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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
January 01, 2003 - The present study focused on problems related to patient monitoring and
needs of ICU nurses. … Semistructured interviews of 26 experienced ICU nurses were employed to
identify monitor usability problems … This can lead to other problems or a cascade of errors, such as interrupted tasks or
deviations from … In a similar vein, nurses mentioned problems with the
visibility of certain functions. … By far the largest number of complaints about ICU monitor problems fell into the category of
usability
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
January 01, 2010 - and procedural complications.1 Many of these complications can be attributed to discharge planning problems … Discuss with the patient and family five key areas to prevent problems at home:
1. … Highlight warning signs and problems
4. Explain test results
5. … Discuss with the patient and family five key areas to prevent problems at home.
1. … Highlight warning signs and problems. Identify warning signs or potential problems.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
January 01, 2010 - and procedural complications.1 Many of these
complications can be attributed to discharge planning
problems … Discuss with the patient and family five key areas to
prevent problems at home:
1. … Highlight warning signs and problems
4. Explain test results
5. … Discuss with the patient and family five key areas to
prevent problems at home.
1. … Highlight warning signs and problems. Identify
warning signs or potential problems.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/boarding-response-to-rep.-dingell.pdf
December 31, 2024 - address these issues, as follows:
Page 2
AHRQ Actions
Crowding and boarding problems … funded the following ongoing research projects to understand and
address various aspects of these problems … I appreciate your shared commitment to addressing ED overcrowding and boarding problems to
help ensure
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
June 02, 2025 - My supervisor/manager overlooks patient safety problems that happen over and over. … We have patient safety problems in this unit. (negatively worded)
6. … Problems often occur in the exchange of information across hospital units.
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/premortem-fac-notes.html
December 01, 2017 - In this module, the premortem exercise is framed to anticipate problems or barriers to sustainability … The successful use of this tool helps to build team intuition for and sensitivity to future problems. … Review and anticipate potential problems throughout the project.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/tearsheets/helpsmokers.html
October 01, 2014 - Smoking causes illnesses such as cancer, heart disease, stroke, problems with pregnancy, and lung disease … Breathing in other people's smoke can cause asthma and other health problems.
-
www.ahrq.gov/news/newsroom/press-releases/healthcare-system-data-challenge.html
September 01, 2022 - proposals to supplement identified AHRQ systematic reviews with healthcare system data to address relevant problems … requests an analysis of healthcare system data alongside systematic review findings to address those problems
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www.ahrq.gov/cahps/surveys-guidance/item-sets/children-chronic/screener.html
April 01, 2022 - errors, misdiagnoses, lack of access to care, and the global or developmental nature of some childhood problems … ·Treatment or counseling for emotional, behavioral, or developmental problems.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/primary-care-research-conference-proceedings.pdf
January 01, 2023 - ’s wicked problems. … • Importance of complex network of services to address problems. … while ignoring the system and
structure that the problems exist in … with solutions to those problems. … Session Activity 3: Wicked Problems
Breakout groups to identify various wicked problems that affect
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/patient-safety-summit-agenda-2020.pdf
January 01, 2020 - What new patient safety problems might be emerging as a
result of digital healthcare?
2. … What patient safety problems might digital healthcare be able
to help improve?
3. … Return on investment—do we have enough information about
this for each of the different patient safety problems
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview-facnotes.docx
May 01, 2017 - Huddles provide a venue to identify problems and review improvement projects, as well as to monitor performance … Moving down: well-understood escalation protocols support staff in understanding which problems they … Moving to the bottom center: Problem solving methods are key for identifying and addressing problems … huddles and visual management boards end up seeming pointless, given that while staff may recognize problems
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/tearsheets/helpsmokers.pdf
May 01, 2008 - .
- Smoking causes illnesses such as cancer,
heart disease, stroke, problems with pregnancy,
and lung … - Breathing in other people’s smoke
can cause asthma and other
health problems.
-
www.ahrq.gov/news/newsroom/case-studies/ktcquips50.html
October 01, 2014 - She notes that historically, staff attributed patient safety problems to the hospital's being short-staffed … She explains, "During these discussions, many participants realized that most of the problems that have
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/measures.html
June 01, 2018 - Acknowledgments
Care Affordability
Care Affordability Trends and Measures
Measures of Access Problems … Measures of Care Affordability include:
Access problems due to health care costs .
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
July 01, 2023 - Key insights about learning from patient experience to address diagnostic problems include:
1. … Expanding the scope to also include “problems” encourages
reporting of adverse events where patients … as well as their impact
on patients and families, since many of those experiencing problems will have … ■ Respondents should be encouraged to report on both mistakes and diagnostic problems.
2. … ■ To encourage the most complete and representative reports about diagnostic problems,
elicitation
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www.ahrq.gov/nursing-home/materials/prevention/observational-audits.html
July 01, 2021 - Persons with disabilities experiencing problems accessing the content in the Excel file should contact … Persons with disabilities experiencing problems accessing the content in the Excel file should contact
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-items.pdf
January 01, 2015 - We make improvements when someone points out patient safety problems.
C6. … We are good at changing processes to make sure the same patient safety problems don’t happen again. … Staff are told about patient safety problems that happen in this facility.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem_facnotes.docx
December 01, 2017 - In this module, the premortem exercise is framed to anticipate problems or barriers to sustainability … The successful use of this tool helps to build team intuition for and sensitivity to future problems. … Review and anticipate potential problems throughout the project.
-
www.ahrq.gov/talkingquality/resources/cognitive/index.html
September 01, 2019 - When done skillfully, cognitive testing can help identify problems that even seasoned report developers … Try out possible solutions to problems. … Report designers often conduct additional rounds of testing to follow up on problems identified in earlier … rounds and to evaluate solutions to those problems. … testing can be helpful because changes to fix one type of problem sometimes inadvertently cause new problems