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Showing results for "problem".

381. The scope of drug-related problems in the home care setting. | PSNet
     psnet.ahrq.gov/issue/scope-drug-related-problems-home-care-setting
     February 16, 2011 - Review The scope of drug-related problems in the home care setting. Citation Text: Meyer-Massetti C, Meier CR, Guglielmo J. The scope of drug-related problems in the home care setting. Int J Clin Pharm. 2018;40(2):325-334. doi:10.1007/s11096-017-0581-9. Copy Citation Format: …

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49818/psn-pdf
     January 01, 2018 - 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 … financial harm represents a serious patient safety issue, physicians can no longer choose to ignore the problem … Clinicians and health care systems should address this problem systematically, just as they do with other

383. In Conversation With…Kaveh G. Shojania, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
     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?

384. 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?

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33688/psn-pdf
     October 01, 2009 - Initially, we were led to believe that this was a problem with the monitors: they had just been installed … But when the state inspectors went into the hospital, they discovered that it was not a problem with … Then, not only is the problem what actually happened, but the problem is that you tried to cover it … It's the role of the media to spotlight if there's a problem and to ensure that you actually do fix … that problem.

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860015/psn-pdf
     September 01, 2024 - RFO or RFB is not the result of medical error, whereas an RSI is a multi-stakeholder patient safety problem … discrepancies had not yet been resolved, and in fact, the team was using best practices to solve the problem … Increased appreciation of the problem of retained vaginal sponges and other items (e.g., vaginal packing … Needles are the most frequently miscounted surgical item, but their relative contribution to the problem … [Free full text] https://psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-solved https://

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49413/psn-pdf
     September 01, 2003 - decrease in the incidence of foreign bodies left during procedures.(1) However, the true scope of this problem … removed.(6) Surgical teams have used sponge, sharp, and instrument counts as protection against this problem … to human error.(7) Anyone who has ever had to recount a pile of coins will recognize the potential problem … What can be done to prevent this problem? … Retained sponges and instruments remain a disturbingly common problem, and current preventive practices

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33770/psn-pdf
     August 01, 2014 - But we still haven't solved the problem of interoperability, how results make their way from one system … Even though electronic health records didn't solve this problem, with the transformation of primary care … 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

389. 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

390. In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace | PSNet
     psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
     October 31, 2023 - It’s not as simple as one level versus another, but rather it’s a multilevel problem. … to safely report incidents of violence, which makes it hard to understand the real magnitude of the problem … It’s a larger, systemic problem, it’s an organizational problem, and then it’s really a problem of public … 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.

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852698/psn-pdf
     August 30, 2023 - diagnostic-accuracy Summary Addressing diagnostic errors to improve outcomes and patient safety has long been a problem … Tyson School of Medicine, Pasadena, California Date First Implemented 2010-01-01 Problem Addressed … Diagnostic errors are a difficult problem.1 The 2015 National Academy of Medicine report found that … of the Innovation Solving diagnostic errors to improve outcomes and patient safety has long been a problem … Given the magnitude of the problem as outlined in the 2015 National Academy of Medicine report,1 there

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33730/psn-pdf
     June 01, 2012 - I think that's a major problem for us. … The second thing is, the biggest problem is that the reporting system is endlessly and still tediously … And that is still a major problem. … RW: Some piece of it sounds like it's cultural and the ownership of the problem by the frontline caregivers … I'm by no means against that, but I think the problem is that it becomes so massively complicated; it's

393. Hard to Swallow | PSNet
     psnet.ahrq.gov/web-mm/hard-swallow
     April 26, 2023 - charts to draw the attention of treating physicians to a particularly important recent lab result or problem … The problem, as illustrated in this case, is that sometimes information in the medical record is not … Chart flags, color-coded consult notes, follow-up checklists, and multidisciplinary problem lists have … The hospital where this case occurred has suggested an organizational solution to the problem. … In this case, an NPO order was the problem, but the root cause analysis revealed general problems with

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33754/psn-pdf
     September 01, 2013 - The first is that the fundamental problem and tension of creating the just culture is this: We want to … A human error is not a personal problem; it's an organizational problem. … The problem obviously is that this tends of course to shut up sources of safety-critical information … How big a problem, in trying to calibrate the response, is it that the public often demands a pound … SD: If we want to meaningfully, as a community, attack a problem like that weeding out and punishing

395. Improving care transitions: optimizing medication reconciliation. | PSNet
     psnet.ahrq.gov/issue/improving-care-transitions-optimizing-medication-reconciliation
     June 17, 2014 - June 16, 2019 The problem with medication reconciliation. … April 5, 2016 Drug-related-problem outcomes and program satisfaction from a comprehensive

396. Managing disruptive behaviors in the health care setting: focus on obstetrics services. | PSNet
     psnet.ahrq.gov/issue/managing-disruptive-behaviors-health-care-setting-focus-obstetrics-services
     February 03, 2010 - August 27, 2012 Perspective How to Identify and Manage Problem … September 1, 2010 Perspective How to Identify and Manage Problem

397. What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. | PSNet
     psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-epinephrine-auto-injectors-leads-error-prone-use
     September 14, 2016 - May 7, 2018 IV potassium given epidurally: getting to the "route" of the problem. … August 10, 2016 Drug-induced hypoglycaemia--new insight into an old problem.

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50630/psn-pdf
     November 06, 2019 - Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care. November 6, 2019 Hazen ACM, Zwart DLM, Poldervaart JM, et al. Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary car…

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74110/psn-pdf
     November 24, 2021 - New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. November 24, 2021 Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-304. doi:10.3928/19404921-202109…

400. Security Lapse | PSNet
     psnet.ahrq.gov/web-mm/security-lapse
     December 18, 2019 - She did, but relayed that her mentor was unconcerned with this problem. … office contacted the student for further description of the violation, and within a week the security problem … The total time elapsed between the student's initial identification of the problem and the hospital's … represents a common situation in which a medical student, having noticed an error, is confronted with the problem