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Showing results for "issues".

281. Perinatal patient safety from the perspective of nurse executives: a round table discussion. | PSNet
     psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion
     August 13, 2010 - The authors summarize a discussion between six nurse executives in issues related to perinatal patient … Copy Citation Related Resources From the Same Author(s) Clinical Issues Series

282. Improving Diagnosis in Medicine Act of 2020. | PSNet
     psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2020
     September 10, 2009 - to improve diagnosis in health care by addressing systemic weaknesses, knowledge gaps, and training issues … January 23, 2019 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease

283. Trends in Nursing Home Deficiencies and Complaints. | PSNet
     psnet.ahrq.gov/issue/trends-nursing-home-deficiencies-and-complaints
     February 18, 2009 - This report summarizes 2007 data on quality and safety issues in Medicare- and Medicaid-certified nursing … January 14, 2009 Adverse Events in Hospitals: Overview of Key Issues.

284. Postdischarge Follow-Up Phone Call | PSNet
     psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
     May 19, 2021 - She also vaguely remembered being given a number at the hospital to call if she had any issues at home … Create a resource network to troubleshoot issues raised on the call. … may uncover more issues than "Do you have any questions about your discharge medications?" … Track call outcomes to help inpatient providers learn from issues addressed in the call. … arise after discharge, the time needed to adequately address issues may be much longer.

285. Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. | PSNet
     psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
     May 24, 2016 - This paper confronts two central issues for organizational learning from the prism of the chemical and … January 20, 2016 Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865883/psn-pdf
     May 15, 2024 - psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error Design and user issues … identifying-electronic-health-record-contributions-diagnostic-error-ambulatory-settings https://psnet.ahrq.gov/issue/electronic-health-record-use-issues-and-diagnostic-error-scoping-review-and-framework

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60011/psn-pdf
     March 04, 2020 - ucsd-doc-who-overdosed-hospital-bathroom-face-lawsuits It is an institutional responsibility to monitor physicians exhibiting performance issues … action and policy adherence that failed to appropriately manage a physician with known substance abuse issues

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74734/psn-pdf
     January 19, 2024 - This review highlights issues associated with surgical error disclosure. … It summarizes literature covering legal and ethical issues, honest apology, and skill development to

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73412/psn-pdf
     August 01, 2022 - improve health behaviors, and adhere to recommended treatments.1 IPV can also lead to mental health issues … the ability of patients to adhere to treatment for chronic conditions and can cause mental health issues … Staff members should be educated to ensure that they understand how these behavioral health issues are … Womens Health Issues. 2015;25(3):193-197. … Womens Health Issues. 2019;29(2):97-102. doi:10.1016/j.whi.2018.11.003 Kimberg LS.

290. Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. | PSNet
     psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility
     May 13, 2015 - technology has yet to be fully realized due to a myriad of factors, including vendor and organizational issues … June 19, 2019 A mixed-method study of practitioners' perspectives on issues related to

291. Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. | PSNet
     psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-used-hospitals
     October 16, 2012 - A widely-reported meningitis outbreak in the United States uncovered quality and safety issues associated … January 14, 2009 Adverse Events in Hospitals: Overview of Key Issues.

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862614/psn-pdf
     February 14, 2024 - This scoping review including 38 articles identified 29 systemic issues faced by nursing homes, including … regulatory issues and resident and staff satisfaction.

293. When health care moves online, many patients are left behind. | PSNet
     psnet.ahrq.gov/issue/when-health-care-moves-online-many-patients-are-left-behind
     August 19, 2020 - This article examines how technological limitations present safety issues to patients, such as unreliable … August 19, 2020 Do falls and other safety issues occur more often during handovers when

294. "No-go considerations" for in situ simulation safety. | PSNet
     psnet.ahrq.gov/issue/no-go-considerations-situ-simulation-safety
     April 14, 2021 - Frontline simulations offer valuable opportunities to explore system issues , process weaknesses, … August 29, 2011 Comparative issues in aviation and surgical crew resource management:

295. Trends and patterns in reporting of patient safety situations in transplantation. | PSNet
     psnet.ahrq.gov/issue/trends-and-patterns-reporting-patient-safety-situations-transplantation
     October 19, 2022 - This is the first published report of patient safety issues identified by the national Organ Procurement … awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865681/psn-pdf
     April 24, 2024 - They found the timeliness of problem reporting and facility-centric actions to resolve identified issues … dod-should-improve-its-process-clinical-adverse-actions-against-providers https://psnet.ahrq.gov/primer/individual-clinician-performance-issues

297. Spotlight-Slides-Wright-Schiff (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-04/spotlight-slides-wright-schiff.pdf
     January 01, 2020 - CPOE • Inconsistencies in display of drugs, drug names, and workflow within and between systems • Issues … with ease and accuracy in finding desired drug and regimen • Wrong-patient errors • Issues with comments … decision support (CDS): poor consistency, reliability, efficiency • Interoperability/communication issues … between CPOE systems and pharmacies • Medication reconciliation issues • Widespread failure to identify … , understand, track, share, and learn from CPOE issues/errors 12 Transmitting Electronic Prescriptions

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60923/psn-pdf
     September 16, 2020 - considering-safety-and-quality-artificial-intelligence-health-care This article discusses healthcare safety and quality issues … considering-safety-and-quality-artificial-intelligence-health-care https://psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33884/psn-pdf
     July 01, 2019 - Emerging Safety Issues in Artificial Intelligence July 1, 2019 Challen R. … Emerging Safety Issues in Artificial Intelligence. PSNet [internet]. 2019. … https://psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence Perspective Background … Emerging Safety Issues In traditional clinical decision support systems, rules are authored by experts … However, the severity of these issues depends critically on the AI application.

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866166/psn-pdf
     June 19, 2024 - importance of considering environmental and system factors, in addition to individual performance issues … primer/pharmacists-role-medication-safety https://psnet.ahrq.gov/primer/individual-clinician-performance-issues