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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/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/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/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/33712/psn-pdf
June 01, 2011 - There is a problem that arguments like that
have been used against all kinds of really beneficial systems … It's an organizational problem more than a technological one. … The big problem is how far you are willing to go financially in
continuing to train people and have … given the workloads and systems of reimbursement, so I'm not blaming people for not being full-
time problem … ET: The false positive problem is one that I hardly have to mention to people interested in patient safety
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psnet.ahrq.gov/node/49470/psn-pdf
December 01, 2004 - patient with a solitary pulmonary nodule on chest radiograph, it may be several months
before the problem … summary by the follow-up physician.(5)
Poor 'hospital-to-community' communication is only one 'system' problem … Another problem is the lack of infrastructure to adequately monitor
patients' conditions or test results … to be closely followed after discharge, either because their
condition is vulnerable or because a problem … Much of this happens already, but a more systematic approach to the problem will help.
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psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - But all of the things you mention
there—PDSA cycles, root cause analysis, problem solving, continuous … to look mainly at the system
because there's this very human desire to put a neat little bow around problem … I can
tell you, having worked at General Motors in the mid-1990s, the problem was not that people wouldn't … The problem was that managers didn't listen. … That's a pretty common problem.
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - So it's very gratifying to have a common problem—pain—and a tool to treat it in the form of strong opioids … One other problem that has a bearing on what we know about the long-term safety and effectiveness of … The problem is that we cannot identify a priori which patients are going to be benefitted more than harmed … RW : Do you think the health care system is set up to manage this problem? … Opioid Overdose as a Patient Safety Problem
May 22, 2017
Perspective Opioids serve a valuable
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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/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/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
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psnet.ahrq.gov/node/40103/psn-pdf
January 05, 2011 - behavior in health care settings and describes interventions and
tactics to raise awareness of the problem
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psnet.ahrq.gov/web-mm/no-bp-during-nibp
March 01, 2011 - 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 … that 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/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/perspective/patient-safety-perspective-office-practice
May 01, 2009 - up "clinical" (interesting, central to our work) and "administrative" (boring, easy, somebody else's problem … We also do a better job communicating vital safety information (medication and problem lists, allergies … 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
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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