-
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/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - .( 2 ) What then should we infer from her unfortunate and unexpected death: chance misfortune or a problem … The human mind generally favors causal explanations over chance, which would lead many to infer a problem … For instance, a technical problem with surgery or failure to administer thromboembolism prophylaxis
-
psnet.ahrq.gov/node/37931/psn-pdf
September 25, 2008 - Can a structured checklist prevent problems with
laparoscopic equipment?
September 25, 2008
Verdaasdonk EGG, Stassen LPS, Hoffmann WF, et al. Can a structured checklist prevent problems with
laparoscopic equipment? Surg Endosc. 2008;22(10):2238-43. doi:10.1007/s00464-008-0029-3.
https://psnet.ahrq.gov/issue/can-st…
-
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
-
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
-
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/41565/psn-pdf
December 21, 2014 - residents-behavioral
This commentary discusses experts' recommendations for early identification of problem
-
psnet.ahrq.gov/node/35573/psn-pdf
April 12, 2011 - How experiencing preventable medical problems changed
patients' interactions with primary health care.
April 12, 2011
Elder NC, Jacobson J, Zink T, et al. How experiencing preventable medical problems changed patients'
interactions with primary health care. Ann Fam Med. 2005;3(6):537-44.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/41989/psn-pdf
September 27, 2016 - Tapping front-line knowledge: identifying problems as
they occur helps enhance patient safety.
September 27, 2016
Luther K, Resar RK. Tapping front-line knowledge: identifying problems as they occur helps enhance
patient safety. Healthcare executive. 2013;28(1):84-7.
https://psnet.ahrq.gov/issue/tapping-front-line…
-
psnet.ahrq.gov/node/35460/psn-pdf
June 17, 2014 - drug names, mistakes that can result from them, and
successful hospital initiatives to combat the problem
-
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/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
-
psnet.ahrq.gov/node/35576/psn-pdf
December 23, 2012 - pediatric research and clinical practice improvement,
organizing information into four key categories: problem
-
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/37602/psn-pdf
July 03, 2013 - The authors discuss the implications of this problem and potential
solutions, including the establishment
-
psnet.ahrq.gov/issue/effect-restriction-number-concurrently-open-records-electronic-health-record-wrong-patient
July 09, 2018 - December 31, 2014
Indication alerts to improve problem list documentation. … May 27, 2020
The wicked problem of patient misidentification: how could the technological
-
psnet.ahrq.gov/issue/does-team-reflexivity-impact-teamwork-and-communication-interprofessional-hospital-based
July 21, 2017 - Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem … Problem.