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Showing results for "failures".

  1. digital.ahrq.gov/program-overview/research-stories/improving-safety-postoperative-handoff-communication-telemedicine
    January 01, 2023 - Joanna Abraham and her team at Washington University recognize that care transition failures can lead
  2. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/guillen-s-et-al-2002
    January 01, 2002 - On the contrary, technical aspects are rated lower because failures in the connection appeared in three
  3. digital.ahrq.gov/sites/default/files/docs/page/2006PattersonGeisWears_051611comp.pdf
    March 01, 2006 - and Wears, 2000 Improving Teamwork and Communication To Improve Patient Safety  Communication failures … Early research in commercial aviation crashes demonstrated that failures in “leadership, communication
  4. digital.ahrq.gov/ahrq-funded-projects/first-do-no-harm-using-health-information-technology-reduce-use-preventive
    January 01, 2023 - discussion: What have we learned from previous experience with clinical decision support – successes, failures
  5. digital.ahrq.gov/ahrq-funded-projects/knowledge-engineering-decision-support-osteoporosis/annual-summary/2012
    January 01, 2012 - LaFleur is working toward her long-term career goal of identifying and preventing drug-therapy failures
  6. digital.ahrq.gov/ahrq-funded-projects/knowledge-engineering-decision-support-osteoporosis/annual-summary/2010
    January 01, 2010 - LaFleur will further her long-term career goal of identifying and preventing drug-therapy failures in
  7. Parisetal Hfes2008 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
    January 01, 2008 - Some system errors may go unreported because latent errors, such as communication failures, are not … “Preventing Medication Errors,” the Institute of Medicine (IOM) found that latent communication failures … healthcare community to “look beyond blaming individuals and focus on the multiple underlying system failures
  8. digital.ahrq.gov/ahrq-funded-projects/evidence-based-contingency-planning-electronic-health-record-downtime
    January 01, 2023 - It may be caused by system failures; software or hardware issues; interruptions to internet connectivity
  9. digital.ahrq.gov/ahrq-funded-projects/knowledge-engineering-decision-support-osteoporosis/annual-summary/2011
    January 01, 2011 - LaFleur will further her long-term career goal of identifying and preventing drug-therapy failures in
  10. digital.ahrq.gov/sites/default/files/docs/citation/r01hs022305-manojlovich-final-report-2019.pdf
    January 01, 2019 - Scope: Communication failures between physicians and nurses are one of the most common causes of adverse … record, computerized provider order entry, email, and pagers) may help reduce some communication failures … Using incident reports to assess communication failures and patient outcomes. … Communication failures: An insidious contributor to medical mishaps.
  11. digital.ahrq.gov/medical-condition/congestive-heart-failure-chf
    January 01, 2024 - Congestive Heart Failure (CHF) Comparison of short-term health care utilization between telemedicine-delivered vs in-person care visits for heart failure. Citation Casey SD, Sax DR, Mark DG, Rana JS, Solomon MD, Huang J, Reed ME. Comparison of short-term health care utilizatio…
  12. digital.ahrq.gov/ahrq-funded-projects/using-information-technology-it-improve-medication-safety-rural-elders/annual-summary/2008
    January 01, 2008 - projects that attempt to create a health information exchange, the RxSafe project had both successes and failures
  13. digital.ahrq.gov/ahrq-funded-projects/electronic-records-improve-care-children/annual-summary/2009
    January 01, 2009 - Important steps were taken toward remedying those failures.
  14. digital.ahrq.gov/ahrq-funded-projects/health-information-technology-heart-failure-care
    January 01, 2023 - Health Information Technology in Heart Failure Care Project Final Report ( PDF , 321.58 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. N…
  15. digital.ahrq.gov/ahrq-funded-projects/metro-dc-health-information-exchange-medhix/annual-summary/2009
    January 01, 2009 - about the benefits, risks, opportunities, priorities, implementation strategies, national successes and failures
  16. digital.ahrq.gov/sites/default/files/docs/citation/r01hs021590-ralston-final-report-2017.pdf
    January 01, 2017 - systems of home calendar management, including the common use of multiple calendars within a home, and failures … Based on participants’ experiences, failures in remembering to perform self-management activities should … be viewed as system failures rather individual failures.
  17. digital.ahrq.gov/ahrq-funded-projects/power-patient-design-and-test-closed-loop-interactive-it-geriatric-heart
    January 01, 2023 - Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care Project Final Report ( PDF , 925.1 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, …
  18. digital.ahrq.gov/sites/default/files/docs/page/2006Richards_051611comp.pdf
    June 05, 2006 - physician master file updates via intranet form as needed Physician master file updates lead to fewer failures
  19. digital.ahrq.gov/sites/default/files/docs/citation/r21hs022586-lacson-final-report-2017.pdf
    January 01, 2017 - transitioning to ambulatory care from the emergency department (ED) and inpatient settings, can exacerbate failures … unclear, and this transfer of responsibility between acute care and ambulatory clinicians may exacerbate failures … to ambulatory care sites from the emergency department (ED) and inpatient settings, can exacerbate failures
  20. digital.ahrq.gov/sites/default/files/docs/citation/r01hs022087-singh-final-report-2018.pdf
    January 01, 2018 - Scope: Delayed diagnoses resulting from test result communication failures (“missed” test results) are … and specifically highlighted the importance of both diagnostic errors and test result communication failures … attention has focused on these critical test results.(20, 21) However, research highlights communication failures … the hazard potential for errors at each step in the EHR test result follow-up process and isolated failures … Significance: Delayed diagnoses resulting from test result communication failures is an important topic

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