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Showing results for "problem".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39689/psn-pdf
    May 07, 2018 - adult and pediatric immunizations and states that the similar abbreviations are a main cause of the problem

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41568/psn-pdf
    April 05, 2013 - Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. April 5, 2013 Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. BMJ Qual Saf. 2012;21(9):737-745. doi:10.…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45536/psn-pdf
    October 05, 2016 - Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. October 5, 2016 Car LT, Papachristou N, Bull A, et al. Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17(1):131. doi:10.1186/s12875-016-0…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35718/psn-pdf
    May 27, 2011 - Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database. May 27, 2011 Zhan C, Hicks RW, Blanchette CM, et al. Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting da…

  5. Harm From Alarm Fatigue | PSNet

    psnet.ahrq.gov/web-mm/harm-alarm-fatigue
    February 14, 2018 - This patient's telemetry device warned of this problem with "low voltage" alarms. … alarms that indicate poor signal quality (e.g., a low battery in a telemetry device, an electrode problem … Take-Home Points Alarms should never be completely silenced; rather, clinical staff should problem-solve … Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational … October 10, 2012 Insights into the problem of alarm fatigue with physiologic monitor

  6. In response to "Failure to Report" (March 2007) | PSNet

    psnet.ahrq.gov/perspective/response-failure-report-march-2007
    June 01, 2007 - Similar labeling and packaging are a problem with many medications. … of the many medications that are introduced each year (including the numerous generic versions), the problem … 2007 Perspective The Soil, Not the Seed: The Real Problem

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45748/psn-pdf
    January 01, 2017 - Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing problems: a qualitative interview study. December 14, 2016 Steege LM, Rainbow JG. Fatigue in hospital nurses - 'Supernurse' culture is a barrier to addressing problems: A qualitative interview study. Int J Nurs Stud. 2017;67:20-28. doi:10.1…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41197/psn-pdf
    March 07, 2012 - psnet.ahrq.gov/issue/fear-punitive-response-hospital-errors-lingers This news article highlights the problem

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38957/psn-pdf
    January 16, 2013 - consists of 12 articles drawn from a 2008 conference on diagnostic error, covering topics such as medical problem

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47372/psn-pdf
    January 01, 2019 - The most frequently cited problem was missing test results, with about 15% of offices in the study citing

  11. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet

    psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
    May 01, 2016 - monitor alarms are false or clinically insignificant.( 2-5 ) Hospitals are struggling to address this problem … RW : When you first began investigating this, did you have a theory as to what the problem was, and did … RW : That's just such a wonderful story that captures the essence of the problem. … BD : Alarm fatigue is probably a much bigger problem on a general medical floor than in the ICU. … September 1, 2016 Insights into the problem of alarm fatigue with physiologic monitor

  12. In Conversation with…William B. Weeks, MD, MBA | PSNet

    psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
    May 01, 2009 - the economic consequences of errors and saw that they really did cost someone money, how much of the problem … WW : That is exactly the problem in a nutshell. … Another problem might be that they're not owned medical staff, if you will. … RW: Is part of the problem that the people who come into health care from a business background don't … We also do a better job communicating vital safety information (medication and problem lists, allergies

  13. Accountability in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/accountability-patient-safety
    January 01, 2018 - 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. … 1, 2018 Perspective Overuse as a Patient Safety Problem

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42035/psn-pdf
    February 13, 2013 - using-safety-cases-industry-and-healthcare https://psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42294/psn-pdf
    May 22, 2013 - misdiagnosis-more-common-drug-errors-or-wrong-site-surgery This newspaper article discusses the pervasive problem

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40103/psn-pdf
    January 05, 2011 - behavior in health care settings and describes interventions and tactics to raise awareness of the problem

  17. 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

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33858/psn-pdf
    May 01, 2018 - That's problem one. … one and problem two as almost inevitable given the facts at the time, which were all of a sudden we … So that's problem one. … Problem two, it's the nature of our discipline that data in medicine is very complicated. … You are fair in thinking this is a problem that hasn't been solved.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33796/psn-pdf
    January 01, 2016 - It struck me that this was a patient safety problem, just like all the others we were dealing with at … There are way too many patients being harmed from diagnostic error, and the problem needs to be addressed … It wasn't because we were getting pushback; it was because people didn't recognize it as a problem—and … The problem of diagnostic error was analyzed by an incredibly talented and knowledgeable committee that … This problem of variability really does need to be addressed at some point to try to narrow those bands

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44672/psn-pdf
    October 11, 2017 - Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. October 11, 2017 Magrabi F, Liaw ST, Arachi D, et al. Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. BMJ…
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