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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36046/psn-pdf
    June 21, 2006 - hospital-based emergency care and trauma, prehospital emergency medical services, and the particular issuesIssues discussed include overcrowding, fragmentation of care, a shortage of on-call specialists, a lack
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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
  11. Psn-Pdf (pdf file)

    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.
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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
  14. Psn-Pdf (pdf file)

    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
  15. Spotlight (pdf file)

    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
  16. Psn-Pdf (pdf file)

    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
  17. Psn-Pdf (pdf file)

    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
  18. 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
  19. Psn-Pdf (pdf file)

    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
  20. 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.

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