-
psnet.ahrq.gov/issue/developing-common-language-evaluation-questions-quality-and-safety-improvement
September 27, 2016 - February 10, 2021
Applying human factors engineering to address the telemetry alarm problem … The sinks can make the problem worse. … December 9, 2009
Quality of medication use in primary care—mapping the problem, working
-
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
-
digital.ahrq.gov/sites/default/files/docs/page/AHRQPlenary6.05.pdf
November 01, 2004 - Medical Progress Over Half a CenturyMedical Progress Over Half a Century
Problem Goes BeyondProblem … It is
the problem you tackled after all the high-tech,
profitable and sexy stuff was taken care of
(which … overrated impact on
patient safety
– It has plenty of baggage, but not the root cause
of our safety problem … Lack of accountability: a big problem
– There are some bad doctors and nurses,
notwithstanding “no … Pre-IOM EraPre-IOM Era
Patient safety not in the vocabulary
Little understanding of nature of
problem
-
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
-
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.
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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.
-
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.'
-
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?
-
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.
-
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
-
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
-
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
-
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