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Showing results for "issues".

441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33842/psn-pdf
     January 01, 2018 - evaluating EHRs, including a large multicenter project on CDS.(9) We observed that EHR-related safety issues … both understanding and resolving them is sociotechnical, which includes not just fixing technical issues … such as hardware or software issues but also clinical workflow, policies, and procedures.( 10) In this … informaticians, patient safety experts) to carry out the work required to identify potential safety issues … Five Types of EHR Safety Issues That Warrant Assessment (Adapted from [34].)

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60548/psn-pdf
     May 28, 2020 - The issues we are most concerned with are around the key questions, “do the benefits outweigh the risks … of Homeland Security engage across the healthcare sector to try and deal with these broader network issues … There are the security issues, which are not safety issues, but can affect patient safety. … Finally, there are the changes we’re making in national capabilities to identify safety issues.

443. Concurrent and Overlapping Surgeries: Additional Measures Warranted. | PSNet
     psnet.ahrq.gov/issue/concurrent-and-overlapping-surgeries-additional-measures-warranted
     August 17, 2022 - December 19, 2012 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease … August 3, 2016 Oversight Hearing on Recent Patient Safety Issues.

444. A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. | PSNet
     psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-procurement-and
     August 10, 2022 - October 1, 2014 Oversight Hearing on Recent Patient Safety Issues. … December 23, 2012 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease

445. Incidence of Adverse Events in Indian Health Service Hospitals. | PSNet
     psnet.ahrq.gov/issue/incidence-adverse-events-indian-health-service-hospitals
     May 20, 2020 - January 14, 2009 Adverse Events in Hospitals: Overview of Key Issues. … January 29, 2020 Obstetric Issues.

446. In Conversation with...Richard Ricciardi about Office-Based Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
     January 31, 2024 - Follow-up and follow-through on the patient’s health and health issues are key to building trust and … Sarah Mossburg : Could you speak to what types of safety issues are likely to arise in the office-based … Quality includes access and cost issues where patients are not getting what they need because they can … , you have more eyes on that patient and a better capacity to identify potential safety issues before … Clinician-reported non-routine events included case delays from machine failures and staffing issues.

447. The Patient Safety in Surgery Study. | PSNet
     psnet.ahrq.gov/issue/patient-safety-surgery-study
     March 01, 2017 - June 22, 2011 Perioperative Issues for Surgeons: Improving Patient Safety and Outcomes … September 27, 2010 Perioperative Issues for Surgeons: Improving Patient Safety and Outcomes

448. Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety | PSNet
     psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
     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 … , packaging issues, and even nomenclature issues. … I walk into some community pharmacies, and the management just hasn't caught up to the safety issues.

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33698/psn-pdf
     August 01, 2010 - generation of physicians and nurses, as you were thinking about trying to get trainees to focus on these issues … RW: Talk about the unique issues of doing safety work in academia. … experiment with infections, you've had great success, it's sustainable, and you're moving on to other issues … We hope that builds a cadre of skills that allows us to tackle these more formidable issues going forward … The issues of care delivery are even more complex than the relatively easily measurable issues of hospital

450. Clinical Handover: Critical Communications. | PSNet
     psnet.ahrq.gov/issue/clinical-handover-critical-communications
     February 18, 2015 - March 14, 2018 Oversight Hearing on Recent Patient Safety Issues. … September 18, 2019 Non-emergency patient transport: what are the quality and safety issues

451. The National Database of Nursing Quality Indicators(TM) (NDNQI®). | PSNet
     psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir
     May 25, 2022 - May 7, 2018 Product-related issues make error potential enormous with investigational … October 21, 2015 Nursing bedside clinical handover—an integrated review of issues and

452. Examining the Status of VA’s Electronic Health Record Modernization Program. | PSNet
     psnet.ahrq.gov/issue/examining-status-vas-electronic-health-record-modernization-program
     November 10, 2021 - November 6, 2019 Oversight Hearing on Recent Patient Safety Issues. … July 22, 2020 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease

453. Unintentionally retained guidewires: a descriptive study of 73 sentinel events. | PSNet
     psnet.ahrq.gov/issue/unintentionally-retained-guidewires-descriptive-study-73-sentinel-events
     April 27, 2019 - December 10, 2014 Top 10 patient safety issues: what more can we do? … June 19, 2013 Priority patient safety issues identified by perioperative nurses.

454. Evidence Brief: Implementation of High Reliability Organization Principles. | PSNet
     psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles
     November 11, 2020 - May 1, 2015 Oversight Hearing on Recent Patient Safety Issues. … April 24, 2013 Oversight Hearing on Recent Patient Safety Issues.

455. Spinal surgery and patient safety: a systems approach. | PSNet
     psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
     January 12, 2022 - April 21, 2015 To err is human: quality and safety issues in spine care. … May 26, 2010 Surgical site signing and "time out": issues of compliance or complacence

456. Fair and Reliable Medical Justice Act. | PSNet
     psnet.ahrq.gov/issue/fair-and-reliable-medical-justice-act
     March 06, 2005 - March 27, 2018 The safety of intravenous drug delivery systems: update on current issues … October 31, 2012 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49779/psn-pdf
     January 01, 2017 - Since 2010, significant work has occurred to address these issues. … Infusing Patients Safely: Priority Issues from the AAMI/FDA Infusion Device Summit. … Infusing Patients Safely: Thirteen Priority Issues From the AAMI/FDA Infusion Device Summit Report ( … It is unclear how to resolve alarm issues. 13. … There are design and user issues and differences among home, hospital, and other environments.

458. Never Events--Framework 2010-11. | PSNet
     psnet.ahrq.gov/issue/never-events-framework-200910
     January 31, 2018 - A qualitative exploration of mental health service user and carer perspectives on safety issues … June 13, 2011 Adverse Events in Hospitals: Overview of Key Issues.

459. ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse drug events. | PSNet
     psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious-adverse-drug-events
     June 10, 2018 - Related Resources From the Same Author(s) Collaboration focused on priority issues … May 7, 2018 Product-related issues make error potential enormous with investigational

460. Exploring Patient Engagement in Reducing Health-Care-Related Safety Risks. | PSNet
     psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks
     June 24, 2015 - June 24, 2015 Ethical Issues in Patient Safety Research: Interpreting Existing Guidance … October 10, 2018 Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities