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Total Results: 1,785 records

Showing results for "problem".

101. Lost Mothers: Maternal Care and Preventable Deaths. | PSNet
     psnet.ahrq.gov/issue/lost-mothers-maternal-care-and-preventable-deaths
     August 10, 2016 - the incidence of maternal death, individual stories of harm , and factors that contribute to the problem

102. Malnourishment 'epidemic' plagues hospitals? Really? | PSNet
     psnet.ahrq.gov/issue/malnourishment-epidemic-plagues-hospitals-really
     June 04, 2014 - malnourished and suggests further research is required to understand this potential patient safety problem

103. RxAwareness. | PSNet
     psnet.ahrq.gov/issue/rxawareness
     September 07, 2016 - The opioid crisis is a persisting patient safety problem.

104. Remembering to learn: the overlooked role of remembrance in safety improvement. | PSNet
     psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement
     February 28, 2024 - September 13, 2023 The problem with incident reporting. … November 6, 2015 The problem with checklists.

105. An integrative review: fatigue among nurses in acute care settings. | PSNet
     psnet.ahrq.gov/issue/integrative-review-fatigue-among-nurses-acute-care-settings
     June 01, 2022 - institution-wide policies and educating nurses and administrators about risks related to fatigue to address the problem

106. 10,000 good catches: increasing safety event reporting in a pediatric health care system. | PSNet
     psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care-system
     April 20, 2022 - reporting is widely utilized to detect adverse events and near misses, but underreporting remains a problem

107. How to incorporate quality improvement and patient safety projects in your training. | PSNet
     psnet.ahrq.gov/issue/how-incorporate-quality-improvement-and-patient-safety-projects-your-training
     November 21, 2021 - This commentary states the case for integrating problem analysis , intervention prioritization, and

108. FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. | PSNet
     psnet.ahrq.gov/issue/fda-alerts-patients-and-health-care-professionals-epipen-auto-injector-errors-related-device
     April 07, 2019 - Recommendations to address the problem include patient review of instructions and practice with the device

109. A Costly Colonoscopy Leads to a Delay in Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
     September 01, 2014 - Christopher Moriates, MD In 2016, 63 million adults aged 19 to 64 (34%) reported having a cost-related problem … scores and more rehospitalizations.( 3 ) In addition, cost-related medication nonadherence is a common problem … when the primary care provider finally called the insurance company, he was able to quickly resolve a problem … Clinicians and health care systems should address this problem systematically, just as they do with other … Same Author(s) Perspective Overuse as a Patient Safety Problem

110. Striving for diagnostic excellence. | PSNet
     psnet.ahrq.gov/issue/striving-diagnostic-excellence
     January 09, 2018 - This podcast interview shares problem-solving tactics that support diagnostic excellence and how

111. Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans | PSNet
     psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
     July 23, 2024 - associated with reduction in falls for older people. 1 The team revised the program further to address the problem … Date First Implemented 2009 Problem Addressed Patients are particularly … fall TIPS (tailoring interventions for patient safety) program: a collaboration to end the persistent problem … fall TIPS (tailoring interventions for patient safety) program: a collaboration to end the persistent problem

112. Addressing Workplace Violence and Creating a Safer Workplace | PSNet
     psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
     October 31, 2023 - higher due to underreporting. 2 Workplace violence in healthcare settings has become an increasing problem … To highlight the importance of addressing this problem, the Joint Commission released a sentinel event … Trends and Impact Workplace violence is not a new problem in healthcare. … It’s not as simple as one level versus another, but rather it’s a multilevel problem. … It’s a larger, systemic problem, it’s an organizational problem, and then it’s really a problem of public

113. Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. | PSNet
     psnet.ahrq.gov/issue/sleep-science-schedules-and-safety-hospitals-challenges-and-solutions-pediatric-providers
     November 16, 2022 - deprivation affects clinician performance and the impact of work hour limits as a strategy to address the problem

114. Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. | PSNet
     psnet.ahrq.gov/issue/burnout-among-health-care-professionals-call-explore-and-address-underrecognized-threat-safe
     November 11, 2020 - and targets areas requiring further study, such as a focus on system factors that facilitate the problem

115. Global Report on Infection Prevention and Control: Executive Summary. | PSNet
     psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary
     March 09, 2022 - Healthcare-acquired infection is a persistent systemic problem .

116. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
     psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
     September 01, 2011 - Another problem is that the wrong types of events tend to get reported. … It is almost an epidemiologic problem. … Falls are a common enough problem at every hospital that you should stop doing incident reports. … The problem is that then you have to actually fix stuff, and that is the hard part. … Otherwise, how are you going to see a latent problem that's come up over and over again?

117. Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. | PSNet
     psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
     November 15, 2023 - February 20, 2019 The problem with using patient complaints for improvement. … August 17, 2018 The problem with making Safety-II work in healthcare.

118. Why it's so easy for doctors to misdiagnose kids. | PSNet
     psnet.ahrq.gov/issue/why-its-so-easy-doctors-misdiagnose-kids
     December 09, 2015 - Recent emphasis on diagnostic error has raised awareness of the problem.

119. Clinician support: five years of lessons learned. | PSNet
     psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned
     March 20, 2017 - that developed a second victim assistance initiative which resulted in increased awareness of the problem

120. Disrespectful behaviors—part 1 and part 2. | PSNet
     psnet.ahrq.gov/issue/disrespectful-behaviors-part-1-and-part-2
     June 10, 2018 - like bullying and intimidation exist and outlines recommendations for organizations to address the problem