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psnet.ahrq.gov/node/38387/psn-pdf
February 04, 2009 - Obstetrician-gynecologists' opinions about patient safety:
costs and liability remain problems; are … Obstetrician-gynecologists' opinions about patient safety: costs
and liability remain problems; are … psnet.ahrq.gov/issue/obstetrician-gynecologists-opinions-about-patient-safety-costs-and-liability-
remain-problems … psnet.ahrq.gov/issue/obstetrician-gynecologists-opinions-about-patient-safety-costs-and-liability-remain-problems … psnet.ahrq.gov/issue/obstetrician-gynecologists-opinions-about-patient-safety-costs-and-liability-remain-problems
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psnet.ahrq.gov/node/41568/psn-pdf
April 05, 2013 - Preventable deaths due to problems in care in English
acute hospitals: a retrospective case record review … Preventable deaths due to problems in care in English acute hospitals:
a retrospective case record review … https://psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective … The reviewers did find evidence of significant quality problems among both preventable and
non-preventable … https://psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review
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psnet.ahrq.gov/node/35718/psn-pdf
May 27, 2011 - Potential benefits and problems with computerized
prescriber order entry: analysis of a voluntary medication … Potential benefits and problems with computerized prescriber
order entry: analysis of a voluntary medication … https://psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis … https://psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis-voluntary … https://psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis-voluntary
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - This is a far more efficient method of identifying potential safety problems than most other methods … But it would score low on sensitivity, as many important safety problems would go undetected, as they … "( 8 ) In absolute terms, however, the rate of quality problems was only 9.8% among patients who died … Another concern is that culprit quality problems in cases such as the present one may be undetectable … Although death in low-mortality DRGs has high intuitive appeal as an indicator of safety problems,
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psnet.ahrq.gov/node/42587/psn-pdf
September 25, 2013 - Application of an engineering problem-solving
methodology to address persistent problems in patient … Application of an engineering problem-solving methodology to address persistent
problems in patient … https://psnet.ahrq.gov/issue/application-engineering-problem-solving-methodology-address-persistent-
problems-patient … https://psnet.ahrq.gov/issue/application-engineering-problem-solving-methodology-address-persistent-problems-patient … https://psnet.ahrq.gov/issue/application-engineering-problem-solving-methodology-address-persistent-problems-patient
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psnet.ahrq.gov/issue/using-automated-methods-detect-safety-problems-health-information-technology-scoping-review
April 07, 2019 - Review
Using automated methods to detect safety problems with health information … Using automated methods to detect safety problems with health information technology: a scoping review … Using automated methods to detect safety problems with health information technology: a scoping review … April 7, 2019
Identifying patient safety problems associated with information technology
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psnet.ahrq.gov/issue/mismatch-made-america
December 31, 2018 - A WebM&M commentary discussed problems associated with name similarities in the electronic patient … Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems … Hospitals
Ambulatory Care
Health Care Providers
Medicine
Discontinuities, Gaps, and Hand-Off Problems
-
psnet.ahrq.gov/node/45748/psn-pdf
January 01, 2017 - Fatigue in hospital nurses—'Supernurse' culture is a
barrier to addressing problems: a qualitative interview … Fatigue in hospital nurses - 'Supernurse' culture is a barrier to addressing
problems: A qualitative … https://psnet.ahrq.gov/issue/fatigue-hospital-nurses-supernurse-culture-barrier-addressing-problems- … https://psnet.ahrq.gov/issue/fatigue-hospital-nurses-supernurse-culture-barrier-addressing-problems-qualitative-interview … https://psnet.ahrq.gov/issue/fatigue-hospital-nurses-supernurse-culture-barrier-addressing-problems-qualitative-interview
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integrationacademy.ahrq.gov/sites/default/files/2020-07/DAST.pdf
January 01, 2020 - Has drug abuse ever created problems between you and your spouse? ___ ___
13. … Has any family member ever sought help for problems related to your drug
use? ___ ___
14. … Have you had medical problems as a result of your drug use
(e.g., memory loss, hepatitis, convulsions … Have you ever been in a hospital for medical problems related to
your drug use? ___ ___
27. … Have you been treated as an outpatient for problems related to drug abuse?
