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Total Results: 7,452 records

Showing results for "problem".

281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46482/psn-pdf
     October 11, 2017 - https://psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis The persistent problem of … An Annual Perspective discussed the opioid crisis as a patient safety problem.

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37168/psn-pdf
     February 03, 2011 - A prior commentary discussed ways of identifying problem physicians. … physician-scores-national-clinical-skills-examination-predictors-complaints-medical https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33573/psn-pdf
     March 15, 2025 - issue was underscored by a 2008 Joint Commission sentinel event alert, which called attention to this problem … emphasis; Vanderbilt University has achieved notable success in this area through identification of problem … prone-score-algorithm-predicting-doctors-risks-formal-patient-complaints-using-routinely https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution

284. A new frontier in healthcare risk management: working to reduce avoidable patient suffering. | PSNet
     psnet.ahrq.gov/issue/new-frontier-healthcare-risk-management-working-reduce-avoidable-patient-suffering
     September 26, 2012 - July 19, 2023 The problem with the '5 whys.' … September 14, 2016 The problem with Plan-Do-Study-Act cycles. … December 23, 2016 The problem with the '5 whys.'

285. Raising an alarm, doctors fight to yank hospital ICUs into the modern era. | PSNet
     psnet.ahrq.gov/issue/raising-alarm-doctors-fight-yank-hospital-icus-modern-era
     February 14, 2024 - The sinks can make the problem worse. … September 1, 2016 Insights into the problem of alarm fatigue with physiologic monitor

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33716/psn-pdf
     September 01, 2011 - KS: The first problem is that they tend to be underused, and physicians almost never fill out incident … Another problem is that the wrong types of events tend to get reported. … It is almost an epidemiologic problem. … Falls are a common enough problem at every hospital that you should stop doing incident reports. … Otherwise, how are you going to see a latent problem that's come up over and over again?

287. After Mid Staffordshire: from acknowledgement, through learning, to improvement. | PSNet
     psnet.ahrq.gov/issue/after-mid-staffordshire-acknowledgement-through-learning-improvement
     August 28, 2024 - April 29, 2015 How not to waste a crisis: a qualitative study of problem definition and … September 21, 2011 The problem of engaging hospital doctors in promoting safety and quality

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47137/psn-pdf
     July 19, 2018 - physician-burnout-electronic-health-record-era-are-we-ignoring-real-cause Professional burnout is a pervasive problem … technology contributes to burnout, this commentary advocates for a broader approach to addressing the problem

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45276/psn-pdf
     September 29, 2017 - clinicians-expectations-benefits-and-harms-treatments-screening-and-tests- systematic-review Overuse of medical care represents a significant patient safety problem … clinicians-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47194/psn-pdf
     August 22, 2018 - A PSNet perspective discussed opioid misuse as a patient safety problem. … state-legal-restrictions-and-prescription-opioid-use-among-disabled-adults https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46377/psn-pdf
     October 29, 2017 - This commentary suggests that the problem of medical overuse begins in childhood and advocates for efforts … overkill-avalanche-unnecessary-medical-care-harming-patients-physically-and-financially-what https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44792/psn-pdf
     January 13, 2016 - /psnet.ahrq.gov/issue/hospital-better-responses-those-beeping-alarms Alert fatigue is a well-known problem … hospital-better-responses-those-beeping-alarms https://psnet.ahrq.gov/primer/alert-fatigue https://psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47659/psn-pdf
     January 27, 2019 - A PSNet perspective discussed medical overuse as a patient safety problem. … issue/ethical-imperative-think-about-thinking https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem

294. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. | PSNet
     psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
     January 18, 2013 - Citation Related Resources From the Same Author(s) Retained surgical items: a problem … November 8, 2013 Application of an engineering problem-solving methodology to address … April 17, 2013 Retained surgical items: a problem yet to be solved.

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33671/psn-pdf
     July 01, 2008 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis July 1, 2008 Spath P, Minogue W. … The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet]. 2008. … https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis Perspective Throughout … For all of our patient https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis … If we are correct, then the RCA tool is not the problem.

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36088/psn-pdf
     September 28, 2010 - Lucian Leape also discussed the issue of problem doctors and disruptive behavior from a systems standpoint … disruptive-behavior-and-clinical-outcomes-perceptions-nurses-and-physicians https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47204/psn-pdf
     July 18, 2018 - A PSNet perspective discussed opioid overdose as a patient safety problem. … psnet.ahrq.gov/issue/opioid-overdose https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35588/psn-pdf
     February 03, 2011 - These include agreement that a problem exists, agreement that a proposed solution actually solves the … problem, and identifying obstacles and how they can be overcome. 

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46849/psn-pdf
     May 23, 2018 - These activities helped to design training efforts to enhance awareness of the problem. … days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos https://psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-solved

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47370/psn-pdf
     October 10, 2018 - development-conceptual-map-negative-consequences-patients-overuse-medical-tests-and https://psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions … when-medical-care-leads-harm-difficulty-finding-words-teachable-moment https://psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research