-
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/33926/psn-pdf
March 07, 2005 - method for estimating medication errors, and that previous efforts to assess the prevalence of
the problem
-
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/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/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/node/41568/psn-pdf
April 05, 2013 - Preventable deaths due to problems in care in English
acute hospitals: a retrospective case record review study.
April 5, 2013
Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals:
a retrospective case record review study. BMJ Qual Saf. 2012;21(9):737-745. doi:10.…
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psnet.ahrq.gov/node/45536/psn-pdf
October 05, 2016 - Clinician-identified problems and solutions for delayed
diagnosis in primary care: a PRIORITIZE study.
October 5, 2016
Car LT, Papachristou N, Bull A, et al. Clinician-identified problems and solutions for delayed diagnosis in
primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17(1):131. doi:10.1186/s12875-016-0…
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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
-
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
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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
-
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