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psnet.ahrq.gov/issue/radonda-vaught-medication-safety-and-profession-pharmacy-steps-improve-safety-and-ensure
May 25, 2022 - November 3, 2021
Indication alerts to improve problem list documentation.
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psnet.ahrq.gov/issue/physicians-practice-dispensing-medicines-qualitative-study
November 16, 2022 - November 16, 2022
Problem list completeness in electronic health records: a multi-site
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psnet.ahrq.gov/issue/forgive-divine
November 11, 2020 - July 10, 2017
Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician
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psnet.ahrq.gov/issue/2017-update-pediatric-medical-overuse-review
March 04, 2020 - February 6, 2019
Overdiagnosis in primary care: framing the problem and finding solutions
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psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical
November 16, 2022 - August 15, 2018
Retained surgical items: a problem yet to be solved.
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psnet.ahrq.gov/issue/teaching-medical-error-disclosure-residents-using-patient-centered-simulation-training
October 19, 2022 - March 20, 2019
Problem-based training improves recognition of patient hazards by advanced
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psnet.ahrq.gov/issue/eight-human-factors-and-ergonomics-principles-healthcare-artificial-intelligence
May 13, 2020 - September 4, 2019
The wicked problem of patient misidentification: how could the technological
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psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
August 04, 2021 - November 2, 2016
The problem with Plan-Do-Study-Act cycles.
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psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care
March 03, 2021 - October 3, 2018
Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician
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psnet.ahrq.gov/issue/paediatric-early-warning-systems-detecting-and-responding-clinical-deterioration-children
January 26, 2022 - Related Resources From the Same Author(s)
Indication alerts to improve problem
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psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices
October 27, 2021 - January 29, 2020
The problem with root cause analysis.
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psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis
August 28, 2019 - Related Resources
Addressing racial and ethnic bias in pulse oximeters—a wicked problem
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psnet.ahrq.gov/issue/systematic-review-application-plan-do-study-act-method-improve-quality-healthcare
May 01, 2019 - September 20, 2023
The problem with Plan-Do-Study-Act cycles.
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psnet.ahrq.gov/issue/improving-patient-safety-reporting-common-formats-common-data-representation-patient-safety
October 19, 2022 - November 25, 2020
The problem with incident reporting.
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psnet.ahrq.gov/issue/ashp-guidelines-minimum-standard-ambulatory-care-pharmacy-practice
September 23, 2020 - June 7, 2017
The problem with medication reconciliation.
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psnet.ahrq.gov/issue/safety-evaluation-impact-maternity-orientated-human-factors-training-safety-culture-tertiary
October 19, 2022 - June 29, 2022
The recurring problem of retained swabs and instruments.
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psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
December 02, 2020 - Improving Diagnostic Safety and Quality
April 26, 2023
Laney's story: the problem
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psnet.ahrq.gov/issue/interdisciplinary-icu-cardiac-arrest-debriefing-improves-survival-outcomes
September 02, 2020 - Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem
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psnet.ahrq.gov/issue/pause-pediatrics-implementation-pediatric-diagnostic-time-out
April 20, 2022 - July 15, 2020
Laney's story: the problem of delayed diagnosis of pediatric stroke.
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psnet.ahrq.gov/issue/technical-mistakes-during-acquisition-electrocardiogram
March 09, 2022 - 2009
WebM&M Cases
Resuscitation Errors: A Shocking Problem