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psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents
August 25, 2021 - Commentary
Classic
Human error and the problem of causality … Human error and the problem of causality in analysis of accidents. … Human error and the problem of causality in analysis of accidents.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-13.html
November 01, 2014 - Identify and Choose Priority Problem
Previous Page Next Page
Table of Contents
Improving
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psnet.ahrq.gov/issue/problems-detecting-medication-errors-hospitals
February 01, 2012 - method for estimating medication errors, and that previous efforts to assess the prevalence of the problem
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effectivehealthcare.ahrq.gov/health-topics/breathing-problems
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www.ahrq.gov/cahps/surveys-guidance/item-sets/children-chronic/screener.html
April 01, 2022 - The Problem: Children with Chronic Conditions Are Hard to Find
To identify children with special health … Reasons for this problem include coding errors, misdiagnoses, lack of access to care, and the global … CAHPS Methodology: Focus on Consequences
This item set addresses this problem by classifying children
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cause-and-effect-diagram
January 01, 2023 - provide a visual means of conveying all suspected and possible causes and consequences of a specific problem … Bear in mind the primary goal is to solve the problem rather than eliminate the symptoms. … Identifies many of the causes of a problem. … The outcome requires a good leader and participation of process owners who fully understand the problem
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psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions
November 01, 2017 - Emerging Classic
Overdiagnosis in primary care: framing the problem … Overdiagnosis in primary care: framing the problem and finding solutions. … Overdiagnosis in primary care: framing the problem and finding solutions.
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psnet.ahrq.gov/issue/laneys-story-problem-delayed-diagnosis-pediatric-stroke
April 24, 2018 - Commentary
Laney's story: the problem of delayed diagnosis of pediatric stroke. … Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. … Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke.
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psnet.ahrq.gov/issue/iv-potassium-given-epidurally-getting-route-problem
April 20, 2022 - Newspaper/Magazine Article
IV potassium given epidurally: getting to the "route" of the problem … Citation Text:
IV potassium given epidurally: getting to the "route" of the problem. … Citation
Citation Text:
IV potassium given epidurally: getting to the "route" of the problem
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www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
January 01, 2024 - Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN … Study
Problem Density, Workload, and Medical
Error in Primary Care Practice:
a WREN Study
Final … NPPE was highly correlated to CWL; CWL increased 7.2% for each additional problem
(P<0.001). … Encounter
problem density in primary care: a better measure of complexity? … per hour (5 minutes 34 seconds
spent per problem).
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psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
November 01, 2008 - Health Care–Acquired Urinary Tract Infection: The Problem and Solutions
Lindsay E. … Health Care–Acquired Urinary Tract Infection: The Problem and Solutions. PSNet [internet]. … Health Care–Acquired Urinary Tract Infection: The Problem and Solutions. PSNet [internet]. … So it's unclear which one is more likely to be a problem. … What do you think of the accreditation and regulatory approach to this problem?
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psnet.ahrq.gov/issue/multiple-drawer-medication-layout-problem-automated-dispensing-cabinets
December 21, 2017 - Study
A multiple-drawer medication layout problem in automated dispensing cabinets … A multiple-drawer medication layout problem in automated dispensing cabinets. … A multiple-drawer medication layout problem in automated dispensing cabinets.
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psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
May 08, 2024 - Commentary
Patient falls in the operating room: why is this still a problem in 2024 … Patient falls in the operating room: why is this still a problem in 2024? … Patient falls in the operating room: why is this still a problem in 2024?
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psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture-psychological-safety
August 02, 2015 - Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem … Problem.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/root-cause-analysis
January 01, 2023 - Description
Root cause analysis (RCA) is a popular technique used to determine why a problem occurred … The goal of a root cause analysis is to identify a problems origin by following a series of steps. … This allows the analyst or analyzing team to identify the exact issue, identify the reason for the problem
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psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning
June 19, 2018 - Commentary
The problem with…using stories as a source of evidence and learning. … The problem with … using stories as a source of evidence and learning. … The problem with … using stories as a source of evidence and learning. … Related Resources From the Same Author(s)
Overdiagnosis and overtreatment as a quality problem
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psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors
May 26, 2021 - Study
Classic
The $17.1 billion problem: the annual cost … The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. … The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors.
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digital.ahrq.gov/ahrq-funded-projects/cognitive-engineering-complex-decisionmaking-problem-solving-acute-care
January 01, 2023 - Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care … Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care - Final Report. … Project Name: Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care Document … Project Name: Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care Document … Project Name: Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care Document
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psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis
December 18, 2019 - The persistent problem of opioid-related harm calls for changes in pain management practices and system … An Annual Perspective discussed the opioid crisis as a patient safety problem. … July 2, 2019
The opioid crisis: can improving diagnosis help solve the problem?
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psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication
September 23, 2020 - Review
Drug-related-problem outcomes and program satisfaction from a comprehensive … Drug-Related-Problem Outcomes and Program Satisfaction from a Comprehensive Brown Bag Medication Review … Drug-Related-Problem Outcomes and Program Satisfaction from a Comprehensive Brown Bag Medication Review … February 12, 2020
The problem with medication reconciliation.