-
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/49550/psn-pdf
December 01, 2007 - 0.5%.(2) What then should we infer from her unfortunate and unexpected death: chance misfortune or a
problem … The human mind generally favors causal explanations over chance, which would lead many to infer a
problem … For instance, a technical problem with surgery or failure to administer
thromboembolism prophylaxis
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psnet.ahrq.gov/node/38103/psn-pdf
October 01, 2008 - Early readmissions to the department of medicine as a
screening tool for monitoring quality of care problems.
October 1, 2008
Balla U, Malnick S, Schattner A. Early readmissions to the department of medicine as a screening tool for
monitoring quality of care problems. Medicine (Baltimore). 2008;87(5):294-300.
doi:…
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psnet.ahrq.gov/issue/association-between-complications-incidents-and-patient-experience-retrospective-linkage
February 20, 2019 - April 28, 2021
The problem with using patient complaints for improvement. … August 17, 2018
The problem with making Safety-II work in healthcare.
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psnet.ahrq.gov/node/39606/psn-pdf
April 11, 2011 - Drug-related problems in older people after hospital
discharge and interventions to reduce them.
April 11, 2011
Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, et al. Drug-related problems in older people after
hospital discharge and interventions to reduce them. Age Ageing. 2010;39(4):430-8.
doi:10.1093/agein…
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psnet.ahrq.gov/node/35302/psn-pdf
July 14, 2009 - Technology induced error and usability: the relationship
between usability problems and prescription errors when
using a handheld application.
July 14, 2009
Kushniruk AW, Triola MM, Borycki EM, et al. Technology induced error and usability: The relationship
between usability problems and prescription errors when u…
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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
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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
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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
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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
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psnet.ahrq.gov/node/46918/psn-pdf
May 30, 2018 - workplace-bullying-risk-and-safety-professionals
Disruptive and unprofessional behavior is a prevalent problem
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psnet.ahrq.gov/node/39941/psn-pdf
October 20, 2010 - normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
This commentary describes normalization of deviance and uses examples to illustrate how this problem
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psnet.ahrq.gov/node/37602/psn-pdf
July 03, 2013 - The authors discuss the implications of this problem and potential
solutions, including the establishment
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psnet.ahrq.gov/node/33865/psn-pdf
September 01, 2018 - At the time, British Rail had a problem in that about one in a thousand shunters
were dying every year … RL: One problem in health care is we tend to want to learn from each individual event and try to prevent … Do your
results mean that hearing about a safety problem from a patient doesn't make it any more likely … The problem is that some people just don't want
to be involved. … The problem is creating potential inequalities in health if we rely on that level of involvement.
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psnet.ahrq.gov/node/49558/psn-pdf
April 01, 2008 - rare but dangerous reactions such as Clostridium difficile colitis, anaphylaxis, or this
patient's problem … The chief population-level effect of antibiotic overuse is the widespread and growing problem of
antimicrobial … AMR is a worsening problem among many bacteria, including
Staphylococcus aureus, Streptococcus pneumoniae … While the
complications and ultimate outcome of this case are exceedingly rare, unfortunately, the problem … Staphylococcus aureus (MRSA) (18) is but one example of the clinical implications of
drug-resistant bacteria—a problem
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psnet.ahrq.gov/node/33834/psn-pdf
May 22, 2017 - Opioid Overdose as a Patient Safety Problem
May 22, 2017
Murimi IB, Alexander CG. … Opioid Overdose as a Patient Safety Problem. PSNet [internet]. 2017. … https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
Perspective
Opioids serve … https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
https://psnet.ahrq.gov//#ref1
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psnet.ahrq.gov/node/33752/psn-pdf
August 01, 2013 - They oftentimes
will say, "Well, the problem around here is that Mark's an idiot. … we work with a lot of different health care systems and many of them
think that they know what the problem … interviews or spend a little time doing a debriefing with staff you'll find out that they've got a problem … If you tailor the tools to address the problem based on
a cultural assessment that's reflective of the … And do you really know what to do about that if that's the
problem?
-
psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
November 01, 2006 - They analyze the problem, they analyze the possible solutions, and they design a solution. … Now anybody who designs anything has a problem of understanding the thing they're designing too well, … RW: Is it purely a problem of the expert having trouble recognizing what novices do and don't know? … So part of the problem is not seeing it as a system, that things have to work in context. … The problem is we tend to deny it.