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21. Appendix A: Family Information Packet (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apa4.html
    December 01, 2013 - Followup Telephone Survey Managing Breathing Problems How Can I Manage My Child's Breathing … Problems at Home? … Damaged lung tissue causes breathing and health problems. … Problems breathing. Fast breathing. Not eating well. How is RSV Spread?

22. Contingency Diagram | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/contingency-diagram
    January 01, 2023 - Diagram Description The contingency diagram uses brainstorming to generate a list of problems … Once problems are identified, then solutions to the problems are determined. … Uses When identifying causes of potential problems. When developing solutions to problems.

23. Introduction | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship2.html
    August 01, 2024 - Opportunities and Challenges Ahead Conclusion References Diagnostic errors often involve problems … including in the use of diagnostic testing. 1,2 In several comprehensive analyses of diagnostic errors, problems

24. Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use | PSNet
    psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
    September 13, 2023 - The HomeMeds Medication Safety Program identified and addressed targeted medication problems, leading … Program implementation identified and addressed several common medication problems found among older … In the waiver study, 62 percent of pharmacist-confirmed therapeutic duplication problems were resolved … In the waiver program, 61 percent of pharmacist-confirmed problems had changes.  … Over time, the nurses and the pharmacist began to identify common medication-related problems and felt

25. Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/preventing-medication-related-problems-care-transitions-skilled-nursing
    January 01, 2023 - Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities … This research will explore the effectiveness of the PIT program in reducing medication-related problems … Evaluation will include the occurrence of medication-related problems 30 days following hospital discharge … The research team anticipates a significant decrease in medicine-related problems among patients involved … consequences of those problems—that people will recover, require less time in SNFs, that they get back

26. Cimino JJ et al. 2001 "Studying the human-computer-terminology interface." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/cimino-jj-et-al-2001
    January 01, 2001 - true intended meaning were due to terminology content, terminology representation, or user interface problems … physicians, and 1 nurse practitioner, using the Medical Entities Dictionary (MED) to record patient problems … with content in 13.0 percent of events, representation problems in 10.1 percent of events, and usability … problems in 5.9 percent of events. … Some of the remaining causes of user interface problems were navigation problems.""

27. Common Problems Identified During Peer Review | Agency for Healthcare Research and Quality
    www.ahrq.gov/funding/process/grant-app-basics/peerprob.html
    October 01, 2014 - Common Problems Identified During Peer Review Below is a list of many common problems that result

28. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/chipra/overview/background/next-steps3.html
    December 01, 2009 - ) Mental and Behavioral Health Information about the prevalence of mental and behavioral health problems … of their children were depressed, 4.5 percent were anxious, and 6.9 percent had behavior or conduct problems … shows that one in five children and adolescents aged 9 to 17 years experience symptoms of mental health problems … health issues (e.g., attention and behavior disorders) were second only to asthma as the top health problems … the reason for concerns about overweight and obesity in children is the relationship between those problems

29. Managing a CAHPS Survey Project | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/surveys-guidance/helpful-resources/managing/index.html
    May 01, 2022 - ensure that your survey project runs smoothly and that your team is prepared to handle any unexpected problems … Weekly conference calls with the project team and the vendor to discuss their progress, next steps, any problems … the project’s status and schedule will keep you updated and bring early attention to any potential problems

30. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
    April 01, 2022 - The least satisfied customers are those whose problems remain unsolved. … It can also mean providing solutions or making amends for problems that the patient created. … Solutions to problems need to be timely and responsive to the person's need. … In health care, certain problems are highly predictable. … Train and empower frontline employees to resolve problems and give them the authority to fix problems

31. 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 - Contingency Diagram Description The contingency diagram uses brainstorming to generate a list of problems … Once problems are identified, then solutions to the problems are determined. … Once potential issues are found, preventive measures are developed, allowing the problems to either be

32. The problem with using patient complaints for improvement. | PSNet
    psnet.ahrq.gov/issue/problem-using-patient-complaints-improvement
    February 20, 2019 - Patient complaints can provide insights into care problems . … Identifying patient and practice characteristics associated with patient-reported experiences of safety problems

33. Encouraging patients to speak up about problems in cancer care. | PSNet
    psnet.ahrq.gov/issue/encouraging-patients-speak-about-problems-cancer-care
    March 11, 2013 - Study Encouraging patients to speak up about problems in cancer care. … Encouraging patients to speak up about problems in cancer care. … Encouraging patients to speak up about problems in cancer care.

34. Operating Room Briefing and Debriefing Audit Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
    December 01, 2017 - patient safety risks in their clinical areas and have great insight into potential solutions to these problems … (e.g., “if anyone sees any problems, please speak up”)     Explicit opportunity for questions

35. The Measurement and Monitoring of Safety. | PSNet
    psnet.ahrq.gov/issue/measurement-and-monitoring-safety
    October 01, 2024 - Despite great effort, health care organizations are still learning how to identify safety problems , … Prior studies have shown that no single method can unearth all safety problems within an organization … adherence to appropriate processes of care), sensitivity to operations (prospectively identifying safety problems

36. Using incident reports to assess communication failures and patient outcomes. | PSNet
    psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes
    February 06, 2019 - failures and safety has been best studied in the operating room , this issue likely contributes to safety problems … Investigators examined incident reports at an academic medical center to characterize how communication problems … implying that situational awareness was not achieved—were among the most common types of communication problems … Communication problems most often led to delays in care without physical harm, highlighting the difficulty

37. Performing a Premortem Assessment | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/premortem-assessment.html
    October 01, 2024 - Prevention The purpose of the CUSP Premortem Tool is to help the CUSP team anticipate and mitigate potential problems … 394 KB) The CUSP Premortem Tool walks teams through the Premortem process to anticipate and mitigate problems

38. Research Centers for Excellence in Clinical Preventive Services | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/chronic-care/decision/research-centers/index.html
    October 01, 2018 - Each center is conducting three research projects seeking solutions to the problems of underuse, overuse … difficult in routine primary care because of time constraints, conflicting priorities, communication problems … the AHRQ Research Centers for Excellence in Clinical Preventive Services are finding solutions to the problems

39. Situational Awareness | PSNet
    psnet.ahrq.gov/taxonomy/term/3440
    April 10, 2025 - Failure to maintain situational awareness can result in various problems that compound the crisis. … situational awareness to the point that steps are not taken to address immediately life-threatening problems

40. Shadowing Another Professional Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/professional-tool.html
    July 01, 2023 - The shadower will observe oral and written communication practices and problems and the effect they have … Use this document to identify problems observed in patient care areas within the practice setting of … Discuss with the clinician you shadowed what you believe may reduce communication errors and teamwork problems … Prepare a draft of the problems identified and your proposed solutions. … Were patient problems identified quickly?