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digital.ahrq.gov/sites/default/files/docs/page/SRD%20Call%208.30.06.ppt
August 22, 2006 - Francis went 24/7 on August 22, 2006
Issues with the system are primarily work flow related
Current … waited for a draft of the Model contract last summer, we recognized the need to tackle a number of issues … The dialogue and debate around these issues laid the foundation for an environment of trust where all … views are considered viable and discussed openly
Board members were kept apprised of the issues both … They weighed in on the issues when appropriate but waited till there was a recommendation from the work
-
psnet.ahrq.gov/node/47005/psn-pdf
June 13, 2018 - no-go-considerations-situ-simulation-safety
Frontline simulations offer valuable opportunities to explore system issues … psnet.ahrq.gov/primer/simulation-training
https://psnet.ahrq.gov/issue/situ-simulation-identification-systems-issues
-
digital.ahrq.gov/sites/default/files/docs/citation/EHRVendorPracticesPerspectives.pdf
May 01, 2010 - While all
vendors described a process, procedures to classify and report usability issues of EHR … In general, safety issues are given a
high-priority tag. … Once patient safety issues are identified, vendors address them in various
ways, including tracking … Methods for overcoming these types of bias issues
included suggestions such as certifying workflows … but must be further explored to identify underlying issues.
-
psnet.ahrq.gov/issue/medical-liability-new-ideals-making-system-work-better-patients
May 18, 2011 - September 6, 2016
Oversight Hearing on Recent Patient Safety Issues. … 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
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024327-ornstein-final-report-2018.pdf
January 01, 2018 - Although not
universal, several participants recalled incidents where hardware and/or software issues … Some said that issues happened “all the time” before implementing their EHR. … Implementation Themes:
Approaches to preventing safety issues from mishandling test results included … safety issues not related
to the 12 SAFER recommendations addressed. … ONC issues guides for SAFER EHRs. J AHIMA.
2014;85(4):50-2. Epub 2014/05/20.
-
psnet.ahrq.gov/node/36935/psn-pdf
September 01, 2011 - should a multicampus hospital be considered a
single entity for public reporting on patient safety issues … should a multicampus hospital be considered a single
entity for public reporting on patient safety issues
-
psnet.ahrq.gov/node/47460/psn-pdf
October 10, 2018 - https://psnet.ahrq.gov/issue/surgeon-so-bad-it-was-criminal
https://psnet.ahrq.gov/issue/ethical-issues-patient-safety … https://psnet.ahrq.gov/primer/individual-clinician-performance-issues
https://psnet.ahrq.gov/perspective
-
digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
August 01, 2011 - An "Issues Log" is a tool for identifying emergent unintended consequences. … Collect all issues,
problems, and unexpected situations from all sources. … USEFUL TOOL
Issues Log Template: The Issues Log is a central repository of information about EHR-
related … The Issues Log can also be used to track the progress of your remediation plan. … What issues does the unintended consequence create for them?
-
psnet.ahrq.gov/node/39910/psn-pdf
July 03, 2014 - intervention for contextualizing patient
care and medical students' abilities to probe for
contextual issues … intervention for contextualizing patient care and
medical students' abilities to probe for contextual issues
-
psnet.ahrq.gov/node/42233/psn-pdf
May 01, 2013 - and safety officer:
nursing students' use of safety reporting tools and their
perception of safety issues … and safety officer: nursing students' use of safety reporting
tools and their perception of safety issues
-
psnet.ahrq.gov/node/45687/psn-pdf
October 31, 2017 - This survey study sought to characterize current
insulin pen use and associated safety issues in the … Investigators found that insulin pens
are widely utilized, but safety issues—such as using the same
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/AHRQHCUPfinalNov09BDiefenbach.pdf
November 01, 2009 - Security and FTP 5
Security team Opened ports for FTP 1
Cerner Corporate Support Helped with some database issues … Agency for Health Care Administration
Florida Center for Health Information and Policy Analysis
Issues … Agency for Health Care Administration
Florida Center for Health Information and Policy Analysis
Issues … Mapping Survey
Slide Number 9
Personnel involved in this project
Slide Number 11
Slide Number 12
Issues … Encountered By Hospitals: Staff
Issues Encountered By Hospitals: Technology
Lessons Learned and Lessons
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-genetic_methods.pdf
July 01, 2012 - Rather, it focuses on issues that have been of particular concern to analysts and
stakeholders and on … We address issues related to both heritable mutations and somatic mutations (e.g.,
genetic tests for … Technical issues may also differ
depending on the specimen being tested. … Principle 8: Understand statistical issues of particular relevance to genetic tests. … Pharmacogenetics of
warfarin: regulatory, scientific, and clinical
issues.
