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psnet.ahrq.gov/node/860049/psn-pdf
January 04, 2024 - medical errors and, in
one review of IT-related malpractice claims, was identified as a contributing problem … clinical information and evaluating that information
against known illness scripts, often involves problem … Harnessing the
power of problem representation can help us continue to think critically about our patients … Careful constructions of problem presentations, particularly in children with chronic medical
conditions … The importance of early problem representation during case
presentations.
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psnet.ahrq.gov/node/36509/psn-pdf
February 14, 2007 - Baby has jaundice: is that a problem?
February 14, 2007
Zimmerman R. Wall Street Journal. … https://psnet.ahrq.gov/issue/baby-has-jaundice-problem
This article reports on a mother's campaign to … https://psnet.ahrq.gov/issue/baby-has-jaundice-problem
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psnet.ahrq.gov/node/46454/psn-pdf
August 20, 2018 - first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic
Morbidity and mortality from opioid medications constitutes a patient safety problem … A recent PSNet
perspective discussed opioid overdoses as a patient safety problem. … nonrandomized-intervention-study-naloxone-coprescription-primary-care-patients-receiving-long
https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem … https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
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psnet.ahrq.gov/node/35867/psn-pdf
April 29, 2018 - IV potassium given epidurally: getting to the "route" of
the problem. … https://psnet.ahrq.gov/issue/iv-potassium-given-epidurally-getting-route-problem
This article outlines … https://psnet.ahrq.gov/issue/iv-potassium-given-epidurally-getting-route-problem
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psnet.ahrq.gov/node/867020/psn-pdf
October 23, 2024 - anybody-learning-deaths-sequential-content-and-reflexive-thematic-analysis-national-statutory
https://psnet.ahrq.gov/issue/problem-root-cause-analysis … https://psnet.ahrq.gov/issue/problem-root-cause-analysis
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psnet.ahrq.gov/node/37766/psn-pdf
October 22, 2013 - Diagnostic Error: Is Overconfidence the Problem.
October 22, 2013
Graber ML, Berner ES, eds. …
https://psnet.ahrq.gov/issue/diagnostic-error-overconfidence-problem
This issue supplement … https://psnet.ahrq.gov/issue/diagnostic-error-overconfidence-problem
https://psnet.ahrq.gov/issue/overconfidence-cause-diagnostic-error-medicine
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psnet.ahrq.gov/issue/safety-problems-your-childs-medical-device
January 09, 2013 - Fact Sheet/FAQs
Safety Problems With Your Child's Medical Device?
Citation Text:
Safety Problems With Your Child's Medical Device? Consumer Updates. Silver Spring, MD: US Food and Drug Administration; July 16, 2013.
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psnet.ahrq.gov/issue/postoperative-handover-problems-pitfalls-and-prevention-error
September 26, 2012 - Image/Poster
Postoperative handover: problems, pitfalls, and prevention of error.
Citation Text:
Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error. Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656.
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…
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psnet.ahrq.gov/node/35727/psn-pdf
February 22, 2006 - Risk of medication errors at hospital discharge and
barriers to problem resolution. … https://psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution … https://psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution
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psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
January 29, 2021 - the surgeon identified faulty positioning of the surgical retractor as the most likely cause of the problem … ventilator. 8 If ventilation remains inadequate after switching to the Ambu bag, the origin of the problem … An ultrasound, chest radiograph, or flexible bronchoscopy may help to diagnose the cause of the problem … Mental stress from the “blame game” makes it more difficult to solve the problem in a timely manner. … Trying to troubleshoot the equipment problem without using a bag-valve resuscitator may lead to hypoxemia
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psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
January 29, 2021 - The problem also needs to be highlighted in the problem list and discharge summary of the patient’s medical … Clearly highlight the problem in the medical record
A reintubation or unexpected ICU admission due … problem has been identified, it is paramount that the patient is informed about the nature of the problem … If the patient does not recognize the significance of the event, it is unlikely that the problem will … A multiple-hospital anaesthetic problem register: establishment of a regionally organized system for
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psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - number of these cases, the error stems from orders
being entered into the wrong patient's chart, a problem … Recognizing this problem, the
Joint Commission called for the use of two patient identifiers before … 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.
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psnet.ahrq.gov/node/47511/psn-pdf
October 24, 2018 - collaborative draws from expertise and
experience from organizations in Australia investigating the problem … issue/high-costs-unnecessary-care
https://psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research … https://psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions
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psnet.ahrq.gov/node/866082/psn-pdf
June 05, 2024 - strategies-and-approaches-investigating-patient-safety-events
https://psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition … https://psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
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psnet.ahrq.gov/node/46701/psn-pdf
December 20, 2017 - The other big drug problem: older people taking too many
pills.
December 20, 2017
Boodman SG. … https://psnet.ahrq.gov/issue/other-big-drug-problem-older-people-taking-too-many-pills
The prevalence … https://psnet.ahrq.gov/issue/other-big-drug-problem-older-people-taking-too-many-pills
https://psnet.ahrq.gov
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digital.ahrq.gov/location/usa-tn-knoxville
January 01, 2023 - TN, Knoxville
The Long Term Effectiveness of Telephone Intervention Problem … Solving (TIPS)
Description
This project evaluated the impact of the “Telephone Intervention Problem
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psnet.ahrq.gov/node/45658/psn-pdf
November 09, 2016 - The
sinks can make the problem worse.
November 9, 2016
Branswell H. STAT. October 25, 2016. … https://psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse … https://psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse
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psnet.ahrq.gov/node/37947/psn-pdf
May 04, 2010 - Computerized physician order entry of medications and
clinical decision support can improve problem … Computerized physician order entry of medications and clinical decision
support can improve problem … existing computerized provider order entry system, improved the
accuracy of physician documentation of problem
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/force-field-analysis
January 01, 2023 - BRAINSTORM ALL THE DRIVING FORCES that foster the change or facilitate the problem. … BRAINSTORM ALL THE RESTRAINING FORCES that inhibit the actions occurrence, or diminish the chances of the problem … If instead a problem is being considered, determine how to lessen the driving forces.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-274-tethered-spinal-cord-disposition-comments.pdf
October 25, 2024 - Thank you
Public Reviewer 1 Does this report
describe both the
problem and
evidence in a way
that … Thank you
Public Reviewer 1 Does this report
describe both the
problem and
evidence in a way
that … Thank you
Public Reviewer 1 Does this report
describe both the
problem and
evidence in a way
that … Thank you
Public Reviewer 1 Does this report
describe both the
problem and
evidence in a way
that … Thank you
Public Reviewer 1 Does this report
describe both the
problem and
evidence in a way
that