-
psnet.ahrq.gov/node/43141/psn-pdf
April 30, 2014 - engaging-residents-and-fellows-improve-institution-wide-quality-first-six-years-novel
https://psnet.ahrq.gov/issue/promoting-effective-transitions-care-hospital-discharge-review-key-issues-hospitalists … https://psnet.ahrq.gov/issue/promoting-effective-transitions-care-hospital-discharge-review-key-issues-hospitalists
-
psnet.ahrq.gov/node/36046/psn-pdf
June 21, 2006 - hospital-based emergency care and trauma, prehospital
emergency medical services, and the particular issues … Issues discussed include
overcrowding, fragmentation of care, a shortage of on-call specialists, a lack
-
psnet.ahrq.gov/node/37448/psn-pdf
January 06, 2017 - senior executives to the bedside and engage them
with frontline staff to learn about ongoing safety issues … The authors provide several examples of safety issues discovered during rounds, how they
were addressed
-
psnet.ahrq.gov/node/38334/psn-pdf
January 14, 2009 - General (OIG) report to
Congress a series of analyses with the first related to understanding the issues … adverse-events-hospitals-state-reporting-systems
https://psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues
-
psnet.ahrq.gov/node/40743/psn-pdf
February 01, 2019 - https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
The Joint Commission issues Sentinel … Event Alerts periodically to highlight emerging patient safety issues
and stimulate innovative approaches
-
psnet.ahrq.gov/node/43627/psn-pdf
November 12, 2014 - during general anaesthesia: patient
experiences, human factors, sedation, consent and
medicolegal issues … during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal
issues
-
psnet.ahrq.gov/node/34707/psn-pdf
September 29, 2017 - national-patient-safety-foundation-agenda-research-and-development-patient-
safety
The authors begin this article by providing background on patient safety issues … The authors emphasize the need to address issues along the continuum of
patient safety, including epidemiology
-
psnet.ahrq.gov/node/35771/psn-pdf
May 27, 2011 - A past commentary discussed the benefits, costs, and issues related to CPOE for
organizations considering … clinicaldecisionsupportsystem
https://psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
-
psnet.ahrq.gov/node/45708/psn-pdf
October 31, 2017 - development-and-preliminary-testing-coordination-process-error-reporting-tool-
cpert
Hospitals rely on incident reporting systems to detect safety issues … They found that this tool
helped uncover safety issues not captured by the hospital's patient safety
-
psnet.ahrq.gov/node/44501/psn-pdf
January 22, 2016 - similar to those in other
settings and may benefit by adapting interventions that have addressed these issues … A past AHRQ
WebM&M commentary examined the complex issues around medication dosing for pediatric patients
-
psnet.ahrq.gov/node/38690/psn-pdf
April 07, 2010 - outlines the limited research on VOs, provides
examples of how they can create quality and safety issues … , and explores the root causes of these potential
issues.
-
psnet.ahrq.gov/node/35476/psn-pdf
February 22, 2010 - collectively suggest that no single country stands alone as the best or worst in the identified health
care issues … These issues included transitional care and care coordination, medication safety, chronic care
management
-
psnet.ahrq.gov/node/36280/psn-pdf
May 27, 2011 - The most frequent unintended consequences included more or new work for clinicians, workflow
issues, … discuss strategies to address each of the
categories and explain the importance of understanding these issues
-
psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - Physicians tend to find evaluating psychosocial issues to be challenging for fear that they may not be … able
to address these issues adequately. … respondents felt that “they received effective mentoring during residency in diagnosing
psychosocial issues … also emphasize thorough psychosocial history-
taking with direct questions to recognize psychosocial issues … There may not be
enough time during a visit to address the issues, thus physicians tend to focus more
-
psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - to be
challenging for fear that they may not be able to address these
issues adequately … • Even patients downplay their own psychosocial issues and
sometimes misattribute their symptoms to … enjoyable learning Environment;
– formulate specific Management strategies regarding psychosocial issues … also emphasize thorough psychosocial history-taking
with direct questions to recognize psychosocial issues … – There may not be enough time during a visit to address the issues, thus
physicians tend to focus
-
psnet.ahrq.gov/node/41028/psn-pdf
May 14, 2018 - https://psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety
The Joint Commission issues … sentinel event alerts to emphasize pressing safety issues and provide
guidelines for organizations
-
psnet.ahrq.gov/node/33697/psn-pdf
June 01, 2010 - Individual Provider Issues
The EP workforce is diverse, and practitioners have varied training and experience … Individual Patient Issues
Many patient characteristics create diagnostic challenges, particularly in … Environmental System Issues
The ED care environment can be a significant source of safety problems. … There are several potential solutions to address environmental system issues. … (Go to table citation in the text)
Individual Provider Issues Patient Issues
Environmental
System
-
psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question
February 24, 2025 - February 24, 2025
How to seek care for non-covid health issues during the pandemic, and … April 29, 2020
USA Today news series: clarifying the issues and embracing community pharmacy
-
psnet.ahrq.gov/node/50929/psn-pdf
February 26, 2020 - Discharged with IV antibiotics: When issues arise, who
manages the complications? … Discharged with IV antibiotics: When issues arise, who manages the
complications? … https://psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications … In the above two cases, we find that safety issues arose in the home setting and SNF after discharge. … This physician, with the help of the OPAT team, manages complications, IV access issues,
and/or drug
-
psnet.ahrq.gov/issue/dealing-unforeseen-complexity-or-role-heedful-interrelating-medical-teams
July 06, 2011 - Theor Issues Ergon Sci. 2011;12(3). doi:10.1080/1464536x.2011.564481. … Theor Issues Ergon Sci . 2011; 12 (3) .
View more articles from the same authors. … Theor Issues Ergon Sci. 2011;12(3). doi:10.1080/1464536x.2011.564481.