Results

Total Results: over 10,000 records

Showing results for "problem".

341. 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

342. Examples of Technical and Adaptive Solutions for Change | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/tools.html
     March 01, 2017 - In a solution that paired technical problem solving with accountability, the facility established a single … The intranet site allowed the senior leadership team members to solve a problem with a minimal amount … Clarifying decision-making, conflict management, and problem-solving processes.

343. Session 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
     October 01, 2014 - These kinds of changes put the resident at risk for falling and also may signal an underlying problem … Perhaps a small stroke occurred, or the resident has another new medical problem that is contributing … , and to detect a problem requiring new treatment. … If you only reported things that turned out to be a problem, you would probably have missed some. … Sometimes the nursing assistant needs to report the problem again to the licensed nurse.

344. 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

345. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
     October 01, 2014 - Problem: Requires moderate to maximum assistance in moving. … Potential Problem: Moves feebly or requires minimum assistance. … Encourage patient to report any other moisture problem (such as under breasts). … Friction and Shear Problem Skin assessment and inspection q shift. … Potential Problem Keep bed linens clean, dry, and wrinkle free.

346. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
     October 01, 2014 - Problem: Requires moderate to maximum assistance in moving. … Potential Problem: Moves feebly or requires minimum assistance. … Encourage patient to report any other moisture problem (such as under breasts). … Friction and Shear Problem Skin assessment and inspection q shift. … Potential Problem Keep bed linens clean, dry, and wrinkle free.

347. Strategies for Improving Patient Experience with Ambulatory Care: Training to Advance Physicians’ Communication Skills (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-g.pdf
     July 31, 2017 - The Problem People rarely complain about the technical aspects of the health care they receive because—in …  History-taking skills  Issues related to communicating across cultures  Communicating with “problem … 6.G-3 Some programs also address weaknesses in written communications, which can be a serious problem … Many individuals in this stage are unaware or under-aware that a problem exists. … The Problem 6.G.2. The Intervention 6.G.3. Example

348. Knowledge Creation | Digital Healthcare Research
     digital.ahrq.gov/goal/knowledge-creation
     January 01, 2023 - Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care Description … implemented indication alerts, which occur when an ordered or prescribed medication lacks a corresponding problem … on the patient’s problem list. … The research found a significant increase in problem placement rates, a modest increase in order abandonment

349. 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

350. 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

351. 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

352. 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

353. Part One: Traditional Practice and Recommendations for Change (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/ena-slides/part1a.html
     October 01, 2015 - So whose problem is urinary catheterization anyway? Emergency nurses? Inpatient nurses? Providers? … Assumptions around catheter use and the issues they create become the problem of the institution, not … Slide 57 Perception -- whose problem is it? CAUTI does not "belong" to the ED. … Slide 61 The problem with assumptions Problematic Expectations Because it is customary for many … Slide 62 Problem with assumptions Assumption of a catheter in place.

354. CHIPRA 240: Section 5, Table 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-section-5-table-2.pdf
     May 01, 2010 - (p. s168) Clinicians should use neutral terms to discuss the problem with families, such as ‘weight … appropriate setting for weight discussions because the setting frames the condition as a health problem … Solving the problem of childhood obesity within a generation.

355. 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

356. 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

357. 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.

358. 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

359. 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

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837660/psn-pdf
     July 08, 2022 - The problem also needs to be highlighted in the problem list and discharge summary of the patient’s … Clearly highlight the problem in the medical record A reintubation or unexpected ICU admission due to … Affected patients usually remember that they had a significant problem during a previous procedure; … problem has been identified, it is paramount that the patient is informed about the nature of the problem … A multiple-hospital anaesthetic problem register: establishment of a regionally organized system for