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Total Results: 7,452 records

Showing results for "problem".

321. The other opioid crisis: hospital shortages lead to patient pain, medical errors. | PSNet
     psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
     April 08, 2020 - June 24, 2020 The opioid crisis: can improving diagnosis help solve the problem? … 2017 Perspective Opioid Overdose as a Patient Safety Problem

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33755/psn-pdf
     September 01, 2013 - Culture change inevitably occurs slowly, through cycles of action and interpretation.(8) Problem solving … A focus on problem solving also reinforces the learning orientation that is core to a culture of safety … while building problem- solving capacity. … Often considered "the problem," resistance may be more productively and accurately viewed as the key … constructively leveraging resistance, creating a learning orientation by focusing on problems and problem

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49863/psn-pdf
     May 01, 2019 - An acronym for key expressions containing code words signaling a potential urgent safety problem, the … ," or "This is a Safety issue," it indicates that the member wants to "stop the line" to address a problem … Third, she stated what she felt was the perceived problem of unrecognized hemorrhage. … Fourth, she offered her solution by suggesting to stop the procedure and figure out the problem. … Take-Home Points The CUS Tool can help alert other team members to a safety problem and should prompt

324. In Conversation With… John Halamka, MD, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
     March 27, 2024 - That's problem one. … one and problem two as almost inevitable given the facts at the time, which were all of a sudden we … So that's problem one. … Problem two, it's the nature of our discipline that data in medicine is very complicated. … You are fair in thinking this is a problem that hasn't been solved.

325. Spotlight Case (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
     October 01, 2009 - assuring follow-up Meets with physician–subject of complaint Physicians often wanted to talk about problem … then focus on inappropriate reaction Letter to credentials file chronicling results of meetings A Problem … life or imminent danger, but disruptive behavior rarely rises to this level of threat More commonly, problem … suspension of privileges, MD has right to “fair hearing” Extremely protracted (often years) process The Problem

326. Webmm Spotlight Suicide Risk Assessment (pdf file)
     psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
     January 01, 2019 - Prioritizing Suicidal Ideation and Attempts on Medical History/Problem List 3. … Prioritizing Suicidal ideation/ Attempt on Medical History/ Problem List • Suicidal ideation or attempt … should be entered on Problem List – Include an appropriate plan that carries over onto Progress Note … – More likely to be seen by nursing staff and primary medical teams – Suicide item on problem list … a continuum of behavioral health and community services 30 Key Quality Improvement Actions • Problem

327. National Patient Safety Foundation agenda for research and development in patient safety. | PSNet
     psnet.ahrq.gov/issue/national-patient-safety-foundation-agenda-research-and-development-patient-safety
     June 16, 2011 - May 27, 2011 Incident reporting system does not detect adverse drug events: a problem … Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem … Problem.

328. Can a structured checklist prevent problems with laparoscopic equipment? | PSNet
     psnet.ahrq.gov/issue/can-structured-checklist-prevent-problems-laparoscopic-equipment
     August 10, 2016 - Study Can a structured checklist prevent problems with laparoscopic equipment? Citation Text: 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. Co…

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33812/psn-pdf
     August 01, 2016 - The problem is that, unlike hospitals, dental offices are not supervised until a serious adverse event … A good example is the problem with disinfection and sterilization procedures. … BPP: We have a problem because we have developed anonymous reporting systems, but the judge can ask … That's a problem we have not resolved. … Once you know the problem and how to mitigate it, I think it's impossible to stop the process.

330. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43091/psn-pdf
     May 30, 2014 - professionalism in patient safety, and an AHRQ WebM&M perspective reviewed strategies to identify and manage problem … https://psnet.ahrq.gov/web-mm/do-not-disturb https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors

331. Is excessive resource utilization an adverse event? | PSNet
     psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event
     February 02, 2022 - 1, 2015 Perspective Overuse as a Patient Safety Problem … July 19, 2018 Overdiagnosis and overtreatment as a quality problem: insights from healthcare

332. Eliminating Medication Overload: A National Action Plan. | PSNet
     psnet.ahrq.gov/issue/eliminating-medication-overload-national-action-plan
     June 19, 2019 - Related Resources From the Same Author(s) Medication Overload: America's Other Drug Problem … August 23, 2017 Organizational Learning from Experience in High-Hazard Industries: Problem

333. Effectively leading for quality. | PSNet
     psnet.ahrq.gov/issue/effectively-leading-quality
     November 25, 2020 - September 11, 2018 Overdiagnosis and overtreatment as a quality problem: insights from … November 9, 2016 The problem with checklists.

334. Managing patients with identical names in the same ward. | PSNet
     psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
     November 16, 2022 - November 10, 2015 Drug-induced hypoglycaemia--new insight into an old problem. … February 27, 2019 Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician

335. Measuring safety climate in elderly homes. | PSNet
     psnet.ahrq.gov/issue/measuring-safety-climate-elderly-homes
     March 29, 2023 - September 1, 2021 Retained surgical items: a problem yet to be solved. … August 3, 2022 Drug-induced hypoglycaemia--new insight into an old problem.

336. Safe operation as a social construct. | PSNet
     psnet.ahrq.gov/issue/safe-operation-social-construct
     August 07, 2019 - September 18, 2024 The problem with 'never events'. … August 7, 2024 Patient falls in the operating room: why is this still a problem in 2024

337. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43904/psn-pdf
     October 13, 2015 - Recent interventions, such as barcode medication administration systems, may help mitigate this problem … While these findings suggest a possible robust solution to this common problem, major limitations to

338. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44542/psn-pdf
     December 22, 2018 - Discordance between patient preferences for end-of-life care and documentation of their wishes is a common problem … stop-silent-misdiagnosis-patients-preferences-matter https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem

339. Did We Forget Something? | PSNet
     psnet.ahrq.gov/web-mm/did-we-forget-something
     April 28, 2021 - decrease in the incidence of foreign bodies left during procedures.( 1 ) However, the true scope of this problem … removed.( 6 ) Surgical teams have used sponge, sharp, and instrument counts as protection against this problem … to human error.( 7 ) Anyone who has ever had to recount a pile of coins will recognize the potential problem … What can be done to prevent this problem? … Retained sponges and instruments remain a disturbingly common problem, and current preventive practices

340. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature. | PSNet
     psnet.ahrq.gov/issue/ten-challenges-improving-quality-healthcare-lessons-health-foundations-programme-evaluations
     February 19, 2020 - April 29, 2015 How not to waste a crisis: a qualitative study of problem definition and … November 16, 2015 The problem with checklists.