-
psnet.ahrq.gov/node/47230/psn-pdf
August 15, 2018 - An Annual Perspective discussed the limitations of root cause analysis and how this tool
can be improved
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psnet.ahrq.gov/node/44737/psn-pdf
December 16, 2015 - The limitations of incident reporting were discussed in a previous PSNet perspective.
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psnet.ahrq.gov/node/35669/psn-pdf
July 08, 2008 - issue/problem-doctors-there-system-level-solution
This commentary discusses the current systemwide limitations
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psnet.ahrq.gov/node/40096/psn-pdf
December 22, 2010 - However, similar to a past review,
the authors highlight limitations in study design and the need for
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psnet.ahrq.gov/node/41034/psn-pdf
January 04, 2012 - hospitals in three countries, nearly one-third of patients seen by a rapid
response team ultimately had limitations
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psnet.ahrq.gov/node/44271/psn-pdf
April 08, 2018 - This work demonstrates some effectiveness and significant limitations of cognitive
training as a way
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psnet.ahrq.gov/node/43079/psn-pdf
May 28, 2014 - engaging patients in medication administration
including inpatients' mental status and nurses' time limitations
-
psnet.ahrq.gov/node/45609/psn-pdf
November 16, 2016 - This review discusses how HFMEA can be used in
radiotherapy to uncover risks and suggests limitations
-
psnet.ahrq.gov/node/37859/psn-pdf
June 25, 2008 - what-can-we-learn-about-patient-safety-information-sources-within-acute-
hospital-step-ladder
This article discusses the strengths and limitations
-
psnet.ahrq.gov/node/46694/psn-pdf
December 20, 2017 - This commentary explores limitations in current
system-focused approaches to improvements and advocates
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psnet.ahrq.gov/node/44266/psn-pdf
May 19, 2019 - psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-
reporting
The limitations
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psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - The limitations of technology in identifying medication error The home medications in the case above … subsequent medication error despite this barcode medication administration practice, illustrates both the limitations … medication administration (BCMA) serve as an adjuvant to support safe clinical practice but have clear limitations … medications by two or more individuals may intercept some errors, but this practice also has recognized limitations
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psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
June 29, 2020 - Use of Pharmacists to Address Limitations of Technology While some technology has enabled pharmacists … and has improved aspects of medication safety, pharmacists have also had to learn to work with the limitations … As such, the suitability of CPOE should be assessed, any limitations should be well understood, and appropriate … Pharmacist
Expanding Pharmacist Care Services to Support Patient Safety
Use of Pharmacists to Address Limitations
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psnet.ahrq.gov/issue/medication-reconciliation-only-good-it-allows
July 10, 2024 - This piece describes the medication reconciliation process and discusses limitations of current information
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psnet.ahrq.gov/node/46378/psn-pdf
April 16, 2018 - This study adds to evidence supporting duty hour limitations to reduce fatigue among trainee
physicians
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psnet.ahrq.gov/node/46002/psn-pdf
October 13, 2018 - an overnight physician, known as "holdover admissions," are
increasingly common due to duty hours limitations
-
psnet.ahrq.gov/node/45542/psn-pdf
October 05, 2016 - bipartisan-consensus-public-wants-well-rested-medical-residents-help-ensure-
safe-patient-care
Duty-hour limitations
-
psnet.ahrq.gov/node/40338/psn-pdf
March 23, 2011 - However, methodological limitations have led some to question the strength of this association.
-
psnet.ahrq.gov/node/38332/psn-pdf
January 14, 2009 - While the
process did improve, the authors advocate for technological solutions to address the limitations
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psnet.ahrq.gov/issue/medicare-cuts-payment-774-hospitals-over-patient-complications
February 16, 2022 - Financial incentives have shown both benefits and limitations in addressing hospital-acquired harm