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psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review
February 23, 2011 - Review
Quality of medication use in primary care—mapping the problem, working to … Quality of medication use in primary care--mapping the problem, working to a solution: a systematic review … Quality of medication use in primary care--mapping the problem, working to a solution: a systematic review
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psnet.ahrq.gov/issue/emergency-medicine-physicians-perspectives-diagnostic-accuracy-neurology-qualitative-study
July 21, 2021 - Missed diagnosis of stroke in emergency medicine settings is an important patient safety problem. … July 8, 2022
A doctor gave me an inept diagnosis for a neurological problem.
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psnet.ahrq.gov/issue/using-consumer-based-kiosk-technology-improve-and-standardize-medication-reconciliation
August 23, 2023 - This novel strategy may represent an effective, patient-centered approach to this problem. … August 9, 2023
Problem list completeness in electronic health records: a multi-site study
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psnet.ahrq.gov/issue/indication-alerts-intercept-drug-name-confusion-errors-during-computerized-entry-medication
August 28, 2019 - medications were ordered and required users to click "OK" to ignore the alert, to add the drug to a problem … August 4, 2021
Indication alerts to improve problem list documentation.
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psnet.ahrq.gov/node/47855/psn-pdf
June 19, 2019 - Medication Overload: America's Other Drug Problem.
June 19, 2019
Brownlee S; Garber J. … https://psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem
Overprescribing is a common … problem that contributes to patient harm. … culture of prescribing, deficits in information and knowledge, and fragmented care contribute to the
problem … https://psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/47857/psn-pdf
June 14, 2019 - The wicked problem of patient misidentification: how
could the technological revolution help address … The wicked problem of patient misidentification: How could the
technological revolution help address … https://psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution … https://psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address … https://psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address
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psnet.ahrq.gov/node/73581/psn-pdf
January 01, 2022 - Applying human factors engineering to address the
telemetry alarm problem in a large medical center. … Applying human factors engineering to address the telemetry
alarm problem in a large medical center. … https://psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large … https://psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center … https://psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center
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psnet.ahrq.gov/issue/teaching-smart-people-learn
September 05, 2012 - tendency for highly successful and highly motivated professionals to employ “defensive reasoning” in problem … As individuals, they effectively analyze and problem solve within the organization but become defensive
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psnet.ahrq.gov/issue/necessity-pathway-high-alert-patients
July 14, 2010 - This persistent problem calls for new approaches to improve medication delivery, ordering, and administration … September 7, 2016
The problem with medication reconciliation.
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psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three
April 21, 2015 - Study
How not to waste a crisis: a qualitative study of problem definition and its … How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals … How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals
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psnet.ahrq.gov/node/850930/psn-pdf
June 21, 2023 - Patient safety in emergency departments: a problem for
health care systems? … Patient safety in emergency departments: a problem for health
care systems? … https://psnet.ahrq.gov/issue/patient-safety-emergency-departments-problem-health-care-systems-
international-survey … https://psnet.ahrq.gov/issue/patient-safety-emergency-departments-problem-health-care-systems-international-survey … https://psnet.ahrq.gov/issue/patient-safety-emergency-departments-problem-health-care-systems-international-survey
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psnet.ahrq.gov/node/50707/psn-pdf
December 04, 2019 - Spinal surgery complications: an unsolved problem-Is the
World Health Organization Safety Surgical Checklist … Spinal surgery complications: an unsolved problem-Is the
World Health Organization Safety Surgical Checklist … https://psnet.ahrq.gov/issue/spinal-surgery-complications-unsolved-problem-world-health-organization- … https://psnet.ahrq.gov/issue/spinal-surgery-complications-unsolved-problem-world-health-organization-safety-surgical … https://psnet.ahrq.gov/issue/spinal-surgery-complications-unsolved-problem-world-health-organization-safety-surgical
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psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study
July 17, 2013 - Study
Classic
Insights into the problem of alarm fatigue … Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational … Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational
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psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement
February 10, 2011 - Classic
Incident reporting system does not detect adverse drug events: a problem … The incident reporting system does not detect adverse drug events: a problem for quality improvement. … The incident reporting system does not detect adverse drug events: a problem for quality improvement.
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psnet.ahrq.gov/node/47629/psn-pdf
July 11, 2019 - How not to waste a crisis: a qualitative study of problem
definition and its consequences in three hospitals … How not to waste a crisis: a qualitative study of problem definition
and its consequences in three hospitals … https://psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-
consequences-three … https://psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three … https://psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three
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psnet.ahrq.gov/issue/my-life-was-upended-35-years-cancer-diagnosis-doctor-just-told-me-i-was-misdiagnosed
April 11, 2018 - communication with a physician whose experience with similar situations allowed the physician to identify the problem … November 4, 2020
A doctor gave me an inept diagnosis for a neurological problem.
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psnet.ahrq.gov/issue/attitudes-and-practices-related-clinical-alarms
April 18, 2018 - According to respondents, frequent false alarms remain a significant problem. … September 1, 2016
Insights into the problem of alarm fatigue with physiologic monitor
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psnet.ahrq.gov/issue/why-we-need-single-definition-disruptive-behavior
November 01, 2017 - is needed to develop effective policy and research programs for responding to and addressing the problem … July 2, 2019
Problem list completeness in electronic health records: a multi-site study
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psnet.ahrq.gov/node/836927/psn-pdf
April 13, 2022 - The problem with making Safety-II work in healthcare. … The problem with making Safety-II work in healthcare. … https://psnet.ahrq.gov/issue/problem-making-safety-ii-work-healthcare
The Safety-II framework uses a … https://psnet.ahrq.gov/issue/problem-making-safety-ii-work-healthcare
https://psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper
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psnet.ahrq.gov/node/44427/psn-pdf
October 13, 2015 - Problem list completeness in electronic health records: a
multi-site study and assessment of success … Problem list completeness in electronic health records: A multi-
site study and assessment of success … https://psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and … -
assessment-success
A patient problem list is a catalog of all health issues affecting a patient. … However, to serve these purposes, the problem list must be
accurate and complete.