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psnet.ahrq.gov/issue/good-people-who-try-their-best-can-have-problems-recognition-human-factors-and-how-minimise
October 29, 2017 - Review
Good people who try their best can have problems: recognition of human factors … Good people who try their best can have problems: recognition of human factors and how to minimise error … Good people who try their best can have problems: recognition of human factors and how to minimise error
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psnet.ahrq.gov/issue/impact-pharmacist-led-interventions-medication-related-problems-among-patients-treated-cancer
May 10, 2017 - Review
Impact of pharmacist-led interventions on medication-related problems among … Impact of pharmacist-led interventions on medication-related problems among patients treated for cancer … Impact of pharmacist-led interventions on medication-related problems among patients treated for cancer
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psnet.ahrq.gov/issue/medication-safety-acute-care-australia-where-are-we-now-part-1-review-extent-and-causes
October 14, 2009 - Part 1: a review of the extent and causes of medication problems 2002-2008. … Part 1: a review of the extent and causes of medication problems 2002-2008. … Part 1: a review of the extent and causes of medication problems 2002-2008.
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psnet.ahrq.gov/issue/impact-patient-communication-problems-risk-preventable-adverse-events-acute-care-settings
April 22, 2011 - Study
Impact of patient communication problems on the risk of preventable adverse … Impact of patient communication problems on the risk of preventable adverse events in acute care settings … Impact of patient communication problems on the risk of preventable adverse events in acute care settings
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide68.html
October 01, 2014 - For all patients, identify problems already encountered and anticipate challenges in the immediate future … Assess medication use and problems. Remind patients of quitline support (1-800-QUIT-NOW).
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-slides.pptx
June 01, 2021 - leadership role
Respect of their peers
Receptive of feedback
Ability to work in teams to solve problems … 6
Developing a Program
6
Where To Start
Meet with your antibiotic stewardship team to identify problems … Developing a Program
9
10
Identifying the Problems—2
Clinical Event
Son notes resident has dark … Developing a Program
10
11
Identifying the Problems—3
Clinical Event
Son notes resident has dark … Developing a Program
11
12
Identifying the Problems—4
Clinical Event
Son notes resident has
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/newman-toker-summit2016.pdf
September 28, 2016 - Patient complaints
Malpractice claims
Risk management reports
MAY IDENTIFY NEW OR SERIOUS PROBLEMS … pathology, radiology, others)
Chart audits (+/- stimulated by trigger tools)
HELP MEASURE & TRACK PROBLEMS … from administrative data or clinical data
warehouses (+/- supported by NLP)
HELP MEASURE & TRACK PROBLEMS … Summary
The checker found no problems in this document.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/index.html
June 01, 2018 - Acknowledgments
Care Affordability
Care Affordability Trends and Measures
Measures of Access Problems … Acknowledgments
Care Affordability
Care Affordability Trends and Measures
Measures of Access Problems
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integrationacademy.ahrq.gov/sites/default/files/2024-10/AHRQ_Lexicon_Collateral_Overview.pdf
January 01, 2024 - uses a team of medical and behavioral health clinicians working in
a collaborative way to address problems … clinicians work together with patients and families to address mental health
concerns, substance use problems … These issues may include:
■ Mental health problems.
■ Substance use problems. … Primary care providers appreciate having someone with behavioral health
expertise available to help with problems
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/Case_Study_Specialty_Practice_Updated.pdf
October 01, 2011 - • Tackle problems on several fronts. … Identification of Performance Problems. … Documenting and Acting on the Problems. … These data confirmed problems with customer service and access. … But data helped to illustrate the problems for managers in the FPG and
in the hospital.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem.pptx
December 01, 2017 - no exception
Recognize potential barriers and complications to aid project implementation
Anticipate problems … In this module, the premortem exercise is framed to anticipate problems or barriers to sustainability … Preparing To Lead
Identify potential barriers and vulnerabilities
Build intuition and sensitivity to future problems … 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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effectivehealthcare.ahrq.gov/sites/default/files/related_files/models-care-adult-survivors-childhood-cancer-evidence-summary.pdf
February 01, 2022 - :
“Survivors feel confident about sharing their history, know their risks, recognize
symptoms and problems … improved knowledge Survivors can share
their history, know their
risks, recognize
symptoms and
problems … to transition care Survivors can share
their history, know their
risks, recognize
symptoms and
problems … care
PCPs understand a
survivor’s history, know
the survivor’s risks,
recognize symptoms
and problems … care
PCPs understand a
survivor’s history, know
the survivor’s risks,
recognize symptoms
and problems
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_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.
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integrationacademy.ahrq.gov/sites/default/files/2020-07/RANDquestionnaire.pdf
January 01, 2020 - ................................ 1 2 3
During the past 4 weeks, have you had any of the following problems … activities (for example, took extra effort) 1 2
During the past 4 weeks, have you had any of the following problems … with your work or other regular daily activities as a
result of any emotional problems ? … During the past 4 weeks, to what extent has your physical health or emotional:
problems interfered … During the past 4 weeks, to what extent has your physical health or emotional
problems interfered with
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb22.html
December 01, 2017 - Unsafe gait, transfers, and/or wheelchair seating problems
Consider OT/PT evaluation. … Others
Poor vision
Incontinence
Dehydration
Use of restraints
Hypoglycemia
Fear of falling
Foot problems
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/pareto-chart
January 01, 2023 - Uses
When you want to find the most significant causes or problems from a larger known set of issues … Determine which items seem responsible for the majority of the issues or problems. … Shows the problems that appear to account for most of the variation.
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psnet.ahrq.gov/issue/more-algorithms-analysis-safety-events-involving-ml-enabled-medical-devices-reported-fda
May 01, 2019 - January 9, 2019
Using automated methods to detect safety problems with health information … February 14, 2024
Problems with health information technology and their effects on care … April 24, 2018
Identifying patient safety problems associated with information technology … August 11, 2021
Insulin pumps have most reported problems in FDA database.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - They can help identify minor problems that still require attention, as well as more serious problems. … They can facilitate a discussion of how to solve problems so they do not reoccur. … Simple problems with equipment can safely be discussed in front of the patient. … These facilities have found the debriefing helpful to identify problems. … Identifying these problems is not enough.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
April 22, 2004 - Abstract
Many articles in the medical literature state that medical errors are the result of
systems problems … few articles have been written that specifically
explain how to analyze a system so that systemwide problems … well as
patient safety problems that are yet unknown. … reactively (i.e., after problems occur) to proactively preventing accidents through
system analysis … This matrix displays the identified
problems, current system status, and proposed problem solutions.
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digital.ahrq.gov/sites/default/files/docs/resource/PCC_Lapane_Q2_Patients_Issues_code_book.pdf
June 16, 2021 - ProbAdhere: Anything about problems adhering to their medication regimen,
taking the meds as prescribed … This code will
include what the problems are, why they have these problems, what makes
the problems … worse, what helps them overcome the problems or makes it
easier to take their meds correctly.