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Showing results for "problem".

101. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions | PSNet
     psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
     November 01, 2008 - Health Care–Acquired Urinary Tract Infection: The Problem and Solutions Lindsay E. … Health Care–Acquired Urinary Tract Infection: The Problem and Solutions. PSNet [internet]. … Health Care–Acquired Urinary Tract Infection: The Problem and Solutions. PSNet [internet]. … So it's unclear which one is more likely to be a problem. … What do you think of the accreditation and regulatory approach to this problem?

102. Module 3: Script and Slides (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
     May 01, 2017 - SLIDE 3 Title: What Is a Problem? What Is a Solution? … [1: ] Often, it is appropriate to apply type 2 problem solving to understand why the problem occurred … When problem solving prevents organizational learning. … This is problem solving and escalation in action. … Turning to problem solving: · A first test—can you assign a problem to one of the four boxes and follow

103. Module 3: Component Kit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
     May 01, 2017 - What Are Problem Solving and Escalation? 2 2. What Is a Problem and What Is a Solution? 2 3. … What Are Problem Solving and Escalation? … What Is a Problem and What Is a Solution? … Problem Triage Imagine that a staff member identifies a problem. … Such a problem will require deeper analysis to understand the root problems and the problem may require

104. She was headed to a locked psych ward. Then an ER doctor made a startling discovery. | PSNet
     psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery
     March 03, 2021 - This news story illustrates the problem of omissions due to potential stigma associated with patient … December 14, 2016 The other big drug problem: older people taking too many pills. … November 4, 2020 A doctor gave me an inept diagnosis for a neurological problem.

105. Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review. | PSNet
     psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication
     September 23, 2020 - Review Drug-related-problem outcomes and program satisfaction from a comprehensive … Drug-Related-Problem Outcomes and Program Satisfaction from a Comprehensive Brown Bag Medication Review … Drug-Related-Problem Outcomes and Program Satisfaction from a Comprehensive Brown Bag Medication Review … February 12, 2020 The problem with medication reconciliation.

106. Applying human factors engineering to address the telemetry alarm problem in a large medical center. | PSNet
     psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center
     February 10, 2021 - Study Applying human factors engineering to address the telemetry alarm problem in … Applying human factors engineering to address the telemetry alarm problem in a large medical center. … Applying human factors engineering to address the telemetry alarm problem in a large medical center. … February 10, 2021 Indication alerts to improve problem list documentation.

107. The wicked problem of patient misidentification: how could the technological revolution help address patient safety? | PSNet
     psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address
     July 10, 2024 - Commentary The wicked problem of patient misidentification: how could the technological … The wicked problem of patient misidentification: How could the technological revolution help address … The wicked problem of patient misidentification: How could the technological revolution help address

108. Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. | PSNet
     psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture-psychological-safety
     August 02, 2015 - Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem … Problem.

109. Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps-advance-intensive
     January 24, 2024 - Commentary Diagnostic error in the critically ill: defining the problem and exploring … Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive … Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive

110. Using the Electronic Medical Record to Identify and Screen Patients at Risk for Delirium | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-electronic-medical-record-identify-and-screen-patients-risk-delirium
     January 01, 2023 - Use the EMR to improve documentation of delirium in the problem list.  … screening of at-risk patients and included clinician prompts to improve documentation of delirium in the problem … A comparison of diagnoses in the problem list found that, while not statistically significant, there

111. Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. | PSNet
     psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced-medical-students-during
     September 11, 2024 - Study Problem-based training improves recognition of patient hazards by advanced … Problem-based training improves recognition of patient hazards by advanced medical students during chart … Problem-based training improves recognition of patient hazards by advanced medical students during chart

112. The other big drug problem: older people taking too many pills. | PSNet
     psnet.ahrq.gov/issue/other-big-drug-problem-older-people-taking-too-many-pills
     December 14, 2016 - Newspaper/Magazine Article The other big drug problem: older people taking too many … Citation Text: The other big drug problem: older people taking too many pills. Boodman SG. … URL Cite Citation Citation Text: The other big drug problem … June 14, 2017 'America's other drug problem': copious prescriptions for hospitalized

113. Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
     April 06, 2008 - • What are the ramifications of the Problem Statement’s recurrence? … Unresolved Problem Statements then become Prioritized Problem Statements and are assigned to the CUL … , as reflected by allocation of resources to problem correction. … Statements or creates a new Problem Statement. … The risk management process—accomplished through the Problem Statement, Prioritized Problem Statement

114. Taking Care of Myself: A Guide for When I Leave the Hospital (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/goinghomeguide.pdf
     April 01, 2010 - problem 4: Notes about my medical problem 5: Notes about my medical problem 6: Notes about my medical … problem 7: Notes about my medical problem 8: Notes about my medical problem 9: Notes about my … medical problem 10: Notes about my medical problem 11: Notes about my medical problem 12: Notes … about my medical problem 13: Notes about my medical problem 14: Notes about my medical problem 15 … problem 18: Notes about my medical problem 19: Questions or Concerns:

115. The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS) - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r21hs022166-beebe-final-report-2016.pdf
     January 01, 2016 - The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS) - Final Report … The long term effectiveness of Telephone Intervention Problem Solving (TIPS). … adherence but persons with SSDs have limited access to problem solving interventions. … Problem-solving therapy: A positive approach to clinical intervention. 3rd ed. … The long term effectiveness of Telephone Intervention Problem Solving (TIPS).

116. Risk of medication errors at hospital discharge and barriers to problem resolution. | PSNet
     psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution
     November 03, 2015 - Study Risk of medication errors at hospital discharge and barriers to problem resolution … Citation Text: Risk of medication errors at hospital discharge and barriers to problem resolution. … Citation Citation Text: Risk of medication errors at hospital discharge and barriers to problem

117. Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children. | PSNet
     psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413-incidents-after
     December 04, 2016 - This study examined the problem of retained foreign bodies in pediatric surgery, using cases identified … Despite the persistence of this problem, controversy remains around how to prevent such errors. … December 23, 2016 The recurring problem of retained swabs and instruments. … April 17, 2013 Retained surgical items: a problem yet to be solved.

118. The Soil, Not the Seed: The Real Problem with Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
     March 01, 2007 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis Patrice Spath, BA, RHIT, and William … The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet]. … The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet]. … If we are correct, then the RCA tool is not the problem. … The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet].

119. Applying modern error theory to the problem of missed injuries in trauma. | PSNet
     psnet.ahrq.gov/issue/applying-modern-error-theory-problem-missed-injuries-trauma
     June 15, 2011 - Study Applying modern error theory to the problem of missed injuries in trauma. … Applying modern error theory to the problem of missed injuries in trauma. … Applying modern error theory to the problem of missed injuries in trauma.

120. A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist. | PSNet
     psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im-neurologist
     April 27, 2022 - Newspaper/Magazine Article A doctor gave me an inept diagnosis for a neurological problem … Citation Text: A doctor gave me an inept diagnosis for a neurological problem. … Citation Citation Text: A doctor gave me an inept diagnosis for a neurological problem