-
psnet.ahrq.gov/issue/fda-safety-communication-flexible-bronchoscopes-and-updated-recommendations-reprocessing
March 11, 2015 - July 15, 2020
Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine … May 19, 2021
Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection … February 17, 2021
Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of
-
psnet.ahrq.gov/issue/infection-control-hazards-and-near-misses-reported-nursing-students
February 11, 2009 - February 11, 2009
Advanced practice nursing students' identification of patient safety issues … April 10, 2013
Patient safety issues in advanced practice nursing students' care settings … September 29, 2017
Clinical cognition and biomedical informatics: issues of patient safety
-
psnet.ahrq.gov/issue/neuroscience-critical-care-role-advanced-practice-nurse-patient-safety
September 21, 2009 - AACN Clin Issues. 2005;16(4):581-592. … AACN Clin Issues . 2005; 16 (4) :581-592 .
View more articles from the same authors. … AACN Clin Issues. 2005;16(4):581-592.
-
digital.ahrq.gov/sites/default/files/docs/citation/r13hs024833-gill-final-report-2017.pdf
January 01, 2017 - clinical research tool are
promising; however, this emerging technology also presents new ethical issues … The use of this technology in a clinical and research setting raises ethical issues such as (1) informed … Oculus Rift™) provide an opportunity for researchers
and clinicians to study health issues and treat … The promising research methodology
raises ethical issues such as (1) informed consent, (2) clarification … Issues regarding the use of VR with
priority populations were addressed through lectures on utilization
-
digital.ahrq.gov/sites/default/files/docs/page/A_ReferenceLibrary_1.pdf
February 16, 2006 - subset of key papers,
presentations, and other resources to aid readers in understanding the critical issues … The HIPAA Information Series for Providers, consisting of 10 papers,
covers a number of important issues … Emerging Trends and Issues in Health Information Exchange, eHealth Initiative,
2005 (contact http:// … ; and to serve as a
public resource on selected health care legal issues.
15. … It was
established in 1994 to focus public attention on emerging civil liberties issues and to
protect
-
digital.ahrq.gov/sites/default/files/docs/page/A_ReferenceLibrary_0.pdf
February 16, 2006 - subset of key papers,
presentations, and other resources to aid readers in understanding the critical issues … The HIPAA Information Series for Providers, consisting of 10 papers,
covers a number of important issues … Emerging Trends and Issues in Health Information Exchange, eHealth Initiative,
2005 (contact http:// … ; and to serve as a
public resource on selected health care legal issues.
15. … It was
established in 1994 to focus public attention on emerging civil liberties issues and to
protect
-
digital.ahrq.gov/sites/default/files/docs/page/2006PattersonGeisWears_051611comp.pdf
March 01, 2006 - Results
• Eighteen safety issues/latent threats were identified
in our PED during that time period, … with medication
issues being the most prevalent
•Neither physicians nor administration previously … recognized any of the safety issues identified by
nursing staff during these debriefings. … Results
Table 1: Latent Safety Threats (n=18)
Medication
Issues
(n=8)
Medicine dose not in codebook … with new technology (1)
Improper interpretation of pharmacy policy (1)
Results
Equipment/
Resource Issues