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psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety
March 29, 2007 - Book/Report
First, Do Less Harm: Confronting the Inconvenient Problems of Patient … Citation Text:
First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. … perspectives to address why, despite tactics like health care information technology implementation, problems … Cite
Citation
Citation Text:
First, Do Less Harm: Confronting the Inconvenient Problems
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psnet.ahrq.gov/issue/admission-handoff-communications-clinicians-shared-understanding-patient-severity-illness-and
May 31, 2017 - Admission handoff communications: clinician's shared understanding of patient severity of illness and problems … agreed on a patient's overall severity of illness, but did not agree on prioritization of specific acute problems … May 15, 2019
Patient safety problems in adolescent medical care. … Care Providers
Quality and Safety Professionals
Educators
Discontinuities, Gaps, and Hand-Off Problems
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www.ahrq.gov/news/newsroom/case-studies/201540.html
January 01, 2016 - University are using information from an AHRQ webinar to learn how to better assess patient health problems … analyze case studies of patients with mild to moderate mental illness, in addition to other health problems … much stronger and more comprehensive, as AHRQ's tools and resources enable students to view health problems
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-slides.html
June 01, 2017 - Slide 4: How Do Problems Get Flagged? … Most problems are identified by staff or are observed by supervisors. … It then further categorizes those problems that don't require further management attention: those that … Reduce the number of recurring problems.
How will you know that a change is an improvement? … Fewer problems of the same kind flagged in huddle and observed at work.
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hcup-us.ahrq.gov/reports/statbriefs/sb105.pdf
February 01, 2011 - patients with back
problems*
ED visits for patients with
back problems as a first-listed
diagnosis … back
problems*
Hospital stays for patients
with back problems as a
principal diagnosis**
Hospital … ED patients with
back problems were 6–9 years older than ED patients without back problems (43.6 and … Hospitalized patient with back problems were 10–13 years older than those without
back problems (57.2 … any diagnosis of back problems, 47 percent had back problems as a first-listed
diagnosis (―spondylosis
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psnet.ahrq.gov/issue/patient-race-and-opioid-misuse-history-influence-provider-risk-perceptions-future-opioid
March 24, 2021 - Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems … Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems … previous opioid misuse behaviors impact providers’ risk assessment for future prescription opioid-related problems … Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems
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psnet.ahrq.gov/issue/frequency-and-nature-potentially-harmful-preventable-problems-primary-care-patients
June 30, 2021 - Study
Frequency and nature of potentially harmful preventable problems in primary … Frequency and nature of potentially harmful preventable problems in primary care from the patient's perspective … About 8% of patients reported an adverse event, which were frequently problems with medications, accessing … Frequency and nature of potentially harmful preventable problems in primary care from the patient's perspective
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meps.ahrq.gov/data_files/publications/st289/stat289.pdf
July 01, 2010 - Statistical Brief #289: Back Problems: Use and Expenditures for the U.S. … adults age 18 and older reported having back problems. … ● Medical spending to treat back
problems totaled $30.3 billion
in 2007. … ● Annual mean expenditures for
back problems among those
with an expense related to
back problems … A total of $30.3 billion was spent on
treatment for back problems (figure 2).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
May 01, 2017 - Where Are Problems Identified? 3
4. Problem Triage: More on Different Types of Problems 3
5. … Where Are Problems Identified?
Daily huddles serve as a major forum to identify problems. … Some problems will require immediate management attention, such as problems that compromise the safety … “Compliance” and “just do it” problems typically represent type 1 problems. … problems.
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meps.ahrq.gov/data_files/publications/st289/stat289.shtml
July 01, 2010 - STATISTICAL BRIEF #289:
Back Problems: Use and Expenditures for the U.S. … Medical spending to treat back problems totaled $30.3 billion in 2007. … Annual mean expenditures for back problems among those with an expense related to back problems totaled … . adults age 18 and older reported having back problems. … Definitions
Back problems
This Brief provides estimates for adults, age 18 and older, with back problems
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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
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www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
January 01, 2024 - ,
some problems, or severe problems). … 61(80.3) 33(46.5)
Some Problems 15(19.7) 38(53.5)
Severe Problems 0(0) 0(0)
Self-Care N: 148 0.006 … No Problems 71(93.4) 56(77.8)
Some Problems 5(6.6) 16(22.2)
Severe Problems 0(0) 0(0)
Usual Activities … N: 148 0.006
No Problems 45(59.2) 29(40.3)
Some Problems 29(38.2) 33(45.8)
Severe Problems 2(2.6) 10 … Severe Problems 1(1.3) 4(5.6)
Anxiety/Depression N: 148 0.029
No Problems 64(84.2) 49(68.1)
Some Problems
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_2a_IDEAL_Checklist_508.pdf
June 02, 2025 - What problems do I need to look
out for? … I know what problems to
look for and who to call if I
have problems at home. … Ask:
• What problems do I need to watch for when I
get home? … If I have problems, how do I know
when I should call? … Ask:
I know what problems to look for and who to call if I have problems at home.
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psnet.ahrq.gov/issue/using-statistical-text-classification-identify-health-information-technology-incidents
February 14, 2024 - Institute of Medicine report found that existing health information technology (IT) systems have several problems … These queries can be used for earlier detection of patient care problems associated with health IT, in … February 14, 2024
Using automated methods to detect safety problems with health information … February 8, 2023
Problems with health information technology and their effects on care … April 24, 2018
Identifying patient safety problems associated with information technology
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psnet.ahrq.gov/issue/characteristics-patient-care-management-problems-identified-emergency-department-morbidity
April 24, 2018 - Study
Characteristics of patient care management problems identified in emergency … Characteristics of patient care management problems identified in emergency department morbidity and … conducting retrospective case analyses and points out the most common contributing factors to patient problems … Characteristics of patient care management problems identified in emergency department morbidity and
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psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-prioritize-study
December 14, 2016 - Study
Clinician-identified problems and solutions for delayed diagnosis in primary … Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study … Participants identified 33 discrete problems associated with delays in diagnosis and suggested 27 solutions … Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study … Prioritizing medication safety in care of people with cancer: clinicians' views on main problems
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/critical-to-quality-analysis
January 01, 2023 - flowchart in order to find quality features or characteristics that are significant and to identify problems … To identify problems and potential causes of those problems.
How do I use this tool?
1. … STUDY THESE CRITICAL-TO-QUALITY STEPS to find problems in your process.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - or residents, we call those problems sentinel events. … We can categorize problems and potential problems into two broad categories:
· The first is problems … · The second is problems or potential problems resulting from human behavior. … Slide 11
Problems Are Also Opportunities To Improve
SAY:
Learning to see problems as opportunities … can avoid similar problems.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
June 01, 2021 - This can set up older adults for two problems. … Sometimes these are problems in the work system. … Slide 17
Where Are the Problems in This Case? … Slide 20
Where Are the Problems in This Case? … Slide 22
Identifying Problems
SAY:
The case we discussed shows how problems can become opportunities
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_breathing.pdf
June 02, 2025 - NICU Toolkit, Appendix A, How Can I Manage My Child’s Breathing Problems? … How Can I Manage My Child’s Breathing
Problems at Home?