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Showing results for "problem".

461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33671/psn-pdf
     July 01, 2008 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis July 1, 2008 Spath P, Minogue W. … The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet]. 2008. … https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis Perspective Throughout … For all of our patient https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis … If we are correct, then the RCA tool is not the problem.

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36088/psn-pdf
     September 28, 2010 - Lucian Leape also discussed the issue of problem doctors and disruptive behavior from a systems standpoint … disruptive-behavior-and-clinical-outcomes-perceptions-nurses-and-physicians https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47204/psn-pdf
     July 18, 2018 - A PSNet perspective discussed opioid overdose as a patient safety problem. … psnet.ahrq.gov/issue/opioid-overdose https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35588/psn-pdf
     February 03, 2011 - These include agreement that a problem exists, agreement that a proposed solution actually solves the … problem, and identifying obstacles and how they can be overcome. 

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46849/psn-pdf
     May 23, 2018 - These activities helped to design training efforts to enhance awareness of the problem. … days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos https://psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-solved

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47370/psn-pdf
     October 10, 2018 - development-conceptual-map-negative-consequences-patients-overuse-medical-tests-and https://psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions … when-medical-care-leads-harm-difficulty-finding-words-teachable-moment https://psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research

467. Value of New Drug Labeling Knowledge for e-Prescribing - 2008 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/value-new-drug-labeling-knowledge-e-prescribing/annual-summary/2008
     January 01, 2008 - medication order entry application, which was created based on these standards, includes an allergy list, a problem … that some of the project’s further-reaching goals, particularly the linking of medications to managed problem … the project demonstrated how RxNorm, NDFRT, and SNOMED-CT can be used to make inferences about the Problem … Medication and indication linkage: a practical therapy for the problem list? … Evaluation of the VA/KP problem list subset of SNOMED as a clinical terminology for electronic prescription

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46186/psn-pdf
     August 02, 2017 - A recent PSNet perspective discussed opioid overdose as a patient safety problem. … call-action-preventable-health-care-harm-public-health-crisis-and-patient-safety-requires https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40816/psn-pdf
     March 21, 2017 - This study provides an approach for health care organizations to address the disturbingly common problem … psnet.ahrq.gov/issue/surveys-patient-safety-culture https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46529/psn-pdf
     November 08, 2017 - psnet.ahrq.gov/issue/addressing-opioid-misuse https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem … https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem https://psnet.ahrq.gov/issue

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44127/psn-pdf
     September 28, 2017 - A previous AHRQ WebM&M perspective explored overuse as a patient safety problem. … diagnosing-overdiagnosis-conceptual-challenges-and-suggested-solutions https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem

472. Veterans Affairs Integrated Medication Manager - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs017186-nebeker-final-report-2011.pdf
     January 01, 2011 - The measurement model was susceptible to a missing data problem. … HA: Greater Expertise with Problem results in Higher Mode of Control 4. … If we have enough time, we will review a 2nd problem. … Do you have a standard protocol for this problem? Briefly, what is it? … problem for this patient?

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49622/psn-pdf
     March 01, 2011 - not work as needed, and so the user "plays games" with the system to defeat it.(3) This is a serious problem … own notifications who else was notified, they too would have had a chance to catch and correct the problem … This problem of lack of visibility is common in health information technology (IT). … Or as in this case, it may simply be that the patient catches the problem before harm occurs. … Challenges and problem-solving strategies during medication management: a study of a pediatric hospital

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37750/psn-pdf
     May 07, 2008 - this area has investigated predictors of unprofessional actions and system-level solutions to the problem … /disciplinary-action-medical-boards-and-prior-behavior-medical-schools https://psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46823/psn-pdf
     August 20, 2018 - A previous PSNet perspective discussed how to identify and manage problem behaviors. … primer/adverse-events-near-misses-and-errors https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47283/psn-pdf
     January 27, 2019 - four-states-robust-prescription-drug-monitoring-programs-reduced-opioid-dosages https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem … https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33642/psn-pdf
     November 01, 2006 - Initially, I was interested in the classical problems in psychology (memory, attention, thinking, problem … They analyze the problem, they analyze the possible solutions, and they design a solution. … Now anybody who designs anything has a problem of understanding the thing they're designing too well … So part of the problem is not seeing it as a system, that things have to work in context. … The problem is we tend to deny it.

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40213/psn-pdf
     February 16, 2011 - trigger tools to MEDMARX, limitations in whether these systems provide a true representation of the problem … medmarxr https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47178/psn-pdf
     July 10, 2018 - A past PSNet perspective highlighted overuse as a patient safety problem. … possible-net-harms-breast-cancer-screening-updated-modelling-forrest-report https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33755/psn-pdf
     September 01, 2013 - Culture change inevitably occurs slowly, through cycles of action and interpretation.(8) Problem solving … A focus on problem solving also reinforces the learning orientation that is core to a culture of safety … while building problem- solving capacity. … Often considered "the problem," resistance may be more productively and accurately viewed as the key … constructively leveraging resistance, creating a learning orientation by focusing on problems and problem