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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…
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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
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psnet.ahrq.gov/node/37862/psn-pdf
April 22, 2011 - Impact of patient communication problems on the risk of
preventable adverse events in acute care settings.
April 22, 2011
Bartlett G, Blais R, Tamblyn R, et al. Impact of patient communication problems on the risk of preventable
adverse events in acute care settings. CMAJ. 2008;178(12):1555-62. doi:10.1503/cmaj.070…
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psnet.ahrq.gov/node/38045/psn-pdf
December 01, 2008 - Problems and solutions arising during a study in visual
semantics of the medical emergency team system.
December 1, 2008
Santiano N, Baramy L-S, Young L, et al. Problems and solutions arising during a study in visual semantics
of the medical emergency team system. Qual Health Res. 2008;18(10):1336-44.
doi:10.1177/…
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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
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psnet.ahrq.gov/node/33926/psn-pdf
March 07, 2005 - method for estimating medication errors, and that previous efforts to assess the prevalence of
the problem
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psnet.ahrq.gov/node/35529/psn-pdf
May 27, 2011 - Case study: identifying potential problems at the
human/technical interface in complex clinical systems.
May 27, 2011
Caudill-Slosberg M, Weeks WB. Case study: identifying potential problems at the human/technical interface
in complex clinical systems. Am J Med Qual. 2005;20(6):353-7.
https://psnet.ahrq.gov/issue/…
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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/node/38540/psn-pdf
April 08, 2009 - Drug-related problems in medical wards with a
computerized physician order entry system.
April 8, 2009
Bedouch P, Allenet B, Grass A, et al. Drug-related problems in medical wards with a computerized
physician order entry system. J Clin Pharm Ther. 2009;34(2):187-95. doi:10.1111/j.1365-
2710.2008.00990.x.
https:/…
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psnet.ahrq.gov/node/42747/psn-pdf
November 20, 2013 - Drug related problems and pharmacist interventions in a
geriatric unit employing electronic prescribing.
November 20, 2013
Raimbault-Chupin M, Spiesser-Robelet L, Guir V, et al. Drug related problems and pharmacist
interventions in a geriatric unit employing electronic prescribing. Int J Clin Pharm. 2013;35(5):847-…
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psnet.ahrq.gov/node/38387/psn-pdf
February 04, 2009 - Obstetrician-gynecologists' opinions about patient safety:
costs and liability remain problems; are mandated reports
a solution?
February 4, 2009
Stumpf PG, Anderson B, Lawrence H, et al. Obstetrician-gynecologists' opinions about patient safety: costs
and liability remain problems; are mandated reports a solution…
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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
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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.
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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
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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