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psnet.ahrq.gov/issue/patient-safety-16
January 21, 2015 - Articles also review the epidemiology of common problems such as medication safety, organizational contributors … November 12, 2014
Unintended Consequences: New Problems and New Solutions. … Physicians
Educators
Medicine
Diagnostic Errors
Discontinuities, Gaps, and Hand-Off Problems
-
psnet.ahrq.gov/node/44886/psn-pdf
September 27, 2016 - Direct oral anticoagulants: new drugs with practical
problems. … Direct oral anticoagulants: New drugs with practical problems. … https://psnet.ahrq.gov/issue/direct-oral-anticoagulants-new-drugs-practical-problems-how-can-nurses-help … https://psnet.ahrq.gov/issue/direct-oral-anticoagulants-new-drugs-practical-problems-how-can-nurses-help-prevent-patient … https://psnet.ahrq.gov/issue/direct-oral-anticoagulants-new-drugs-practical-problems-how-can-nurses-help-prevent-patient
-
psnet.ahrq.gov/node/46093/psn-pdf
April 26, 2017 - Inpatient Notes: human factors engineering and inpatient
care—new ways to solve old problems. … Hospitalists Inpatient Notes - Human Factors Engineering and
Inpatient Care-New Ways to Solve Old Problems … psnet.ahrq.gov/issue/inpatient-notes-human-factors-engineering-and-inpatient-care-new-ways-
solve-old-problems … psnet.ahrq.gov/issue/inpatient-notes-human-factors-engineering-and-inpatient-care-new-ways-solve-old-problems … psnet.ahrq.gov/issue/inpatient-notes-human-factors-engineering-and-inpatient-care-new-ways-solve-old-problems
-
psnet.ahrq.gov/node/61092/psn-pdf
November 04, 2020 - Patient race and opioid misuse history influence provider
risk perceptions for future opioid-related problems … Patient race and opioid misuse history influence provider risk
perceptions for future opioid-related problems … previous opioid misuse behaviors impact
providers’ risk assessment for future prescription opioid-related problems
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-nembhard.pdf
June 02, 2025 - Problems with the practice’s
day-to-day operations
6. … Problems that occurred
between patients and
clinicians or staff
7. Exceptional people
8. … been
useful for identifying:
0 10 20 30 40 50 60
exceptional people
exceptional ways to do things
problems … with the practice’s day-to-day …
problems that occurred between patients and…
creative ideas for improving … that occurred between patients and…
Problems with the practice’s day-to-day …
Creative ideas for improving
-
psnet.ahrq.gov/node/44672/psn-pdf
October 11, 2017 - Identifying patient safety problems associated with
information technology in general practice: an analysis … Identifying patient safety problems associated with information
technology in general practice: an analysis … https://psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general … https://psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice … https://psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
-
psnet.ahrq.gov/node/46300/psn-pdf
August 16, 2017 - Prioritizing medication safety in care of people with
cancer: clinicians' views on main problems and … Prioritizing medication safety in care of people with cancer:
clinicians' views on main problems and … https://psnet.ahrq.gov/issue/prioritizing-medication-safety-care-people-cancer-clinicians-views-main-
problems-and … https://psnet.ahrq.gov/issue/prioritizing-medication-safety-care-people-cancer-clinicians-views-main-problems-and … https://psnet.ahrq.gov/issue/prioritizing-medication-safety-care-people-cancer-clinicians-views-main-problems-and
-
psnet.ahrq.gov/node/44692/psn-pdf
January 27, 2016 - Good people who try their best can have problems:
recognition of human factors and how to minimise error … Good people who try their best can have problems: recognition
of human factors and how to minimise error … https://psnet.ahrq.gov/issue/good-people-who-try-their-best-can-have-problems-recognition-human-factors … https://psnet.ahrq.gov/issue/good-people-who-try-their-best-can-have-problems-recognition-human-factors-and-how-minimise … https://psnet.ahrq.gov/issue/good-people-who-try-their-best-can-have-problems-recognition-human-factors-and-how-minimise
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/idea
January 01, 2023 - Contingency Diagram
Description
The contingency diagram uses brainstorming to generate a list of problems … Once problems are identified, then solutions to the problems are determined.
-
psnet.ahrq.gov/node/35476/psn-pdf
February 22, 2010 - Taking the pulse of health care systems: experiences of
patients with health problems in six countries … Taking The Pulse Of Health Care Systems: Experiences Of Patients
With Health Problems In Six Countries … https://psnet.ahrq.gov/issue/taking-pulse-health-care-systems-experiences-patients-health-problems-six … https://psnet.ahrq.gov/issue/taking-pulse-health-care-systems-experiences-patients-health-problems-six-countries … https://psnet.ahrq.gov/issue/taking-pulse-health-care-systems-experiences-patients-health-problems-six-countries
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psnet.ahrq.gov/issue/application-engineering-problem-solving-methodology-address-persistent-problems-patient
March 18, 2020 - Application of an engineering problem-solving methodology to address persistent problems … Application of an engineering problem-solving methodology to address persistent problems in patient safety … Application of an engineering problem-solving methodology to address persistent problems in patient safety