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Showing results for "problem".

321. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35486/psn-pdf
     December 06, 2011 - .: is malpractice liability part of the problem or part of the solution? … The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part … https://psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part … https://psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution … https://psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34804/psn-pdf
     January 05, 2017 - Incident reporting system does not detect adverse drug events: a problem for quality improvement. … The incident reporting system does not detect adverse drug events: a problem for quality improvement … https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem- … https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement … https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37148/psn-pdf
     March 11, 2009 - CMS: your mistake, your problem. March 11, 2009 Lubell J. CMS: your mistake, your problem. … https://psnet.ahrq.gov/issue/cms-your-mistake-your-problem This article discusses the challenges hospitals … https://psnet.ahrq.gov/issue/cms-your-mistake-your-problem https://psnet.ahrq.gov/issue/medicare-says-it-wont-cover-hospital-errors

324. Tool: Advocacy and Assertion | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
     June 01, 2023 - State the problem—real or perceived. Offer a solution. Obtain an agreement. … State the problem, real or perceived: "And if I considered it rude, the patient may have as well. … If you were in this situation, what would you do to address the problem?

325. Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart | PSNet
     psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
     October 30, 2024 - a similar initiative in 2014. 1 Date First Implemented 2010 Problem … Recognizing this problem, the Joint Commission called for the use of two patient identifiers before the … This figure, moreover, significantly underestimates the magnitude of the problem, as there were also … Patient misidentification is not a problem unique to Children’s Hospital Colorado. … The team worked with IT staff to identify potential strategies to address the problem.

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42261/psn-pdf
     July 16, 2013 - The recurring problem of retained swabs and instruments. … The recurring problem of retained swabs and instruments. … https://psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments This review discusses … https://psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments https://psnet.ahrq.gov/

327. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36344/psn-pdf
     February 17, 2011 - Clinical problem-solving. Lost in transcription. … Clinical problem-solving. Lost in transcription. N Engl J Med. 2006;355(14):1487-91. … https://psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription This case involves an iatrogenic … https://psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription https://psnet.ahrq.gov//#iatrogenic

328. Session 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
     October 01, 2014 - The resident can't be helped if no one knows there might be a problem. … This kind of problem can be fixed best if discussion is encouraged, and the care team works together … Thinking beyond blame to expecting teamwork and problem solving makes it much easier to speak up, be … It is important to determine whether the resident has fallen down because of another medical problem … Falls are more likely to be part of another problem when the person has no history of falling and few

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41936/psn-pdf
     December 19, 2012 - A multiple-drawer medication layout problem in automated dispensing cabinets. … A multiple-drawer medication layout problem in automated dispensing cabinets. … https://psnet.ahrq.gov/issue/multiple-drawer-medication-layout-problem-automated-dispensing-cabinets … https://psnet.ahrq.gov/issue/multiple-drawer-medication-layout-problem-automated-dispensing-cabinets

330. Module 1: Script and Slides (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview-facnotes.docx
     May 01, 2017 - Researchers have wondered about this problem. … The IHI team studied 10 leading health care organizations that have made headway in solving this problem—leaders … like daily huddles, the use of visual boards to present data at the front line, having well-understood problem … Moving to the bottom center: Problem solving methods are key for identifying and addressing problems … Without skill in problem solving methods, the huddles and visual management boards end up seeming pointless

331. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36740/psn-pdf
     July 26, 2011 - The problem of engaging hospital doctors in promoting safety and quality in clinical care. … The problem of engaging hospital doctors in promoting safety and quality in clinical care. … https://psnet.ahrq.gov/issue/problem-engaging-hospital-doctors-promoting-safety-and-quality-clinical-care … https://psnet.ahrq.gov/issue/problem-engaging-hospital-doctors-promoting-safety-and-quality-clinical-care

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44532/psn-pdf
     December 21, 2018 - The problem with incident reporting. December 21, 2018 Macrae C. … The problem with incident reporting. … https://psnet.ahrq.gov/issue/problem-incident-reporting This commentary discusses weaknesses in health … https://psnet.ahrq.gov/issue/problem-incident-reporting https://psnet.ahrq.gov/primer/reporting-patient-safety-events

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36373/psn-pdf
     October 27, 2010 - Drug-induced hypoglycaemia--new insight into an old problem. … Drug-induced hypoglycaemia--new insight into an old problem. Hong Kong Med J. 2006;12(5):334-8. … https://psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem The investigators retrospectively … https://psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44720/psn-pdf
     December 16, 2015 - The persistent problem of diagnostic error. December 16, 2015 Lundberg GD. Medscape. … https://psnet.ahrq.gov/issue/persistent-problem-diagnostic-error Spotlighting the author's experience … with autopsies to provide context regarding diagnostic errors as a patient safety problem, this commentary … https://psnet.ahrq.gov/issue/persistent-problem-diagnostic-error https://psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients

335. Health-E-Access Telemedicine Interview Guide (pdf file)
     digital.ahrq.gov/sites/default/files/docs/survey/health-e-access-telemedicine-interview-guide%20.pdf
     June 16, 2021 - What was the worst problem? … #___  No Problem (Any response among #12 – #17 that is red indicates a “Problem”) 19. … What was the biggest problem? … #___  No Problem (Any response among #25 – #30 that is red indicates a “Problem”) 32. … What was the biggest problem?

336. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37658/psn-pdf
     June 14, 2011 - Applying modern error theory to the problem of missed injuries in trauma. … Applying modern error theory to the problem of missed injuries in trauma. … https://psnet.ahrq.gov/issue/applying-modern-error-theory-problem-missed-injuries-trauma Root cause … https://psnet.ahrq.gov/issue/applying-modern-error-theory-problem-missed-injuries-trauma https://psnet.ahrq.gov

337. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43664/psn-pdf
     September 01, 2016 - Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational … Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational … https://psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive … https://psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study … https://psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study

338. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45320/psn-pdf
     January 01, 2017 - The problem with the '5 whys.' September 14, 2016 Card AJ. The problem with '5 whys'. … https://psnet.ahrq.gov/issue/problem-5-whys Investigation of incidents in complex systems can be hindered … https://psnet.ahrq.gov/issue/problem-5-whys https://psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44297/psn-pdf
     September 09, 2015 - The problem with checklists. September 9, 2015 Catchpole K, Russ S. The problem with checklists. … https://psnet.ahrq.gov/issue/problem-checklists Checklists, while popularly considered to address safety … https://psnet.ahrq.gov/issue/problem-checklists https://psnet.ahrq.gov/primer/checklists https://psnet.ahrq.gov

340. Examination of the Use of Electronic Health Record Data for Measuring Performance in Diabetes Care - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r36hs020165-hirsch-final-report-2012.pdf
     January 01, 2012 - ’s going to be an ongoing problem.” … One respondent noted that the pressure to maintain the problem list has resulted in a problem list that … fields EHR Data Comments Problem List Diagnosis If it’s not on the problem list then usually … You know, even though the acute problem is gone. … Yeah, I mean, I would say the problem list is always accurate and, if I was going to have a problem