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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43699/psn-pdf
    November 26, 2014 - recent AHRQ WebM&M interview and perspective discussed overuse of medical care as a patient safety problem … perspective/conversation-rosemary-gibson-msc https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43014/psn-pdf
    March 12, 2014 - Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem … Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem
  3. digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-qa-020717.pdf
    February 07, 2017 - We have software that automatically extracts problem concepts for clinicians to choose from. … A shorter note that’s more to the point allows me to understand what the problem is with that patient … ANSWER: House staff were unfamiliar with dictation, and transcription errors were a problem. … Attendings working on their own did not have this problem. … ANSWER: Li Zhou: It is a challenging problem.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33773/psn-pdf
    September 01, 2014 - Overuse as a Patient Safety Problem September 1, 2014 Moriates C. … Overuse as a Patient Safety Problem. PSNet [internet]. 2014. … https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem Perspective Nearly half of primary … Perhaps the first step in starting to address medical overuse is shining a spotlight on the problem. … Although there was little focus on overuse as a patient safety problem during the early years of the
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34661/psn-pdf
    March 07, 2005 - tendency for highly successful and highly motivated professionals to employ “defensive reasoning” in problem … As individuals, they effectively analyze and problem solve within the organization but become defensive
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47090/psn-pdf
    January 01, 2019 - reporting is widely utilized to detect adverse events and near misses, but underreporting remains a problem … good-catches-increasing-safety-event-reporting-pediatric-health-care-system https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/problem-incident-reporting
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46278/psn-pdf
    July 19, 2017 - A recent PSNet perspective discussed opioid overdoses as a patient safety problem. … /issue/safe-use-opioids-hospitals https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44239/psn-pdf
    September 29, 2017 - A previous AHRQ WebM&M perspective explored medical care overuse as a patient safety problem. … preventing-overdiagnosis-how-stop-harming-healthy https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46482/psn-pdf
    October 11, 2017 - https://psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis The persistent problem of … An Annual Perspective discussed the opioid crisis as a patient safety problem.
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37168/psn-pdf
    February 03, 2011 - A prior commentary discussed ways of identifying problem physicians. … physician-scores-national-clinical-skills-examination-predictors-complaints-medical https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
  11. psnet.ahrq.gov/issue/new-frontier-healthcare-risk-management-working-reduce-avoidable-patient-suffering
    September 26, 2012 - July 19, 2023 The problem with the '5 whys.' … September 14, 2016 The problem with Plan-Do-Study-Act cycles. … December 23, 2016 The problem with the '5 whys.'
  12. digital.ahrq.gov/sites/default/files/docs/resource/final-b14-archives-sarkar2075.pdf
    January 01, 2013 - code into the patient’s LCR problem list. … The LCR problem list will be the source of data for our i2iTracks registry. a. … Go to Add New Problem. d. Scroll to the bottom of the Billing Problem List. e. … Go into Display Problem List to double check what was entered. 4. … Therefore, their LCR Problem List should not say Colorectal Cancer. 6.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33716/psn-pdf
    September 01, 2011 - KS: The first problem is that they tend to be underused, and physicians almost never fill out incident … Another problem is that the wrong types of events tend to get reported. … It is almost an epidemiologic problem. … Falls are a common enough problem at every hospital that you should stop doing incident reports. … Otherwise, how are you going to see a latent problem that's come up over and over again?
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47137/psn-pdf
    July 19, 2018 - physician-burnout-electronic-health-record-era-are-we-ignoring-real-cause Professional burnout is a pervasive problem … technology contributes to burnout, this commentary advocates for a broader approach to addressing the problem
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45276/psn-pdf
    September 29, 2017 - clinicians-expectations-benefits-and-harms-treatments-screening-and-tests- systematic-review Overuse of medical care represents a significant patient safety problem … clinicians-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47194/psn-pdf
    August 22, 2018 - A PSNet perspective discussed opioid misuse as a patient safety problem. … state-legal-restrictions-and-prescription-opioid-use-among-disabled-adults https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46377/psn-pdf
    October 29, 2017 - This commentary suggests that the problem of medical overuse begins in childhood and advocates for efforts … overkill-avalanche-unnecessary-medical-care-harming-patients-physically-and-financially-what https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44792/psn-pdf
    January 13, 2016 - /psnet.ahrq.gov/issue/hospital-better-responses-those-beeping-alarms Alert fatigue is a well-known problem … hospital-better-responses-those-beeping-alarms https://psnet.ahrq.gov/primer/alert-fatigue https://psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47659/psn-pdf
    January 27, 2019 - A PSNet perspective discussed medical overuse as a patient safety problem. … issue/ethical-imperative-think-about-thinking https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem
  20. psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
    January 18, 2013 - Citation Related Resources From the Same Author(s) Retained surgical items: a problem … November 8, 2013 Application of an engineering problem-solving methodology to address … April 17, 2013 Retained surgical items: a problem yet to be solved.