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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/35718/psn-pdf
May 27, 2011 - Potential benefits and problems with computerized
prescriber order entry: analysis of a voluntary medication
error-reporting database.
May 27, 2011
Zhan C, Hicks RW, Blanchette CM, et al. Potential benefits and problems with computerized prescriber
order entry: analysis of a voluntary medication error-reporting da…
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psnet.ahrq.gov/node/40721/psn-pdf
August 24, 2011 - https://psnet.ahrq.gov/issue/phantom-menace-sleep-deprived-doctors
This news article discusses the problem
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psnet.ahrq.gov/node/40828/psn-pdf
September 02, 2016 - https://psnet.ahrq.gov/issue/examining-increase-drug-shortages
This hearing focused on the problem of
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psnet.ahrq.gov/node/45748/psn-pdf
January 01, 2017 - Fatigue in hospital nurses—'Supernurse' culture is a
barrier to addressing problems: a qualitative interview
study.
December 14, 2016
Steege LM, Rainbow JG. Fatigue in hospital nurses - 'Supernurse' culture is a barrier to addressing
problems: A qualitative interview study. Int J Nurs Stud. 2017;67:20-28. doi:10.1…
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psnet.ahrq.gov/node/47372/psn-pdf
January 01, 2019 - The most frequently cited problem was
missing test results, with about 15% of offices in the study citing
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psnet.ahrq.gov/node/39689/psn-pdf
May 07, 2018 - adult and pediatric immunizations and states that the
similar abbreviations are a main cause of the problem
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psnet.ahrq.gov/node/49719/psn-pdf
September 01, 2014 - After discovering the error, the case continued
without any problem. … Documenting a value when it wasn't measured is the opposite of the commonly
occurring problem where … a user intimately familiar with this
patient's monitor would have identified, and rectified, this problem … approach to preventing this error would be to use the electronic anesthesia record to identify the
problem … support may have led to better situational
awareness and helped clinicians identify this patient's problem
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psnet.ahrq.gov/node/41197/psn-pdf
March 07, 2012 - psnet.ahrq.gov/issue/fear-punitive-response-hospital-errors-lingers
This news article highlights the problem
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psnet.ahrq.gov/node/38957/psn-pdf
January 16, 2013 - consists of 12 articles drawn from a 2008 conference on diagnostic error, covering topics
such as medical problem
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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - This patient's telemetry device warned of this problem with "low voltage" alarms. … alarms that indicate poor signal quality (e.g., a low battery in a telemetry device, an electrode problem … Take-Home Points Alarms should never be completely silenced; rather, clinical staff should problem-solve … Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational … October 10, 2012
Insights into the problem of alarm fatigue with physiologic monitor
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psnet.ahrq.gov/perspective/response-failure-report-march-2007
June 01, 2007 - Similar labeling and packaging are a problem with many medications. … of the many medications that are introduced each year (including the numerous generic versions), the problem … 2007
Perspective
The Soil, Not the Seed: The Real Problem
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psnet.ahrq.gov/node/44672/psn-pdf
October 11, 2017 - Identifying patient safety problems associated with
information technology in general practice: an analysis of
incident reports.
October 11, 2017
Magrabi F, Liaw ST, Arachi D, et al. Identifying patient safety problems associated with information
technology in general practice: an analysis of incident reports. BMJ…
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psnet.ahrq.gov/node/46300/psn-pdf
August 16, 2017 - Prioritizing medication safety in care of people with
cancer: clinicians' views on main problems and solutions.
August 16, 2017
Car LT, Papachristou N, Urch C, et al. Prioritizing medication safety in care of people with cancer:
clinicians' views on main problems and solutions. J Glob Health. 2017;7(1):011001.
doi…
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psnet.ahrq.gov/node/44886/psn-pdf
September 27, 2016 - Direct oral anticoagulants: new drugs with practical
problems. How can nurses help prevent patient harm?
September 27, 2016
Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can
nurses help prevent patient harm? Nurs Health Sci. 2016;18(3):408-11. doi:10.1111/nhs.1226…
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psnet.ahrq.gov/node/46093/psn-pdf
April 26, 2017 - Inpatient Notes: human factors engineering and inpatient
care—new ways to solve old problems.
April 26, 2017
Clack L, Sax H. Web Exclusives. Annals for Hospitalists Inpatient Notes - Human Factors Engineering and
Inpatient Care-New Ways to Solve Old Problems. Ann Intern Med. 2017;166(8):HO2-HO3.
doi:10.7326/M17-05…
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psnet.ahrq.gov/node/35476/psn-pdf
February 22, 2010 - Taking the pulse of health care systems: experiences of
patients with health problems in six countries.
February 22, 2010
Schoen C, Osborn R, Huynh PT, et al. Taking The Pulse Of Health Care Systems: Experiences Of Patients
With Health Problems In Six Countries. doi:10.1377/hlthaff.w5.509.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - monitor alarms are false or clinically insignificant.( 2-5 ) Hospitals are struggling to address this problem … RW : When you first began investigating this, did you have a theory as to what the problem was, and did … RW : That's just such a wonderful story that captures the essence of the problem. … BD : Alarm fatigue is probably a much bigger problem on a general medical floor than in the ICU. … September 1, 2016
Insights into the problem of alarm fatigue with physiologic monitor
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psnet.ahrq.gov/node/42035/psn-pdf
February 13, 2013 - using-safety-cases-industry-and-healthcare
https://psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
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psnet.ahrq.gov/node/42294/psn-pdf
May 22, 2013 - misdiagnosis-more-common-drug-errors-or-wrong-site-surgery
This newspaper article discusses the pervasive problem