverse-events-reflections-imperfect-gold-standard-after-20-years-patient-safety
    September 09, 2015 - The authors note that these approaches have served to demonstrate the scope of the patient safety problem … March 27, 2019 The problem with using patient complaints for improvement. … September 18, 2024 The problem with 'never events'. … August 7, 2024 Patient falls in the operating room: why is this still a problem in 2024

100. A multiple-drawer medication layout problem in automated dispensing cabinets. | PSNet
     psnet.ahrq.gov/issue/multiple-drawer-medication-layout-problem-automated-dispensing-cabinets
     December 21, 2017 - Study A multiple-drawer medication layout problem in automated dispensing cabinets … A multiple-drawer medication layout problem in automated dispensing cabinets. … A multiple-drawer medication layout problem in automated dispensing cabinets.