Results

Total Results: 7,452 records

Showing results for "problem".

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44616/psn-pdf
     November 04, 2015 - Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning … Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning … https://psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and- institutional-learning … https://psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning … https://psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42696/psn-pdf
     March 21, 2017 - Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication … Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication … https://psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician … https://psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician-phone-communication … https://psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician-phone-communication

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47445/psn-pdf
     October 24, 2018 - Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive … Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive … https://psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps … https://psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps-advance-intensive … https://psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps-advance-intensive

184. Cost of medication-related problems at a university hospital. | PSNet
     psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
     January 13, 2021 - Study Classic Cost of medication-related problems at a university hospital. Citation Text: Cost of medication-related problems at a university hospital. Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE Copy Citation Save Save to yo…

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36548/psn-pdf
     March 03, 2011 - When good doctors go bad: a systems problem. March 3, 2011 Leape L. … When good doctors go bad: a systems problem. Ann Surg. 2006;244(5):649-652. … https://psnet.ahrq.gov/issue/when-good-doctors-go-bad-systems-problem The author discusses the responsibilities … https://psnet.ahrq.gov/issue/when-good-doctors-go-bad-systems-problem

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35486/psn-pdf
     December 06, 2011 - .: is malpractice liability part of the problem or part of the solution? … The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part … https://psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part … https://psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution … https://psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34804/psn-pdf
     January 05, 2017 - 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 … https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem- … https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement … https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37148/psn-pdf
     March 11, 2009 - CMS: your mistake, your problem. March 11, 2009 Lubell J. CMS: your mistake, your problem. … https://psnet.ahrq.gov/issue/cms-your-mistake-your-problem This article discusses the challenges hospitals … https://psnet.ahrq.gov/issue/cms-your-mistake-your-problem https://psnet.ahrq.gov/issue/medicare-says-it-wont-cover-hospital-errors

189. Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart | PSNet
     psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
     October 30, 2024 - a similar initiative in 2014. 1 Date First Implemented 2010 Problem … Recognizing this problem, the Joint Commission called for the use of two patient identifiers before the … This figure, moreover, significantly underestimates the magnitude of the problem, as there were also … Patient misidentification is not a problem unique to Children’s Hospital Colorado. … The team worked with IT staff to identify potential strategies to address the problem.

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42261/psn-pdf
     July 16, 2013 - The recurring problem of retained swabs and instruments. … The recurring problem of retained swabs and instruments. … https://psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments This review discusses … https://psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments https://psnet.ahrq.gov/

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36344/psn-pdf
     February 17, 2011 - Clinical problem-solving. Lost in transcription. … Clinical problem-solving. Lost in transcription. N Engl J Med. 2006;355(14):1487-91. … https://psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription This case involves an iatrogenic … https://psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription https://psnet.ahrq.gov//#iatrogenic

192. A systematic review of patient safety measures in adult primary care. | PSNet
     psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
     March 15, 2016 - This problem is compounded in ambulatory care , as most existing metrics have sought to measure safety … April 11, 2011 Quality of medication use in primary care—mapping the problem, working

193. An ethical framework for allocating scarce life-saving chemotherapy and supportive care drugs for childhood cancer. | PSNet
     psnet.ahrq.gov/issue/ethical-framework-allocating-scarce-life-saving-chemotherapy-and-supportive-care-drugs
     September 07, 2016 - In 2013, the FDA released a strategic plan for preventing drug shortages, but the problem has continued … August 20, 2018 Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician

194. Interventions to reduce burnout and improve resilience: impact on a health system's outcomes. | PSNet
     psnet.ahrq.gov/issue/interventions-reduce-burnout-and-improve-resilience-impact-health-systems-outcomes
     January 10, 2018 - Burnout among health care professionals is widely understood as an organizational problem in health … September 24, 2014 Retained surgical items: a problem yet to be solved.

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41936/psn-pdf
     December 19, 2012 - A multiple-drawer medication layout problem in automated dispensing cabinets. … A multiple-drawer medication layout problem in automated dispensing cabinets. … https://psnet.ahrq.gov/issue/multiple-drawer-medication-layout-problem-automated-dispensing-cabinets … https://psnet.ahrq.gov/issue/multiple-drawer-medication-layout-problem-automated-dispensing-cabinets

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36740/psn-pdf
     July 26, 2011 - The problem of engaging hospital doctors in promoting safety and quality in clinical care. … The problem of engaging hospital doctors in promoting safety and quality in clinical care. … https://psnet.ahrq.gov/issue/problem-engaging-hospital-doctors-promoting-safety-and-quality-clinical-care … https://psnet.ahrq.gov/issue/problem-engaging-hospital-doctors-promoting-safety-and-quality-clinical-care

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44532/psn-pdf
     December 21, 2018 - The problem with incident reporting. December 21, 2018 Macrae C. … The problem with incident reporting. … https://psnet.ahrq.gov/issue/problem-incident-reporting This commentary discusses weaknesses in health … https://psnet.ahrq.gov/issue/problem-incident-reporting https://psnet.ahrq.gov/primer/reporting-patient-safety-events

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36373/psn-pdf
     October 27, 2010 - 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. … https://psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem The investigators retrospectively … https://psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44720/psn-pdf
     December 16, 2015 - The persistent problem of diagnostic error. December 16, 2015 Lundberg GD. Medscape. … https://psnet.ahrq.gov/issue/persistent-problem-diagnostic-error Spotlighting the author's experience … with autopsies to provide context regarding diagnostic errors as a patient safety problem, this commentary … https://psnet.ahrq.gov/issue/persistent-problem-diagnostic-error https://psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37658/psn-pdf
     June 14, 2011 - Applying modern error theory to the problem of missed injuries in trauma. … Applying modern error theory to the problem of missed injuries in trauma. … https://psnet.ahrq.gov/issue/applying-modern-error-theory-problem-missed-injuries-trauma Root cause … https://psnet.ahrq.gov/issue/applying-modern-error-theory-problem-missed-injuries-trauma https://psnet.ahrq.gov