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psnet.ahrq.gov/issue/testing-intervention-improve-health-care-worker-well-being-during-covid-19-pandemic-cluster
October 16, 2024 - May 15, 2024
Speaking up and taking action: psychological safety and joint problem-solving
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psnet.ahrq.gov/issue/perioperative-patient-safety-recommendations-systematic-review-clinical-practice-guidelines
January 08, 2025 - September 14, 2022
Crisis recovery in surgery: error management and problem solving in
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psnet.ahrq.gov/issue/moving-towards-core-measures-set-patient-safety-perioperative-care-e-delphi-consensus-study
January 15, 2025 - March 8, 2023
Crisis recovery in surgery: error management and problem solving in safety-critical
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psnet.ahrq.gov/issue/patient-safety-near-misses-still-missing-opportunities-learn
July 10, 2024 - May 22, 2024
Speaking up and taking action: psychological safety and joint problem-solving
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psnet.ahrq.gov/issue/social-disparities-patient-safety-primary-care-systematic-review
January 08, 2025 - View More
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Overdiagnosis in primary care: framing the problem
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psnet.ahrq.gov/issue/advanced-practice-nurses-experiences-patient-safety-focus-group-study
March 06, 2024 - March 8, 2023
The wicked problem of patient misidentification: how could the technological
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psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
September 25, 2024 - September 25, 2024
Speaking up and taking action: psychological safety and joint problem-solving
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psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
January 29, 2021 - Commentary
By Christian Bohringer MD
Background
Difficult intubation is still a significant problem … Even though this problem occurs rarely, brain damage and death attributed to difficult airway management … acute neck hematomas with concurrent acute airway obstruction, are also frequent contributors to the problem
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psnet.ahrq.gov/issue/electronic-health-record-ehr-safety-and-usability-see-what-we-mean
June 08, 2011 - November 2, 2022
Applying human factors engineering to address the telemetry alarm problem
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psnet.ahrq.gov/issue/medical-mystery-alcoholism-didnt-cause-mans-diabetes-and-cirrhosis
July 06, 2011 - December 14, 2016
The other big drug problem: older people taking too many pills.
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psnet.ahrq.gov/issue/trust-and-medical-ai-challenges-we-face-and-expertise-needed-overcome-them
July 22, 2020 - March 25, 2020
The wicked problem of patient misidentification: how could the technological
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psnet.ahrq.gov/issue/discontinuation-outpatient-medications-implications-electronic-messaging-pharmacies-using
October 05, 2022 - May 4, 2022
Indication alerts to improve problem list documentation.
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psnet.ahrq.gov/issue/effect-interventions-improve-safety-culture-healthcare-workers-hospital-settings-systematic
September 06, 2023 - Related Resources
Speaking up and taking action: psychological safety and joint problem-solving
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psnet.ahrq.gov/issue/affective-influences-clinical-reasoning-and-diagnosis-insights-social-psychology-and-new
January 25, 2023 - January 25, 2023
Overdiagnosis and overtreatment as a quality problem: insights from
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psnet.ahrq.gov/issue/so-why-didnt-you-think-baby-was-ill-decision-making-acute-paediatrics
April 10, 2019 - February 4, 2015
Problem list completeness in electronic health records: a multi-site
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psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety
March 11, 2020 - June 11, 2014
Diagnostic Error: Is Overconfidence the Problem.
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psnet.ahrq.gov/issue/handoff-mnemonics-used-perioperative-handoff-intervention-studies-systematic-review
November 16, 2022 - March 8, 2023
Crisis recovery in surgery: error management and problem solving in safety-critical
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psnet.ahrq.gov/issue/dispensing-error-rates-pharmacy-systematic-review-and-meta-analysis
June 10, 2020 - 2022
Perspective
Opioid Overdose as a Patient Safety Problem
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psnet.ahrq.gov/issue/effectiveness-radiofrequency-detection-system-adjunct-manual-counting-protocols-tracking
October 19, 2022 - October 1, 2016
Retained surgical items: a problem yet to be solved.
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psnet.ahrq.gov/issue/effects-cpoe-based-medication-ordering-outcomes-overview-systematic-reviews
March 10, 2021 - October 12, 2022
Indication alerts to improve problem list documentation.