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Total Results: 1,785 records

Showing results for "problem".

181. Beyond the Hospital: the New Frontier of Patient Safety | PSNet
     psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
     August 01, 2014 - We need to understand the nature of the problem. … Specifically, we need much more information about the degree of the outpatient safety problem, the nature … It's fundamentally a workflow problem. … It creates a workflow problem. … So the problem of analyzing the data, making it meaningful, and integrating it into physician workflow

182. Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. | PSNet
     psnet.ahrq.gov/issue/preventing-medication-errors-long-term-care-results-and-evaluation-large-scale-web-based
     June 15, 2011 - Medication errors are a common, costly , and dangerous problem for residents of long-term care facilities

183. Defining, estimating, and communicating overdiagnosis in cancer screening. | PSNet
     psnet.ahrq.gov/issue/defining-estimating-and-communicating-overdiagnosis-cancer-screening
     October 13, 2018 - A past PSNet perspective highlighted overuse as a patient safety problem.

184. Creating high reliability in health care organizations. | PSNet
     psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations
     September 20, 2011 - achieve high reliability in the intensive care unit (ICU) context and discusses its application to the problem

185. Professionalism: a necessary ingredient in a culture of safety. | PSNet
     psnet.ahrq.gov/issue/professionalism-necessary-ingredient-culture-safety
     November 01, 2011 - This study provides an approach for health care organizations to address the disturbingly common problem

186. Cognitive interventions to reduce diagnostic error: a narrative review. | PSNet
     psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
     October 16, 2012 - literature exploring cognitive biases that contribute to misdiagnosis, few interventions to address this problem

187. The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. | PSNet
     psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national
     March 04, 2011 - Related Resources The opioid crisis: can improving diagnosis help solve the problem … 2017 Perspective Opioid Overdose as a Patient Safety Problem

188. Patient-mediated interventions to improve professional practice. | PSNet
     psnet.ahrq.gov/issue/patient-mediated-interventions-improve-professional-practice
     April 25, 2016 - April 28, 2021 The problem with making Safety-II work in healthcare. … February 20, 2019 The problem with using patient complaints for improvement.

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865718/psn-pdf
     May 01, 2024 - calculating-cost-medication-errors-systematic-review-approaches-and-cost-variables https://psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33572/psn-pdf
     December 15, 2024 - performed reflexively or "on autopilot," or attentional behavior, which requires active planning and problem … essential-elements-nurses-have-address-promote-safe-discharge-paediatrics-systematic-review https://psnet.ahrq.gov/issue/problem-checklists

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72665/psn-pdf
     January 20, 2021 - This article reviews the scope of the problem,  factors leading to disruptive physicians, consequences

192. How safe is primary care? A systematic review. | PSNet
     psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
     December 18, 2013 - February 22, 2019 Overdiagnosis in primary care: framing the problem and finding solutions … March 2, 2011 Quality of medication use in primary care—mapping the problem, working

193. Discharge Fumbles | PSNet
     psnet.ahrq.gov/web-mm/discharge-fumbles
     September 09, 2009 - a patient with a solitary pulmonary nodule on chest radiograph, it may be several months before the problem … by the follow-up physician.( 5 ) Poor 'hospital-to-community' communication is only one 'system' problem … Another problem is the lack of infrastructure to adequately monitor patients' conditions or test results … need to be closely followed after discharge, either because their condition is vulnerable or because a problem … Much of this happens already, but a more systematic approach to the problem will help.

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33563/psn-pdf
     September 16, 2024 - The culture of individual blame is still a pervasive problem in health care and undoubtedly impairs the … Safety culture is fundamentally a local problem, in that wide variations in the perception of safety

195. Improving Diagnostic Safety and Quality | PSNet
     psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
     February 22, 2023 - safety, is “the failure to (a) establish an accurate and timely explanation of the patient’s health problem … safety; the NASEM definition also includes failure to communicate an explanation of the patient’s health problem … system-level factors that influence diagnostic safety, misdiagnosis is still often thought of as a problem … The idea that misdiagnosis is primarily a problem of individual practitioners also discourages broader … Dx tool is a concrete step organizations can take to shift away from framing diagnostic safety as a problem

196. The Media’s Role in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/medias-role-patient-safety
     April 27, 2022 - And part of the problem is that the hospitals I admire that have truly gone toward zero harm in terms … I wrote in the Health Affairs blog in 2010 that the problem is due to the three I’s: invisibility, … MM: The problem with that story is that it’s technical; nobody wants to read it unless you can connect … How many people like that, if they have a problem with their care, turn to Twitter? … Now the problem has salience. That’s just human nature—the squeaky wheel gets the grease.

197. Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. | PSNet
     psnet.ahrq.gov/issue/does-team-reflexivity-impact-teamwork-and-communication-interprofessional-hospital-based
     July 21, 2017 - Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem … Problem.

198. Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial. | PSNet
     psnet.ahrq.gov/issue/effect-restriction-number-concurrently-open-records-electronic-health-record-wrong-patient
     July 09, 2018 - December 31, 2014 Indication alerts to improve problem list documentation. … May 27, 2020 The wicked problem of patient misidentification: how could the technological

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33567/psn-pdf
     June 15, 2024 - To avert this problem, hospitals are required to "reconcile" medications across the continuum of care … Assessment: What do you think the problem is?

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73495/psn-pdf
     July 14, 2021 - implementation-strategies-context-medication-reconciliation-qualitative-study https://psnet.ahrq.gov/issue/problem-medication-reconciliation