-
psnet.ahrq.gov/node/40103/psn-pdf
January 05, 2011 - behavior in health care settings and describes interventions and
tactics to raise awareness of the problem
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psnet.ahrq.gov/node/49836/psn-pdf
July 01, 2018 - Levett-Jones, PhD, RN
Workarounds are defined as behaviors or actions implemented to circumvent a problem … workarounds highlights opportunities for improvement, the primary focus should be preventing
the underlying problem … A primary workaround to one problem may create another
problem requiring secondary workarounds.
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - We need to understand the nature of the problem. … Specifically, we need much more information about the degree of the outpatient safety problem, the nature … It's fundamentally a workflow problem. … It creates a workflow problem. … So the problem of analyzing the data, making it meaningful, and integrating it into physician workflow
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psnet.ahrq.gov/node/40632/psn-pdf
July 20, 2011 - limiting-resident-physicians-work-hours-save-lives
This editorial discusses the 2011 resident duty-hours and suggests they don't fully address the problem
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psnet.ahrq.gov/node/37953/psn-pdf
July 30, 2008 - affect safety and offers scheduling,
educational, and clinical practice recommendations to address the problem
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psnet.ahrq.gov/node/35592/psn-pdf
June 17, 2010 - They conclude that noise could be a considerable problem in hospitals and could potentially
compromise
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psnet.ahrq.gov/node/43582/psn-pdf
October 01, 2014 - malnourished and suggests further research is required to understand this potential
patient safety problem
-
psnet.ahrq.gov/node/42131/psn-pdf
March 20, 2013 - what-surgeons-leave-behind-costs-some-patients-dearly
https://psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-solved
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psnet.ahrq.gov/node/41023/psn-pdf
December 21, 2011 - /issue/medicine-wandering-mind-mind-wandering-medical-practice
https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
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psnet.ahrq.gov/node/42429/psn-pdf
July 17, 2013 - necessity-good-surgical-history-detection-gossypiboma
https://psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-solved
-
psnet.ahrq.gov/node/42866/psn-pdf
January 22, 2014 - lawyers often choose not to accept
medical error cases and found financial factors contribute to the problem
-
psnet.ahrq.gov/node/37602/psn-pdf
July 03, 2013 - The authors discuss the implications of this problem and potential
solutions, including the establishment
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psnet.ahrq.gov/node/44429/psn-pdf
May 10, 2016 - clinical-reasoning-toolkit
https://psnet.ahrq.gov/issue/clinical-reasoning-toolkit
https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
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psnet.ahrq.gov/node/35576/psn-pdf
December 23, 2012 - pediatric research and clinical practice improvement,
organizing information into four key categories: problem
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psnet.ahrq.gov/node/33957/psn-pdf
February 05, 2018 - have enacted legislation to support the development of state patient safety centers to address
the problem
-
psnet.ahrq.gov/node/35917/psn-pdf
July 23, 2010 - whether nursing staff could hear patient care alarms over background noises
and found audibility to be a problem
-
psnet.ahrq.gov/node/46918/psn-pdf
May 30, 2018 - workplace-bullying-risk-and-safety-professionals
Disruptive and unprofessional behavior is a prevalent problem
-
psnet.ahrq.gov/node/39941/psn-pdf
October 20, 2010 - normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
This commentary describes normalization of deviance and uses examples to illustrate how this problem
-
psnet.ahrq.gov/node/41565/psn-pdf
December 21, 2014 - residents-behavioral
This commentary discusses experts' recommendations for early identification of problem
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - a patient with a solitary pulmonary nodule on chest radiograph, it may be several months before the problem … by the follow-up physician.( 5 ) Poor 'hospital-to-community' communication is only one 'system' problem … Another problem is the lack of infrastructure to adequately monitor patients' conditions or test results … need to be closely followed after discharge, either because their condition is vulnerable or because a problem … Much of this happens already, but a more systematic approach to the problem will help.