Results

Total Results: 1,785 records

Showing results for "problem".

381. Disaster ergonomics: human factors in COVID-19 pandemic emergency management. | PSNet
     psnet.ahrq.gov/issue/disaster-ergonomics-human-factors-covid-19-pandemic-emergency-management
     September 30, 2020 - December 23, 2020 Applying human factors engineering to address the telemetry alarm problem

382. Approaches to improving patient safety in integrated care: a scoping review. | PSNet
     psnet.ahrq.gov/issue/approaches-improving-patient-safety-integrated-care-scoping-review
     May 18, 2022 - April 19, 2017 The problem with preventable deaths.

383. The effects of harm events on 30-day readmission in surgical patients. | PSNet
     psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients
     July 31, 2019 - Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem

384. The elephant of patient safety: what you see depends on how you look. | PSNet
     psnet.ahrq.gov/issue/elephant-patient-safety-what-you-see-depends-how-you-look
     June 22, 2022 - July 1, 2016 Patient safety and the problem of many hands.

385. Creating highly reliable health care: how reliability-enhancing work practices affect patient safety in hospitals. | PSNet
     psnet.ahrq.gov/issue/creating-highly-reliable-health-care-how-reliability-enhancing-work-practices-affect-patient
     January 12, 2022 - Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem

386. Anesthesia-related closed claims in free-standing ambulatory surgery centers. | PSNet
     psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers
     March 29, 2023 - December 7, 2022 Crisis recovery in surgery: error management and problem solving in

387. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. | PSNet
     psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality-improvement-report
     January 15, 2020 - March 28, 2011 Human factors engineering in healthcare systems: the problem of human

388. How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. | PSNet
     psnet.ahrq.gov/issue/how-does-work-environment-relate-diagnostic-quality-prospective-mixed-methods-study-primary
     September 07, 2022 - July 10, 2017 Indication alerts to improve problem list documentation.

389. The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive care units: a pilot study. | PSNet
     psnet.ahrq.gov/issue/proportion-clinically-relevant-alarms-decreases-patient-clinical-severity-decreases-intensive
     November 21, 2021 - March 25, 2017 Insights into the problem of alarm fatigue with physiologic monitor devices

390. Predictors of likelihood of speaking up about safety concerns in labour and delivery. | PSNet
     psnet.ahrq.gov/issue/predictors-likelihood-speaking-about-safety-concerns-labour-and-delivery
     October 19, 2022 - December 22, 2010 Perspective How to Identify and Manage Problem

391. Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. | PSNet
     psnet.ahrq.gov/issue/reducing-rate-catheter-associated-bloodstream-infections-surgical-intensive-care-unit-using
     November 16, 2022 - March 31, 2010 Indication alerts to improve problem list documentation.

392. "Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation. | PSNet
     psnet.ahrq.gov/issue/plans-are-worthless-planning-everything-advancing-patient-safety-better-managing-paradox
     September 23, 2020 - May 15, 2024 Speaking up and taking action: psychological safety and joint problem-solving

393. Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. | PSNet
     psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
     December 09, 2020 - Misidentifying the Unidentified – John Doe and the EHR October 30, 2019 The wicked problem

394. Comparing NICU teamwork and safety climate across two commonly used survey instruments. | PSNet
     psnet.ahrq.gov/issue/comparing-nicu-teamwork-and-safety-climate-across-two-commonly-used-survey-instruments
     November 20, 2019 - October 31, 2017 Development of "SWARM" as a model for high reliability, rapid problem

395. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. | PSNet
     psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations
     March 25, 2020 - March 18, 2020 Applying modern error theory to the problem of missed injuries in trauma

396. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. | PSNet
     psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
     November 30, 2022 - September 23, 2020 Indication alerts to improve problem list documentation.

397. A prescription for enhancing electronic prescribing safety. | PSNet
     psnet.ahrq.gov/issue/prescription-enhancing-electronic-prescribing-safety
     August 04, 2021 - January 2, 2017 The problem with medication reconciliation.

398. Understanding context specificity: the effect of contextual factors on clinical reasoning. | PSNet
     psnet.ahrq.gov/issue/understanding-context-specificity-effect-contextual-factors-clinical-reasoning
     August 19, 2020 - May 15, 2019 Laney's story: the problem of delayed diagnosis of pediatric stroke.

399. Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. | PSNet
     psnet.ahrq.gov/issue/incidence-and-or-team-awareness-near-miss-and-retained-surgical-sharps-national-survey-united
     December 02, 2020 - December 15, 2024 Patient falls in the operating room: why is this still a problem

400. Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics. | PSNet
     psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge
     July 28, 2021 - December 2, 2020 Indication alerts to improve problem list documentation.