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psnet.ahrq.gov/node/33883/psn-pdf
July 01, 2019 - 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.
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psnet.ahrq.gov/node/72651/psn-pdf
January 20, 2021 - reviews weaknesses of this approach which include a lack of emphasis on state-
level analysis of the problem … to address system-level contributors to the problem.
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psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
February 03, 2021 - July 19, 2023
The problem with the '5 whys.' … September 14, 2016
The problem with Plan-Do-Study-Act cycles. … January 14, 2011
Drug-induced hypoglycaemia--new insight into an old problem.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/plan-do-check-act-cycle
January 01, 2023 - For problem solving.
For continuous improvement.
To develop a design. … Maintains order during problem solving.
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psnet.ahrq.gov/node/46353/psn-pdf
August 23, 2017 - A recent PSNet
perspective explored opioid overdose as a patient safety problem. … opioid-prescribing-after-nonfatal-overdose-and-association-repeated-overdose-cohort-study
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/45482/psn-pdf
September 14, 2016 - 'America's other drug problem': copious prescriptions for
hospitalized elderly. … https://psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly … https://psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly
https
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psnet.ahrq.gov/node/72819/psn-pdf
March 10, 2021 - time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis
https://psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions … https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem
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psnet.ahrq.gov/node/73158/psn-pdf
April 21, 2021 - /issue/2019-update-medical-overuse-review
https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem … https://psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research
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psnet.ahrq.gov/node/72584/psn-pdf
December 16, 2020 - This story illustrates the problem of
underdosing during infusions and suggests that unclear policies … and lack of problem awareness contribute
to the persistence of the mistake.
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digital.ahrq.gov/sites/default/files/docs/survey/oklahoma-patient-survey.pdf
June 16, 2021 - counselor about the reason for my visit, they had all the information
they needed to take care of my problem … results or medication history missing that my doctor or nurse/counselor needs to
take care of my problem … counselor about the reason for my visit, they has all the information they needed to take care of my problem … test results or medicaiton history missing that my doctor or nurse/counselor needs to take care of my problem
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digital.ahrq.gov/organization/university-tennessee-knoxville
January 01, 2023 - Tennessee, 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/50372/psn-pdf
September 25, 2019 - overuse—including the ordering of unnecessary tests for patients—is being
characterized as a patient safety problem … prevalence-and-predictability-low-yield-inpatient-laboratory-diagnostic-tests
https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem
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psnet.ahrq.gov/node/47823/psn-pdf
March 13, 2019 - The Government Accountability Office makes seven
recommendations to address this problem. … greater-focus-credentialing-needed-prevent-disqualified-providers-delivering-patient-care
https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
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digital.ahrq.gov/organization/northwestern-university
January 01, 2023 - 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
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024537-sockolow-final-report-2020.pdf
January 01, 2020 - Problem occurrence patterns. … Reasons for purposeful problem exclusion from the POC include the problem
was resolved/stable or of … There’s a
problem with the problem list: Patterns of patient problem occurrence across phases of the … with the Problem List. … with the Problem List.
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psnet.ahrq.gov/node/33670/psn-pdf
July 01, 2008 - The second problem is that there tends not to be much
follow-up. … The third problem is reinventing the wheel. … This is a problem that even the VA frequently confronts. … It seems to me that is to some extent the crux of the problem. … AW: The problem with general incident reporting has more to do with pattern recognition.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/data
January 01, 2023 - Kepner-Tregoe Matrix
Description
A Kepner-Tregoe matrix is used to find causes of a problem … This allows you to compare what the problem is, with what it is not, illuminating distinctive features … of the problem and pointing out its potential causes.
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psnet.ahrq.gov/node/848809/psn-pdf
May 10, 2023 - recognized safety strategy; however, other
parts of the electronic health record (EHR) - allergies and problem … identifying-and-reconciling-patients-allergy-information-within-electronic-health-record
https://psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and-assessment-success
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psnet.ahrq.gov/node/73283/psn-pdf
May 19, 2021 - assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims
https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem … when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
https://psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research
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psnet.ahrq.gov/node/60657/psn-pdf
July 08, 2020 - are known to be high-risk medications, and their misuse is an increasingly recognized patient
safety problem … predictors-serious-opioid-related-adverse-drug-events-hospitalized-patients
https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem