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psnet.ahrq.gov/issue/problem-checklists
March 29, 2023 - Commentary
The problem with checklists. … The problem with checklists. BMJ Qual Saf. 2015;24(9):545-9. doi:10.1136/bmjqs-2015-004431. … The problem with checklists. BMJ Qual Saf. 2015;24(9):545-9. doi:10.1136/bmjqs-2015-004431.
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psnet.ahrq.gov/issue/problem-incident-reporting
February 28, 2024 - Commentary
The problem with incident reporting. … The problem with incident reporting. … The problem with incident reporting.
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psnet.ahrq.gov/issue/problem-never-events
July 12, 2023 - Commentary
The problem with 'never events'. … The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616. doi:10.1136/bmjqs-2023-016981. … The problem with ‘never events’. … August 7, 2024
Patient falls in the operating room: why is this still a problem in 2024
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psnet.ahrq.gov/issue/problem-root-cause-analysis
August 28, 2024 - Commentary
The problem with root cause analysis. … The problem with root cause analysis. … The problem with root cause analysis.
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psnet.ahrq.gov/issue/problem-medication-reconciliation
May 08, 2017 - Commentary
The problem with medication reconciliation. … The problem with medication reconciliation. … The problem with medication reconciliation.
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psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
October 31, 2014 - Commentary
Classic
Problem doctors: is there a system-level … Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15. … definitions such as professional competence and disruptive behavior before examining the extent of the problem … Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15.
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psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
July 18, 2018 - Book/Report
Classic
Medical Problem Solving: An Analysis … Citation Text:
Medical Problem Solving: An Analysis of Clinical Reasoning. Elstein AS, ed. … relevance for those interested in patient safety and quality improvement is that competence may be problem … specific; thus, there is no generic approach to clinical problem solving that, when followed, ensures … Copy URL
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Citation Text:
Medical Problem
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - Overuse as a Patient Safety Problem
Christopher Moriates, MD | September 1, 2014 … Overuse as a Patient Safety Problem. PSNet [internet]. … Overuse as a Patient Safety Problem. PSNet [internet]. … RW : How should we tackle this problem? … Overuse as a Patient Safety Problem. PSNet [internet].
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psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - "Superficial" Report Leads to "Deep" Problem
Citation Text:
Dhaliwal G. … "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. … "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. … Solutions Perhaps the weakest solution to this problem would be to initiate pre- or postgraduate efforts … "Superficial" Report Leads to "Deep" Problem. PSNet [internet].
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psnet.ahrq.gov/issue/problem-using-patient-complaints-improvement
February 20, 2019 - Commentary
The problem with using patient complaints for improvement. … The problem with using patient complaints for improvement. … The problem with using patient complaints for improvement. … March 27, 2019
The problem with making Safety-II work in healthcare.
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - Opioid Overdose as a Patient Safety Problem
Irene Berita Murimi, PhD, MA, and G. … Opioid Overdose as a Patient Safety Problem. PSNet [internet]. … Opioid Overdose as a Patient Safety Problem. PSNet [internet]. … RW : Do you think the health care system is set up to manage this problem? … Opioid Overdose as a Patient Safety Problem. PSNet [internet].
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - How to Identify and Manage Problem Behaviors
Alan H. … How to Identify and Manage Problem Behaviors. PSNet [internet]. … How to Identify and Manage Problem Behaviors. PSNet [internet]. … RW: Take us through the pathophysiology of the development of a problem physician. … How to Identify and Manage Problem Behaviors. PSNet [internet].
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psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research
May 25, 2022 - Commentary
Overdiagnosis and overtreatment as a quality problem: insights from healthcare … Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. … Tactics discussed include clear articulation of the problem and contributing factors, use of theory-driven … Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. … September 15, 2021
The problem with…using stories as a source of evidence and learning
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psnet.ahrq.gov/issue/addressing-racial-and-ethnic-bias-pulse-oximeters-wicked-problem
April 18, 2019 - Commentary
Addressing racial and ethnic bias in pulse oximeters—a wicked problem. … Addressing racial and ethnic bias in pulse oximeters—a wicked problem. … Improving accuracy of pulse oximeters is a complex problem with manufacturer, clinical, legal, and regulatory … Addressing racial and ethnic bias in pulse oximeters—a wicked problem.
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psnet.ahrq.gov/issue/problem-making-safety-ii-work-healthcare
April 28, 2021 - Commentary
The problem with making Safety-II work in healthcare. … The problem with making Safety-II work in healthcare. … The problem with making Safety-II work in healthcare.
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psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and-assessment-success
April 29, 2018 - Study
Problem list completeness in electronic health records: a multi-site study … Problem list completeness in electronic health records: A multi-site study and assessment of success … A patient problem list is a catalog of all health issues affecting a patient. … Problem lists in electronic health records (EHRs) can play important roles for patient care and help … However, to serve these purposes, the problem list must be accurate and complete.
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psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving-orientation-safety
October 21, 2020 - Study
Speaking up and taking action: psychological safety and joint problem-solving … Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement … This study explored the association of psychological safety and joint-problem-solving orientation (JPS … Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement
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psnet.ahrq.gov/issue/crisis-recovery-surgery-error-management-and-problem-solving-safety-critical-situations
November 30, 2022 - Study
Crisis recovery in surgery: error management and problem solving in safety-critical … Crisis recovery in surgery: error management and problem solving in safety-critical situations. … situational awareness and workload management; checklists for non-normal situations; decision making and problem … Crisis recovery in surgery: error management and problem solving in safety-critical situations.
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psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem
October 19, 2022 - Study
Drug-induced hypoglycaemia--new insight into an old problem. … Drug-induced hypoglycaemia--new insight into an old problem. Hong Kong Med J. 2006;12(5):334-8. … Drug-induced hypoglycaemia--new insight into an old problem. Hong Kong Med J. 2006;12(5):334-8.
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psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-solved
September 24, 2014 - Study
Retained surgical items: a problem yet to be solved. … Retained surgical items: a problem yet to be solved. … Retained surgical items: a problem yet to be solved. … December 21, 2014
The recurring problem of retained swabs and instruments.