Results

Total Results: 1,785 records

Showing results for "problem".

121. Global Medical Supply Chain Security. | PSNet
     psnet.ahrq.gov/issue/global-medical-supply-chain-security
     September 20, 2017 - Drug shortages are a known problem that gained patient safety prominence during the COVID-19 pandemic

122. Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology. | PSNet
     psnet.ahrq.gov/issue/opioids-chronic-noncancer-pain-position-paper-american-academy-neurology
     November 19, 2018 - This position paper describes why this problem is emerging, reviews evidence and policy to guide safe

123. Safe operation as a social construct. | PSNet
     psnet.ahrq.gov/issue/safe-operation-social-construct
     August 07, 2019 - September 18, 2024 The problem with 'never events'. … August 7, 2024 Patient falls in the operating room: why is this still a problem in 2024

124. In Conversation With… J. Bryan Sexton, PhD, MA | PSNet
     psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
     February 26, 2025 - They oftentimes will say, "Well, the problem around here is that Mark's an idiot. … we work with a lot of different health care systems and many of them think that they know what the problem … interviews or spend a little time doing a debriefing with staff you'll find out that they've got a problem … If you tailor the tools to address the problem based on a cultural assessment that's reflective of the … And do you really know what to do about that if that's the problem?

125. Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. | PSNet
     psnet.ahrq.gov/issue/observational-evidence-prevalence-and-association-polypharmacy-and-drug-administration-errors
     August 11, 2021 - Polypharmacy is an established problem among older adult patients and can lead to medication errors

126. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. | PSNet
     psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-disparities-health-care
     June 15, 2011 - localized care delivery, and improved  data collection  to better ascertain the true state of the  problem

127. Medication safety issue brief. Look-alike, sound-alike drugs. | PSNet
     psnet.ahrq.gov/issue/medication-safety-issue-brief-look-alike-sound-alike-drugs
     June 17, 2014 - similar drug names, mistakes that can result from them, and successful hospital initiatives to combat the problem

128. Addressing the Opioid Crisis in the United States. | PSNet
     psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states
     November 18, 2011 - at large can manage the opioid epidemic , this report proposes a systems approach to address the problem

129. Alarm management: promoting safety and establishing guidelines. | PSNet
     psnet.ahrq.gov/issue/alarm-management-promoting-safety-and-establishing-guidelines
     May 24, 2017 - This commentary examines the problem in ambulatory surgery centers and summarizes resources and recommendations

130. Patient safety professionals as the third victims of adverse events. | PSNet
     psnet.ahrq.gov/issue/patient-safety-professionals-third-victims-adverse-events
     July 07, 2021 - July 7, 2021 The problem with Plan-Do-Study-Act cycles. … July 19, 2023 The problem with the '5 whys.'

131. Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being. | PSNet
     psnet.ahrq.gov/issue/influence-psychological-safety-and-organizational-support-impact-humiliation-trainee-well
     January 26, 2022 - resident perception of increased organizational support (e.g., help is available when they have a problem

132. Driving improvement in patient care: lessons from Toyota. | PSNet
     psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
     September 24, 2016 - Specifically, TPS is a method of managing people engaged in work that emphasizes frequent, rapid problem

133. AHRQ announces interest in health services research to reduce emergency department boarding and hospital crowding. | PSNet
     psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-reduce-emergency-department-boarding-and
     November 12, 2008 - This announcement highlights AHRQ’s interest in funding research and innovations that address the problem

134. The hard talk: dealing with the disruptive physician. | PSNet
     psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
     April 24, 2018 - This article reviews the scope of the problem,  factors  leading to disruptive physicians, consequences

135. The vanishing nonforensic autopsy. | PSNet
     psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
     February 09, 2011 - The authors discuss the implications of this problem and potential solutions, including the establishment

136. Using human factors methods to mitigate bias in artificial intelligence-based clinical decision support. | PSNet
     psnet.ahrq.gov/issue/using-human-factors-methods-mitigate-bias-artificial-intelligence-based-clinical-decision
     July 10, 2019 - The potential for bias in artificial intelligence (AI) training data is a well-known problem, but the

137. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. | PSNet
     psnet.ahrq.gov/issue/high-delayed-and-missed-injury-rate-after-inter-hospital-transfer-severely-injured-trauma
     December 02, 2020 - Missed injuries and delayed diagnoses are an ongoing problem in trauma care.

138. How health systems decide to use artificial intelligence for clinical decision support. | PSNet
     psnet.ahrq.gov/issue/how-health-systems-decide-use-artificial-intelligence-clinical-decision-support
     March 30, 2022 - Four emerging trends are presented: (1) AI must solve a priority problem; (2) the tool must be tested

139. Look alike/sound alike drugs: a literature review on causes and solutions. | PSNet
     psnet.ahrq.gov/issue/look-alikesound-alike-drugs-literature-review-causes-and-solutions
     September 28, 2022 - Despite awareness of the problem and mandates to address it, this systematic review found a lack of firm

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33798/psn-pdf
     January 01, 2015 - three large-scale failures at the National Health Service, offers a prominent illustration of this problem … little doubt that disruptive behaviors harm patients, work environments, and staff morale, and that the problem … A prior PSNet perspective summarizes a stepwise approach for managing problem behaviors. … https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors https://psnet.ahrq.gov/issue