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Total Results: 8,190 records

Showing results for "failures".

281. Machine learning is booming in medicine. It’s also facing a credibility crisis. | PSNet
     psnet.ahrq.gov/issue/machine-learning-booming-medicine-its-also-facing-credibility-crisis
     May 22, 2019 - This news story highlights how underlying problems and testing failures limit the trustworthiness … December 1, 2021 Pathology Oversight Failures at the Veterans Health Care System of the

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47252/psn-pdf
     August 01, 2018 - https://psnet.ahrq.gov/issue/communication-errors-radiology-pitfalls-and-how-avoid-them Communication failures … communication-errors-radiology-pitfalls-and-how-avoid-them https://psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39064/psn-pdf
     October 28, 2009 - Use of failure mode and effects analysis for proactive identification of communication and handoff failures … Use of failure mode and effects analysis for proactive identification of communication and handoff failures

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45815/psn-pdf
     January 25, 2017 - Improvement efforts have focused on care transitions, which are known to be vulnerable to communication failures … psnet.ahrq.gov/primer/handoffs-and-signouts https://psnet.ahrq.gov/issue/decreasing-handoff-related-care-failures-childrens-hospitals

285. Identifying failure modes in telemedicine: an instructional needs assessment. | PSNet
     psnet.ahrq.gov/issue/identifying-failure-modes-telemedicine-instructional-needs-assessment
     August 23, 2023 - study, medical students used Healthcare Failure Modes and Effect Analysis to identify the causes of failures … Four categories of failures were identified: technical issues, patient safety, communication, and social

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39975/psn-pdf
     March 03, 2011 - https://psnet.ahrq.gov/issue/communication-failure-operating-room Communication failures are a well-characterized … this study, implementation of a teamwork training program was associated with fewer communication failures

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47418/psn-pdf
     September 19, 2018 - /issue/how-communications-issues-between-doctors-and-nurses-can-affect-your- health Communication failures … how-communications-issues-between-doctors-and-nurses-can-affect-your-health https://psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45021/psn-pdf
     April 06, 2016 - scandal-sentinel-event-recognizing-hidden-cost-quality-trade-offs Latent factors are known to contribute to system-level failures … meet performance targets and insufficient safety culture led to unintended consequences and system failures

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43550/psn-pdf
     October 15, 2014 - medical records (EMRs), they will need contingency plans to ensure patient safety in the event of system failures … survey of 50 institutions with fully integrated EMRs found that nearly all had experienced unexpected failures

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45438/psn-pdf
     September 07, 2016 - recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures … Recognition of Deterioration of Patients in General Wards Is Mostly Caused by Human Related Monitoring Failures

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47193/psn-pdf
     September 05, 2018 - , Recommendation (SBAR) is a mnemonic used to structure information sharing to avoid communication failures … implementing-sbar-across-large-multihospital-health-system https://psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34667/psn-pdf
     January 17, 2018 - authors (experts from the Institute for Safe Medication Practices) discovered more than 50 latent system failures … The authors discuss the need to look beyond individuals and focus on the multiple system failures that

293. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. | PSNet
     psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
     April 27, 2019 - A prospective failure mode and effect analysis identified 57 potential failures that each could lead … Most of these potential failures require technological rather than educational or policy-based solutions

294. A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. | PSNet
     psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays
     September 09, 2020 - Delays in emergency room (ER) triage and assessment contribute to wide range of failures that degrade … September 9, 2020 Weak oversight allows lab failures to put patients at risk.

295. Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. | PSNet
     psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
     June 16, 2019 - (experts from the Institute for Safe Medication Practices) discovered more than 50 latent system failures … The authors discuss the need to look beyond individuals and focus on the multiple system failures that

296. Patient Safety: A Case-based Innovative Playbook for Safer Care. Second Edition. | PSNet
     psnet.ahrq.gov/issue/patient-safety-case-based-innovative-playbook-safer-care-second-edition
     September 11, 2019 - emerged in prominence due to the COVID-19 pandemic (health disparities, inequities and nursing home care failures … August 28, 2019 Mistakes, Errors and Failures across Cultures.

297. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. | PSNet
     psnet.ahrq.gov/issue/safety-events-impacting-hospitalized-patients-following-motor-vehicle-crashes-qualitative
     October 07, 2020 - Download Citation Related Resources From the Same Author(s) Process failures … October 7, 2020 Patient harm resulting from medication reconciliation process failures … 2020 Health literacy-related safety events: a qualitative study of health literacy failures

298. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. | PSNet
     psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations
     July 06, 2022 - July 13, 2022 Patient harm resulting from medication reconciliation process failures: … June 29, 2022 Process failures that increase the risk of infection through respiratory … January 19, 2022 Communication failures contributing to patient injury in anaesthesia

299. Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study. | PSNet
     psnet.ahrq.gov/issue/hospital-acquired-functional-decline-and-clinical-outcomes-older-cardiac-surgical-patients
     February 06, 2019 - 19, 2021 View More Related Resources Giving up learning from failures … An examination of learning from one's own failures in the context of heart surgeons. … Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures

300. Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. | PSNet
     psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-mental-health-veterans-health
     July 13, 2022 - Copy Citation Related Resources From the Same Author(s) Multiple Failures … Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures … April 19, 2023 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with