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Showing results for "issues".

  1. psnet.ahrq.gov/issue/implantable-infusion-pumps-magnetic-resonance-mr-environment-fda-safety-communication
    February 07, 2018 - February 7, 2018 Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of … June 22, 2011 Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine … August 5, 2020 View More Related Resources Apotex Corp. issues
  2. psnet.ahrq.gov/issue/usability-and-safety-analysis-electronic-health-records-multi-center-study
    October 13, 2018 - December 21, 2022 Electronic health record usability issues and potential contribution … November 15, 2018 Identifying electronic medication administration record (eMAR) usability issues … December 19, 2018 Electronic health record usability issues and potential contribution
  3. psnet.ahrq.gov/issue/assessment-automating-safety-surveillance-electronic-health-records-analysis-quality-and
    October 17, 2018 - February 22, 2019 Identifying health information technology usability issues contributing … December 11, 2024 Electronic health record usability issues and potential contribution … November 15, 2018 Identifying electronic medication administration record (eMAR) usability issues
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39709/psn-pdf
    September 20, 2011 - of such conferences with presentation of cases and expert commentaries discussing relevant safety issues … systems audit framework that was applied to M&M conferences to enhance resident awareness of systems issues
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37032/psn-pdf
    May 27, 2011 - The studies also provided only limited information on implementation issues and potential unintended … Such issues will need to be addressed in order to improve the slow pace of uptake of CPOE in US hospitals
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42473/psn-pdf
    August 13, 2013 - As the majority of equipment problems were due to potentially preventable issues (such as equipment … Preoperative time outs are also an effective means of prospectively identifying potential equipment issues
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37843/psn-pdf
    March 04, 2011 - problems and facility design problems as major contributors to errors, with staffing and communication issues … These human factors issues contribute to latent errors, and the authors suggest that equipment and facility
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45715/psn-pdf
    November 01, 2017 - care, executive walk rounds are used to help senior leadership engage in discussions about safety issues … Leaders reported that participating in walk rounds increased their awareness around safety issues and
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41101/psn-pdf
    October 16, 2012 - abnormal test results); referrals (e.g., poor communication between providers); and patient-related issues … The investigators found that few of the interventions proposed to address these issues have been formally
  10. psnet.ahrq.gov/primer/radiation-safety
    September 15, 2024 - This Patient Safety Primer will discuss the safety issues associated with the use of radiation, both … occur with radiotherapy usually arise from multiple causes and are attributable to underlying systems issues … These issues may be exacerbated by the use of different software programs and varying types of radiotherapy … training with new equipment, poor interoperability of systems, and other human factors engineering issues … Current Context Like all issues that have been the subject of Sentinel Event Alerts, radiation safety
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43571/psn-pdf
    October 01, 2014 - executives or senior managers visiting frontline staff and engaging in conversations about potential safety issues … i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences https://psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42502/psn-pdf
    October 07, 2013 - statement from the American Heart Association (AHA) reviews the current state of knowledge on safety issues … which are considered the standard of care for cardiac patients, have traditionally focused on clinical issues
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45536/psn-pdf
    October 05, 2016 - clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care- prioritize-study Compared with other patient safety issues … The main issues included inability to meet patients' care needs and inadequate communication between
  14. psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
    April 01, 2006 - with the practitioner, and we can contact the FDA, JCAHO, or even product vendors if broader product issues … , packaging issues, and even nomenclature issues. … I walk into some community pharmacies, and the management just hasn't caught up to the safety issues. … Why is this so, and how can we incorporate safety issues in our curricula in ways that better prepare … Second, pharmacists themselves often draw perimeters around their sphere of influence to include issues
  15. psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
    January 31, 2024 - But challenges in office-based care settings, such as falls, diagnostic issues, and complications related … That analysis attempted to make an overall account of the kinds of safety issues that arise in office-based … Clinician-reported non-routine events included case delays from machine failures and staffing issues. … Follow-up and follow-through on the patient’s health and health issues are key to building trust and … , you have more eyes on that patient and a better capacity to identify potential safety issues before
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33758/psn-pdf
    December 01, 2013 - and NIH and is now a nationally recognized expert in electronic health record–related patient safety issues … around technology, electronic medical records, issues around trainees. … Let's say you weren't fundamentally interested in IT-related safety issues, but you see a huge federal … We were doing work on EHR-related safety issues including missed test results for many years before … And some of my ventures into IT-type safety issues were built nicely on our previous sociotechnical
  17. Spotlight (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.ppt
    January 01, 2019 - as an opportunity to broadly consider not only medical complications but all of the patient safety issues … Clinical policy: critical issues in the diagnosis and management of the adult psychiatric patient in … Clinical policy: critical issues in the diagnosis and management of the adult psychiatric patient in … Clinical policy: critical issues in the diagnosis and management of the adult psychiatric patient in … * This Case Hypoxia, persistent tachycardia, and inability to cooperate were red flags These issues
  18. psnet.ahrq.gov/training-education
    October 01, 2025 - Read More Have you encountered medical errors or patient safety issues … Have you encountered medical errors or patient safety issues?
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33631/psn-pdf
    April 01, 2006 - Why is this so, and how can we incorporate safety issues in our curricula in ways that better prepare … Second, pharmacists themselves often draw perimeters around their sphere of influence to include issues … the full medication use process (eg, optimal medication ordering/dispensing systems and regulatory issues … disease management in community settings, they may expect to meet resistance.(10) Addressing these issues … only a small but thoughtful broadening of our offerings to raise the awareness of our students to the issues
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33584/psn-pdf
    March 15, 2025 - Issues involving communication between clinicians at times of transitions in care are discussed in the … The Joint Commission has found that communication issues are the most common root cause of sentinel … More subtle issues, such as nonverbal cues, interpersonal relations, and group dynamics, can affect

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