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Showing results for "problem".

381. An Incomplete Anesthesia History Leads to Adverse Outcomes | PSNet
     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

382. Psn-Pdf (pdf file)
     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

383. Psn-Pdf (pdf file)
     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

384. Psn-Pdf (pdf file)
     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

385. Psn-Pdf (pdf file)
     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.

386. Psn-Pdf (pdf file)
     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

387. Psn-Pdf (pdf file)
     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

388. Psn-Pdf (pdf file)
     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

389. USA, TN, Knoxville | Digital Healthcare Research
     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

390. Psn-Pdf (pdf file)
     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

391. Force-Field Analysis | Digital Healthcare Research
     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 action’s occurrence, or diminish the chances of the problem … If instead a problem is being considered, determine how to lessen the driving forces.

392. Psn-Pdf (pdf file)
     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

393. Psn-Pdf (pdf file)
     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

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50373/psn-pdf
     September 25, 2019 - psnet.ahrq.gov/issue/2019-update-medical-overuse-review Medical overuse has been described as a patient safety problem … /issue/2019-update-medical-overuse-review https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem

395. Psn-Pdf (pdf file)
     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

396. Psn-Pdf (pdf file)
     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

397. Disposition of Comments_Comparative Effectiveness Review No. 274: Diagnosis and Treatment of Tethered Spinal Cord (pdf file)
     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

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73886/psn-pdf
     September 29, 2021 - when-less-more-role-overdiagnosis-and-overtreatment-patient-safety https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem … https://psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48075/psn-pdf
     June 19, 2019 - complex nature of addressing patient-matching discrepancies as an economic, privacy, and technical problem … https://psnet.ahrq.gov/issue/mismatch-made-america https://psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address

400. In Conversation With… Suchi Saria, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
     March 27, 2024 - Because you form a theory, but the problem is you only have a third of the picture in your head. … SS : Instead of what's the data and whose data is it, we could almost start from the problem. … RW : When you approach a problem like that, how do you even begin to unravel it? … How important is that as a problem? SS : Absolutely. … SS : This will probably depend a lot on the specific type of problem we're talking about.