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Total Results: 7,452 records

Showing results for "problem".

401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49829/psn-pdf
     May 01, 2018 - As this case illustrates, no true learning may occur and the problem investigated may be just as likely … This means that health care increasingly needs to solve the problem of many hands (23), where too little … The problem with root cause analysis. BMJ Qual Saf. 2017;26:417-422. [go to PubMed] 5. … Risk management in a dynamic society: a modelling problem. Saf Sci. 1997;27:183-213. … Patient safety and the problem of many hands. BMJ Qual Saf. 2016;25:485-488. [go to PubMed] 24.

402. The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. | PSNet
     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.

403. Copying and pasting of examinations within the electronic medical record. | PSNet
     psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electronic-medical-record
     June 12, 2013 - March 10, 2011 Drug-induced hypoglycaemia--new insight into an old problem. … December 21, 2009 Risk of medication errors at hospital discharge and barriers to problem

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33685/psn-pdf
     May 01, 2009 - the economic consequences of errors and saw that they really did cost someone money, how much of the problem … WW: That is exactly the problem in a nutshell. … Another problem might be that they're not owned medical staff, if you will. … RW: Is part of the problem that the people who come into health care from a business background don't … think about the highest quality provider and comparison shopping, but sometimes the access is such a problem

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837344/psn-pdf
     June 08, 2022 - about surgeon biases toward patients who are overweight and calls for clinicians to recognize the problem

406. The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. | PSNet
     psnet.ahrq.gov/issue/quality-and-economic-impact-disruptive-behaviors-clinical-outcomes-patient-care
     February 03, 2010 - August 27, 2012 Perspective How to Identify and Manage Problem … May 26, 2010 Perspective How to Identify and Manage Problem

407. Patient safety 2.0: slaying dragons, not just investigating them. | PSNet
     psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them
     September 14, 2016 - Download Citation Related Resources From the Same Author(s) The problem … September 14, 2016 The problem with Plan-Do-Study-Act cycles.

408. Patient safety strategies: are we on the same team? | PSNet
     psnet.ahrq.gov/issue/patient-safety-strategies-are-we-same-team
     September 24, 2014 - September 24, 2014 Retained surgical items: a problem yet to be solved. … April 1, 2015 Applying human factors engineering to address the telemetry alarm problem

409. Leadership oversight for patient safety programs: an essential element. | PSNet
     psnet.ahrq.gov/issue/leadership-oversight-patient-safety-programs-essential-element
     October 03, 2017 - September 24, 2014 Retained surgical items: a problem yet to be solved. … April 1, 2015 Applying human factors engineering to address the telemetry alarm problem

410. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. | PSNet
     psnet.ahrq.gov/issue/nosocomial-infection-deficit-reduction-act-and-incentives-hospitals
     September 14, 2011 - September 29, 2017 The $17.1 billion problem: the annual cost of measurable medical errors … December 12, 2014 Healthcare-associated infections: a national patient safety problem

411. Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. | PSNet
     psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
     February 24, 2016 - April 13, 2016 Reporting and second-order problem solving can turn short-term fixes into … The sinks can make the problem worse.

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49595/psn-pdf
     December 01, 2009 - "Superficial" Report Leads to "Deep" Problem December 1, 2009 Dhaliwal G. … "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. 2009. … https://psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem The Case A 35-year-old woman presented … The https://psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem patient returned promptly … Solutions Perhaps the weakest solution to this problem would be to initiate pre- or postgraduate efforts

413. Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations. | PSNet
     psnet.ahrq.gov/issue/collaborating-or-selling-patients-conceptual-framework-emergency-department-inpatient-handoff
     December 21, 2017 - December 21, 2017 Applying human factors engineering to address the telemetry alarm problem … January 23, 2017 Retained surgical items: a problem yet to be solved.

414. Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. | PSNet
     psnet.ahrq.gov/issue/initial-clinical-evaluation-handheld-device-detecting-retained-surgical-gauze-sponges-using
     August 18, 2010 - November 6, 2013 Application of an engineering problem-solving methodology to address … September 25, 2013 Retained surgical items: a problem yet to be solved.

415. The untold toll — the pandemic’s effects on patients without Covid-19. | PSNet
     psnet.ahrq.gov/issue/untold-toll-pandemics-effects-patients-without-covid-19
     August 02, 2015 - Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem … Problem.

416. Medication reconciliation to facilitate transitions of care after hospitalization. | PSNet
     psnet.ahrq.gov/issue/medication-reconciliation-facilitate-transitions-care-after-hospitalization
     December 02, 2015 - Download Citation Related Resources From the Same Author(s) Drug-related-problem … January 27, 2016 Drug-related-problem outcomes and program satisfaction from a comprehensive

417. In Conversation with... Charles Ornstein | PSNet
     psnet.ahrq.gov/perspective/conversation-charles-ornstein
     October 01, 2009 - Initially, we were led to believe that this was a problem with the monitors: they had just been installed … But when the state inspectors went into the hospital, they discovered that it was not a problem with … Then, not only is the problem what actually happened, but the problem is that you tried to cover it up … problem. … The problem of patient safety needed to be brought into sharper focus if it was going to receive the

418. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety | PSNet
     psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
     October 01, 2009 - The problem of patient safety needed to be brought into sharper focus if it was going to receive the … The first, typified by To Err Is Human , involves broad, analytical pieces that tackle the general problem … But when the state inspectors went into the hospital, they discovered that it was not a problem with … Then, not only is the problem what actually happened, but the problem is that you tried to cover it up … problem.

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33828/psn-pdf
     March 01, 2017 - They're a relatively rare problem, but they're not an unknown problem. … https://psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem http://dx.doi.org/10.1177/ … It's too easy to forget how important it is that you actually know how to solve the problem. … They were able to demonstrate it really was a problem and that it was tractable. … That won't be the same for every single safety problem that you come across.

420. Interventions for the reduction of prescribed opioid use in chronic non-cancer pain. | PSNet
     psnet.ahrq.gov/issue/interventions-reduction-prescribed-opioid-use-chronic-non-cancer-pain
     April 04, 2011 - Related Resources The opioid crisis: can improving diagnosis help solve the problem … 2017 Perspective Opioid Overdose as a Patient Safety Problem