-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/pdsa-form.html
June 01, 2017 -
Do: Describe what actually happens when we run the test (note any unexpected events or problems …
Do: Describe what actually happens when we run the test (note any unexpected events or problems
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/example-pdsa-form.docx
May 01, 2017 - Do: Describe what actually happens when we run the test (note any unexpected events or problems … Do: Describe what actually happens when we run the test (note any unexpected events or problems
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-metabolic-monitoring-testing-summary.pdf
December 31, 2015 - gain (Correll et al.,2009), diabetes
(Andrade et al. 2011; Bobo et al., 2013) and cardiovascular problems … Research also suggests that metabolic
problems in childhood and adolescence are associated with poor
-
www.ahrq.gov/hai/cusp/modules/engage/alt-text.html
April 01, 2013 - Slide 10
Supports Both Technical and Adaptive Work of Change
Technical Work
Addresses problems … Slide 11
Supports Both Technical and Adaptive Work of Change
Adaptive Work
Addresses problems
-
www.ahrq.gov/patients-consumers/diagnosis-treatment/hospitals-clinics/10-tips/index.html
June 01, 2018 - A free 11-minute DVD provides video excerpts of 50 actual chest tube insertions to illustrate problems … Ordering information for Problems and Prevention: Chest Tube Insertion (AHRQ Publication No. 06-0069
-
www.ahrq.gov/talkingquality/translate/web/pathways/composites.html
May 01, 2019 - more than four or five elements, letting people look at all them at once does not create cognitive problems
-
www.ahrq.gov/evidencenow/projects/heart-health/research-results/videos/index.html
September 01, 2021 - for improving primary care using external support is already being expanded to address other health problems
-
www.ahrq.gov/patient-safety/settings/emergency-dept/discharge-process.html
July 01, 2017 - vulnerabilities of patients at highest risk of frequent ED use; (b) the causes, dimensions, and effects of problems
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-e.html
May 01, 2017 - - Read back specimen labeling including patient's name
Team Discusses:
|___| Equipment problems
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospvaluepilotreport.pdf
November 01, 2017 - Takes action to address workflow
problems that are brought to his or her
attention.
77%
4. … Takes action to address workflow problems that are
brought to his or her attention. 75% 78% 80%
4. … Takes action to address workflow problems that
are brought to his or her attention. 77% 69% 75% 87% … We are given opportunities to try out solutions
to workflow problems.
56% 56% 58% 83% 64%
31 … We are given opportunities to try out
solutions to workflow problems.
70% 63% 58% 58% 56% 64%
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.pdf
November 01, 2017 - Takes action to address workflow
problems that are brought to his or her
attention.
77%
4. … Takes action to address workflow problems that are
brought to his or her attention. 75% 78% 80%
4. … Takes action to address workflow problems that
are brought to his or her attention. 77% 69% 75% 87% … We are given opportunities to try out solutions
to workflow problems.
56% 56% 58% 83% 64%
31 … We are given opportunities to try out
solutions to workflow problems.
70% 63% 58% 58% 56% 64%
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
January 22, 2008 - has been communicated during any
patient care hand-off can be substantial.7, 8, 9, 10 Communication problems … had arisen while they
were on call; whether those problems could have and should have been anticipated … Sign-out should focus on identifying anticipated problems and
the appropriate plan of care for each, … • Selected demographics, problems, medications, and treatments should be characterized. … plans for those potential problems.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
January 01, 2023 - (Item C1)
94% 94% 91% 92% 91%
We make improvements when someone points out patient
safety problems … (Item C4) 87% 84% 85% 84% 81%
Staff are told about patient safety problems that happen in this
facility … (Item C4)
86% 98% 82% 97% 95% 80% 78% 71% 76%
Staff are told about patient safety
problems that … (Item C1) 95% 93% 91% 94%
We make improvements when someone points out patient safety
problems. … (Item C4) 92% 84% 79% 90%
Staff are told about patient safety problems that happen in this facility
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - hospital-acquired infections, and procedural complications
Many complications can be attributed to problems … Many of these complications can be attributed to discharge planning problems, including medication changes … Patients and families typically do not look to hospital staff to solve their home and family problems … Discuss with the patient and family 5 key areas to prevent problems at home
Describe what life at home … Highlight warning signs and problems: Identify warning signs or potential problems.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
January 01, 2004 - more basic technical,
structural, and cultural challenges that affect the ability of IT to solve the
problems … IDSs), with a particular focus on the use of information
technology (IT) to help address transition problems … • What patient safety problems arise due to ineffective transitions across
care settings? … The promise and challenges of clinical IT
The FMEA demonstrates that IT can help solve problems of … Elderly patients’
problems with medication: an in-hospital and follow-
up study.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
April 07, 2008 - Our approach has been
to identify strategic areas for which solutions to problems would be significant … likelihood increases that a surgeon will have familiarity with a multiplicity of
patient-specific problems … Inefficiency,
redundancy, communication problems, usage problems, and system failures are among the … quantitative, valid measures of workflow
within patient-surgeon interfaces, identifying ergonomic problems … Systemwide problems can be identified and root causes
discovered.
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/trends.html
June 01, 2018 - Reaching agreement on problems and plans.
Providing closure ( Dean, et al., 2014 ).
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-f.html
May 01, 2017 - | Before the patient leaves the room, will ALL members of the surgical team discuss any equipment problems
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-intro-slides.pdf
October 12, 2017 - • Other problems?
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-cancer-care-intro-fry.pdf
June 13, 2017 - • Other problems?