-
psnet.ahrq.gov/node/46353/psn-pdf
August 23, 2017 - A recent PSNet
perspective explored opioid overdose as a patient safety problem. … opioid-prescribing-after-nonfatal-overdose-and-association-repeated-overdose-cohort-study
https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem … https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
-
psnet.ahrq.gov/node/45482/psn-pdf
September 14, 2016 - 'America's other drug problem': copious prescriptions for
hospitalized elderly. … https://psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly … https://psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly
https
-
psnet.ahrq.gov/node/72819/psn-pdf
March 10, 2021 - time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis
https://psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions … https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem
-
psnet.ahrq.gov/node/73158/psn-pdf
April 21, 2021 - /issue/2019-update-medical-overuse-review
https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem … https://psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research
-
psnet.ahrq.gov/node/72584/psn-pdf
December 16, 2020 - This story illustrates the problem of
underdosing during infusions and suggests that unclear policies … and lack of problem awareness contribute
to the persistence of the mistake.
-
psnet.ahrq.gov/node/50372/psn-pdf
September 25, 2019 - overuse—including the ordering of unnecessary tests for patients—is being
characterized as a patient safety problem … prevalence-and-predictability-low-yield-inpatient-laboratory-diagnostic-tests
https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem
-
psnet.ahrq.gov/node/47823/psn-pdf
March 13, 2019 - The Government Accountability Office makes seven
recommendations to address this problem. … greater-focus-credentialing-needed-prevent-disqualified-providers-delivering-patient-care
https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
-
psnet.ahrq.gov/node/33670/psn-pdf
July 01, 2008 - 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.
-
psnet.ahrq.gov/node/848809/psn-pdf
May 10, 2023 - recognized safety strategy; however, other
parts of the electronic health record (EHR) - allergies and problem … identifying-and-reconciling-patients-allergy-information-within-electronic-health-record
https://psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and-assessment-success
-
psnet.ahrq.gov/node/73283/psn-pdf
May 19, 2021 - assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims
https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem … when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
https://psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research
-
psnet.ahrq.gov/node/60657/psn-pdf
July 08, 2020 - are known to be high-risk medications, and their misuse is an increasingly recognized patient
safety problem … predictors-serious-opioid-related-adverse-drug-events-hospitalized-patients
https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
-
psnet.ahrq.gov/node/73208/psn-pdf
May 05, 2021 - accuracy-practitioner-estimates-probability-diagnosis-and-after-testing
https://psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research … delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem
-
psnet.ahrq.gov/node/42231/psn-pdf
June 18, 2013 - to predict problematic behavior by clinicians and point the way toward system-
level solutions for problem … /disciplinary-action-medical-boards-and-prior-behavior-medical-schools
https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution … https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
-
psnet.ahrq.gov/node/61018/psn-pdf
October 14, 2020 - association-current-opioid-use-serious-adverse-events-among-older-adult-
survivors-breast
Chronic opioid use for noncancer pain is a well-established patient safety problem … web-mm/pains-chronic-opioid-usage
https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
-
psnet.ahrq.gov/issue/effective-followership-standardized-algorithm-resolve-clinical-conflicts-and-improve-teamwork
March 13, 2013 - Retained guidewires in the Veterans Health Administration: getting to the root of the problem … Related Resources
Speaking up and taking action: psychological safety and joint problem-solving … Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem … Problem.
-
psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020
March 03, 2021 - September 22, 2021
Indication alerts to improve problem list documentation. … June 9, 2021
Crisis recovery in surgery: error management and problem solving in safety-critical … Related Resources
Patient falls in the operating room: why is this still a problem
-
psnet.ahrq.gov/issue/safety-problems-your-childs-medical-device
January 09, 2013 - Fact Sheet/FAQs
Safety Problems With Your Child's Medical Device?
Citation Text:
Safety Problems With Your Child's Medical Device? Consumer Updates. Silver Spring, MD: US Food and Drug Administration; July 16, 2013.
Copy Citation
Save
Save to your library
…
-
psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
June 27, 2018 - Book/Report
Unintended Consequences: New Problems and New Solutions.
Citation Text:
Unintended Consequences: New Problems and New Solutions. Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271.
Copy Citation
Save
Save to your library
Pri…
-
psnet.ahrq.gov/issue/postoperative-handover-problems-pitfalls-and-prevention-error
September 26, 2012 - Image/Poster
Postoperative handover: problems, pitfalls, and prevention of error.
Citation Text:
Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error. Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656.
Copy Citation
…
-
psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
February 01, 2023 - April 29, 2018
IV potassium given epidurally: getting to the "route" of the problem. … June 20, 2018
IV potassium given epidurally: getting to the "route" of the problem.