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Showing results for "problem".

161. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33687/psn-pdf
     August 01, 2009 - prevent problem recurrence. … These behaviors, called second- order problem solving, include communicating about the problem to people … Second-order problem solving is necessary for lasting improvement.(12) Second-order problem solving … Real-time problem solving is examining a specific problem as close as possible to the location and time … Using real-time problem solving to eliminate central line infections.

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47039/psn-pdf
     September 12, 2018 - Overdiagnosis in primary care: framing the problem and finding solutions. … Overdiagnosis in primary care: framing the problem and finding solutions. … https://psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions Overdiagnosis … https://psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions https:/ … /psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research

163. Workarounds and Resiliency on the Front Lines of Health Care | PSNet
     psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
     August 01, 2009 - problem recurrence. … These behaviors, called second-order problem solving, include communicating about the problem to people … In the moment they have the problem, the problem gets swarmed. … make the problem go away. … the problem, and solve the problem are very robust.

164. In Conversation with...Steven J. Spear, DBA, MS, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
     August 01, 2009 - in care, in the ways we learned from Toyota: see a problem and know that the problem you see is something … In the moment they have the problem, the problem gets swarmed. … make the problem go away. … the problem, and solve the problem are very robust. … problem recurrence.

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836935/psn-pdf
     April 13, 2019 - Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. … https://psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition … https://psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50849/psn-pdf
     January 29, 2020 - prescription-drug-overload-critics-fighting-curb-epidemic-medication-side-effects https://psnet.ahrq.gov/issue/old-and-overmedicated-real-drug-problem-nursing-homes … https://psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication … https://psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42387/psn-pdf
     December 30, 2014 - 'Bad apples': time to redefine as a type of systems problem? … 'Bad apples': time to redefine as a type of systems problem? … https://psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem While efforts to improve … comments on a study whose findings suggest the need to broaden the approach to identify and assess problem … https://psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem https://psnet.ahrq.gov/issue

168. In Conversation with...Albert Wu, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
     February 26, 2025 - The second problem is that there tends not to be much follow-up. … The third problem is reinventing the wheel. … This is a problem that even the VA frequently confronts. … It seems to me that is to some extent the crux of the problem. … AW : The problem with general incident reporting has more to do with pattern recognition.

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39039/psn-pdf
     October 21, 2009 - 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 … https://psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution- systematic-review … https://psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review … https://psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38346/psn-pdf
     April 01, 2010 - Human factors engineering in healthcare systems: the problem of human error and accident management. … Human factors engineering in healthcare systems: the problem of human error and accident management. … https://psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and- accident-management … https://psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management … https://psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41382/psn-pdf
     May 16, 2012 - To tell the truth, the whole truth, may do patients harm: the problem of the nocebo effect for informed … To tell the truth, the whole truth, may do patients harm: the problem of the nocebo effect for informed … https://psnet.ahrq.gov/issue/tell-truth-whole-truth-may-do-patients-harm-problem-nocebo-effect-informed … https://psnet.ahrq.gov/issue/tell-truth-whole-truth-may-do-patients-harm-problem-nocebo-effect-informed-consent … https://psnet.ahrq.gov/issue/tell-truth-whole-truth-may-do-patients-harm-problem-nocebo-effect-informed-consent

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862983/psn-pdf
     February 28, 2024 - the surgeon identified faulty positioning of the surgical retractor as the most likely cause of the problem … ventilator.8 If ventilation remains inadequate after switching to the Ambu bag, the origin of the problem … An ultrasound, chest radiograph, or flexible bronchoscopy may help to diagnose the cause of the problem … Mental stress from the “blame game” makes it more difficult to solve the problem in a timely manner. … If ventilation is successful with the bag-valve resuscitator, then the problem originated in the breathing

173. Complexity science: the challenge of complexity in health care. | PSNet
     psnet.ahrq.gov/issue/complexity-science-challenge-complexity-health-care
     March 13, 2013 - This framework necessitates replacing traditional methods of problem solving with ones that both foster … March 24, 2011 Quality of medication use in primary care—mapping the problem, working

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43155/psn-pdf
     May 07, 2014 - Problem-based training improves recognition of patient hazards by advanced medical students during chart … Problem-based training improves recognition of patient hazards by advanced medical students during chart … https://psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced- medical-students-during … https://psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced-medical-students-during … https://psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced-medical-students-during

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42961/psn-pdf
     February 19, 2014 - Healthcare-associated infections: a national patient safety problem and the coordinated response. … Healthcare-associated infections: a national patient safety problem and the coordinated response. … https://psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and- coordinated-response … https://psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response … https://psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44402/psn-pdf
     January 22, 2016 - "Mr Smith's been our problem child today... … "Mr Smith's been our problem child today…": anticipatory management communication (AMC) in VA end-of-shift … https://psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management- communication-amc-va-end-shift … https://psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift … https://psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35669/psn-pdf
     July 08, 2008 - Problem doctors: is there a system-level solution? July 8, 2008 Leape L, Fromson J. … Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107- 15. … https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution This commentary discusses the … definitions such as professional competence and disruptive behavior before examining the extent of the problem … https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44519/psn-pdf
     December 02, 2015 - Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review … Drug-Related-Problem Outcomes and Program Satisfaction from a Comprehensive Brown Bag Medication Review … https://psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive- brown-bag-medication … https://psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication … https://psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34736/psn-pdf
     October 24, 2017 - Medical Problem Solving: An Analysis of Clinical Reasoning. October 24, 2017 Elstein AS, ed. … https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning Clinical reasoning … 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 … https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33686/psn-pdf
     August 01, 2009 - in care, in the ways we learned from Toyota: see a problem and know that the problem you see is something … The problem with that approach is that all the factors that created the problem in the first place—breakdown … In the moment they have the problem, the problem gets swarmed. … to make the problem go away. … the problem, and solve the problem are very robust.