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Showing results for "issues".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49432/psn-pdf
    February 09, 2004 - Errors never occur in a vacuum: usually, system-based issues are contributing factors. … All of these issues must be addressed for residents to successfully negotiate training. … If significant systems issues are identified, then that information needs to be communicated to the … Too often, there is a disconnect between residency issues and the institutional quality apparatus. … The format has enabled the identification of many systems issues that have subsequently been improved

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33845/psn-pdf
    November 01, 2017 - Many issues are less technological and more policy and social issues. … It would be good to find ways that technologies could help make it easier for patients to flag issues … There are obviously challenges with important issues not getting triaged appropriately. … WP: It has been particularly useful for different gastrointestinal issues, irritable bowel diseases, … for looking at the microbiome as well, and that has strong connections with these gastrointestinal issues

  3. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
    June 01, 2012 - Non-emergency patient transport – what are the quality and safety issues? A systematic review. … Non-emergency patient transport – what are the quality and safety issues? A systematic review. … Non-emergency patient transport – what are the quality and safety issues? A systematic review. … Non-emergency patient transport – what are the quality and safety issues? A systematic review. … Non-emergency patient transport – what are the quality and safety issues? A systematic review.

  4. A Costly Colonoscopy Leads to a Delay in Diagnosis | PSNet

    psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
    September 01, 2014 - Although patients who lack insurance are at highest risk for these types of issues, merely having insurance … effectively advocate for themselves as they too may lack knowledge that would allow them to handle issues … It does not always have to be the physician who directly handles insurance or cost-related issues for … Improving the system requires educating patients and clinicians to identify cost-related medical issues … care systems should address this problem systematically, just as they do with other patient safety issues

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49693/psn-pdf
    October 01, 2013 - Delineate patient safety issues associated with transgender health. … Transgender health raises a number of patient safety issues: lack of access to health care, increased … vulnerable and underserved part of the community, but they are also at increased risk for a number of issues … Transitioning transgender individuals face a number of patient safety issues. … View AHRQ Disclaimers http://transequality.org/Issues/homelessness.html http://www.ncbi.nlm.nih.gov/

  6. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
    March 01, 2014 - In: From Front Office to Front Line: Essential Issues for Health Care Leaders. 2nd ed. … In: From Front Office to Front Line: Essential Issues for Health Care Leaders. 2nd ed. … In: From Front Office to Front Line: Essential Issues for Health Care Leaders. 2nd ed. … Level 3: Disciplinary Intervention Pattern persists No change Vast majority of professionals have no issues … Professional Accountability Pyramid (3) When a pattern of misdiagnoses or related safety or quality issues

  7. National Center for Patient Safety Falls Toolkit 2004. | PSNet

    psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
    May 24, 2017 - Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues … January 1, 2022 System issues leading to "found-on-floor" incidents: a multi-incident

  8. Tamiflu (oseltamivir) for oral suspension: potential medication errors. | PSNet

    psnet.ahrq.gov/issue/tamiflu-oseltamivir-oral-suspension-potential-medication-errors
    November 07, 2012 - Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a … June 22, 2011 Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine

  9. ReliOn insulin syringes for use with U-100 insulin (Tyco Healthcare-Covidien). | PSNet

    psnet.ahrq.gov/issue/relion-insulin-syringes-use-u-100-insulin-tyco-healthcare-covidien
    September 30, 2015 - June 22, 2011 Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine … June 28, 2023 Medication safety issues with newly authorized PAXLOVID.

  10. Examining the Increase in Drug Shortages. | PSNet

    psnet.ahrq.gov/issue/examining-increase-drug-shortages
    March 01, 2017 - November 6, 2019 Oversight Hearing on Recent Patient Safety Issues. … May 1, 2015 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease Treatment

  11. Important Warnings and Instructions for Heparin Sodium Injection (Baxter). | PSNet

    psnet.ahrq.gov/issue/important-warnings-and-instructions-heparin-sodium-injection-baxter
    May 24, 2015 - May 24, 2015 Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection … June 22, 2011 Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine

  12. CMS changes in reimbursement for HAIs: setting a research agenda. | PSNet

    psnet.ahrq.gov/issue/cms-changes-reimbursement-hais-setting-research-agenda
    May 03, 2018 - September 25, 2019 Advanced practice nursing students' identification of patient safety issues … April 10, 2013 Patient safety issues in advanced practice nursing students' care settings

  13. Spotlight Case (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
    October 01, 2009 - clinical facts Contact chief of relevant service, involved providers Must deal with immediate clinical issues … bad apples” The CNO’s Perspective Disrespectful, disruptive, hostile behavior remain significant issues … in “chain of command” CMO acted promptly to deal with immediate clinical situation and behavioral issues

  14. Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. | PSNet

    psnet.ahrq.gov/issue/compliance-technical-guidelines-radiotherapy-treatment-relation-patient-safety
    December 10, 2014 - awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues … August 10, 2011 The use of human factors methods to identify and mitigate safety issues

  15. PHSO Review: Quality of NHS Complaints Investigations. | PSNet

    psnet.ahrq.gov/issue/phso-review-quality-nhs-complaints-investigations
    November 16, 2015 - November 24, 2021 Report of the Independent Inquiry into the Issues Raised by Paterson … December 22, 2010 Adverse Events in Hospitals: Overview of Key Issues.

  16. Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. | PSNet

    psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
    October 15, 2008 - January 22, 2014 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease … April 15, 2009 Adverse Events in Hospitals: Overview of Key Issues.

  17. Drug Shortages: FDA's Ability to Respond Should Be Strengthened. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-fdas-ability-respond-should-be-strengthened
    April 15, 2009 - October 26, 2022 Oversight Hearing on Recent Patient Safety Issues. … October 1, 2014 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease

  18. Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-care-study-incidence-among-medicare-beneficiaries-two-selected
    January 14, 2009 - January 14, 2009 Adverse Events in Hospitals: Overview of Key Issues. … July 2, 2009 Adverse Events in Hospitals: Overview of Key Issues.

  19. Contributions by the Agency for Healthcare Research and Quality and Grantees. | PSNet

    psnet.ahrq.gov/issue/contributions-agency-healthcare-research-and-quality-and-grantees
    July 29, 2010 - Resources From the Same Author(s) Keeping our Promises: Research, Practice, and Policy Issues … April 20, 2011 Keeping our Promises: Research, Practice, and Policy Issues in Health

  20. Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-hospitals-contributions-high-reliability-theory-and-normal-accident
    October 13, 2010 - May 4, 2014 Oversight Hearing on Recent Patient Safety Issues. … February 3, 2011 Perspective Key Issues in Developing a
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