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psnet.ahrq.gov/issue/problems-after-discharge-and-understanding-communication-their-primary-care-physicians-pcps
March 28, 2018 - Study
Problems after discharge and understanding of communication with their primary … Problems after discharge and understanding of communication with their primary care physicians among … geriatric patients, conducted 2 weeks after hospital discharge, identified a large proportion who suffered problems … Problems after discharge and understanding of communication with their primary care physicians among
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/MO_Items-Composite_Measures.pdf
June 02, 2025 - Providers and staff talk openly about office problems.
D11. … We have problems with workflow in this office. (negatively worded)
C15. … This office is good at changing office processes to make sure the same problems don’t happen again. … Information Exchange With Other Settings
(Problems daily, Problems weekly, Problems monthly, Problems … several times in the past 12 months, Problems once or
twice in the past 12 months, No problems in the
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb7.html
December 01, 2017 - List 3 common safety problems in the resident's room and bathroom.
… List two common problems with wheelchairs that increase a resident's risk of falling.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_2b_IDEAL_Booklet_508.pdf
June 02, 2025 - What problems do I
need to look out for? … to look for and who
to call if I have problems at home. … Sometimes these symptoms are signs of bigger problems. … If I have
problems, how do I know when I should call? … to call if I have problems at home.
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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-facnotes.docx
May 01, 2017 - SAY: You can have problems that involve results such as harm events or near-misses. … SLIDE 4
Title: How Do Problems Get Flagged? … SAY: Most problems are identified by staff or are observed by supervisors. … Box 4 refers to process redesign problems or problems with flow between departments that need additional … She will know that it is successful when fewer similar problems occur.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
June 01, 2021 - of antibiotic prescribing, there were several problems. … Slide 12
How Can You Identify Problems? … Slide 14
Technical Problems
SAY:
Technical problems are problems for which the potential solutions … Slide 15
Adaptive Problems
SAY:
Adaptive problems are problems for which solutions require a change … Some problems may require several solutions over time.
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psnet.ahrq.gov/issue/drug-related-problems-and-pharmacist-interventions-geriatric-unit-employing-electronic
June 26, 2024 - Study
Drug related problems and pharmacist interventions in a geriatric unit employing … Drug related problems and pharmacist interventions in a geriatric unit employing electronic prescribing … Drug related problems and pharmacist interventions in a geriatric unit employing electronic prescribing … November 30, 2022
Non-dispensing pharmacists' actions and solutions of drug therapy problems … February 15, 2011
Drug-related problems in medical wards with a computerized physician
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psnet.ahrq.gov/issue/reasons-drug-administration-problems-and-perceived-needs-assistance-patients-family
November 02, 2010 - Study
Reasons for drug administration problems and perceived needs for assistance … Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers … Patients and caregivers were generally unaware of errors and primarily attributed administration problems … Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers
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psnet.ahrq.gov/issue/do-professionalism-lapses-medical-school-predict-problems-residency-and-clinical-practice
February 15, 2017 - Study
Do professionalism lapses in medical school predict problems in residency and … Do professionalism lapses in medical school predict problems in residency and clinical practice? … professional-related reasons to matched controls to explore whether professionalism lapses predict problems … Do professionalism lapses in medical school predict problems in residency and clinical practice?
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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.""
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psnet.ahrq.gov/issue/automated-identification-extreme-risk-events-clinical-incident-reports
November 03, 2015 - Incident reports can yield useful information about safety problems, but manual review of all voluntary … use of informatics technology to screen incident reports in order to identify high-severity safety problems … February 8, 2023
Problems with health information technology and their effects on care … April 24, 2018
Identifying patient safety problems associated with information technology … December 29, 2014
Detection of medication-related problems in hospital practice: a review
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
June 02, 2025 - Purpose of tool: This tool provides a structured approach to help physicians and nurses identify the problems … that occurred during the night and potential problems that may occur during the clinical day. … Are there any patients having problems on the unit?
III. … Identified
Person Assigned To Followup
Action Taken
Patient scheduling
Equipment availability or problems
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
June 01, 2021 - It is important to identify problems in order to target areas that would benefit from change. … Slide 8
Identifying the Problems
SAY:
Let’s consider some problems in the events leading to this … In our example case, you and the team choose to focus on two post-prescriptive problems. … Over half of the cases had problems that the clinicians addressed. … Reframe the problems as opportunities for improvement.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_2a_IDEAL_Checklist_508.docx
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? … Who do I call if I have questions or problems when I get home?
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psnet.ahrq.gov/issue/beyond-patient-safety-flatland
September 04, 2024 - dimensions of patient safety and emphasizes the need for a deeper understanding of how to address complex problems … December 6, 2023
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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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/mcdonald-summit2016-breakout.pdf
June 02, 2025 - Interaction effects…
HIT & Culture Effects on Dx-
Sensitive Office Problems
Aim: Examine the relationship … implementation levels for electronic reporting (ERR) of images
and lab results and for EHRs with office problems … Lower culture scores enhanced the negative
association between ERR and problems. … What We Don’t Know�Enabler and Show Stoppers
HIT & Culture Effects on Dx-Sensitive Office Problems … Summary
The checker found no problems in this document.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
June 01, 2021 - Strive to reduce preventable harm by identifying problems that cause harm to residents. … Problems can be behavioral, technical, or both. … Think about problems as opportunities for improvement. … Patient Safety
18
Where Are the Problems in This Case? … Where Are the Problems in This Case? (continued)11
21
Image credit: Reason J. Human Error.
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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?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/shadowing.doc
June 02, 2025 - 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 … Review your list of observed communication and teamwork problems. … Prepare a draft of the problems identified and your proposed solutions. … Were patient problems identified quickly?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
May 01, 2017 - Complex problems are escalated to the management team for consideration. … The visual management board displays a list of current problems and their status. … The public acknowledgement of work-related problems with candid analysis of causes and clear followup … Conversely, problems identified by frontline teams may evolve into organizationwide initiatives. … Establishing trust and candor is essential to sustaining attention to safety and surfacing problems.