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psnet.ahrq.gov/node/35573/psn-pdf
April 12, 2011 - How experiencing preventable medical problems changed
patients' interactions with primary health care … How experiencing preventable medical problems changed patients'
interactions with primary health care … https://psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-
interactions-primary-health … https://psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health … https://psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health
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psnet.ahrq.gov/node/35067/psn-pdf
September 27, 2017 - Problems with medical devices may be severely under-
reported. … Problems with medical devices may be severely under-reported. … https://psnet.ahrq.gov/issue/problems-medical-devices-may-be-severely-under-reported
The authors surveyed … Although 72.5% of nurses polled had encountered problems with medical
devices, 94.2% were unaware of … https://psnet.ahrq.gov/issue/problems-medical-devices-may-be-severely-under-reported
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psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety
May 13, 2020 - Study
Classifying laboratory incident reports to identify problems that jeopardize … Citation Text:
Classifying laboratory incident reports to identify problems that jeopardize patient … Cite
Citation
Citation Text:
Classifying laboratory incident reports to identify problems
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - This is a far more efficient method of
identifying potential safety problems than most other methods … But it would score low on sensitivity, as
many important safety problems would go undetected, as they … Thus, for every 10
deaths in low-mortality DRGs, careful review may reveal no apparent problems in care … Another concern is that culprit quality problems in cases such as the present one may be undetectable … morbidity, rather than relatively unimportant problems (e.g., missed doses of minor
medications).
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psnet.ahrq.gov/issue/prescriptions-analysis-clinical-pharmacists-post-operative-period-4-year-prospective-study
August 04, 2021 - This study found that pharmacist intervention can detect a significant number of medication-related problems … September 6, 2016
Drug related problems and pharmacist interventions in a geriatric unit … February 15, 2011
Drug-related problems in medical wards with a computerized physician
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psnet.ahrq.gov/issue/medication-errors-older-people-mental-health-problems-review
April 27, 2022 - Review
Medication errors in older people with mental health problems: a review.
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psnet.ahrq.gov/node/41989/psn-pdf
September 27, 2016 - Tapping front-line knowledge: identifying problems as
they occur helps enhance patient safety. … Tapping front-line knowledge: identifying problems as they occur helps enhance
patient safety. … https://psnet.ahrq.gov/issue/tapping-front-line-knowledge-identifying-problems-they-occur-helps-enhance … https://psnet.ahrq.gov/issue/tapping-front-line-knowledge-identifying-problems-they-occur-helps-enhance-patient-safety … https://psnet.ahrq.gov/issue/tapping-front-line-knowledge-identifying-problems-they-occur-helps-enhance-patient-safety
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psnet.ahrq.gov/node/35529/psn-pdf
May 27, 2011 - Case study: identifying potential problems at the
human/technical interface in complex clinical systems … Case study: identifying potential problems at the human/technical interface
in complex clinical systems … https://psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex … https://psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex-clinical-systems … https://psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex-clinical-systems
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psnet.ahrq.gov/node/37862/psn-pdf
April 22, 2011 - Impact of patient communication problems on the risk of
preventable adverse events in acute care settings … Impact of patient communication problems on the risk of preventable
adverse events in acute care settings … https://psnet.ahrq.gov/issue/impact-patient-communication-problems-risk-preventable-adverse-events- … https://psnet.ahrq.gov/issue/impact-patient-communication-problems-risk-preventable-adverse-events-acute-care-settings … https://psnet.ahrq.gov/issue/impact-patient-communication-problems-risk-preventable-adverse-events-acute-care-settings
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psnet.ahrq.gov/node/45536/psn-pdf
October 05, 2016 - Clinician-identified problems and solutions for delayed
diagnosis in primary care: a PRIORITIZE study … Clinician-identified problems and solutions for delayed diagnosis in
primary care: a PRIORITIZE study … https://psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care … Participants identified 33 discrete problems associated
with delays in diagnosis and suggested 27 solutions … https://psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-prioritize-study
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psnet.ahrq.gov/node/38045/psn-pdf
December 01, 2008 - Problems and solutions arising during a study in visual
semantics of the medical emergency team system … Problems and solutions arising during a study in visual semantics
of the medical emergency team system … https://psnet.ahrq.gov/issue/problems-and-solutions-arising-during-study-visual-semantics-medical-
emergency-team-system … https://psnet.ahrq.gov/issue/problems-and-solutions-arising-during-study-visual-semantics-medical-emergency-team-system … https://psnet.ahrq.gov/issue/problems-and-solutions-arising-during-study-visual-semantics-medical-emergency-team-system
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psnet.ahrq.gov/node/38540/psn-pdf
April 08, 2009 - Drug-related problems in medical wards with a
computerized physician order entry system. … Drug-related problems in medical wards with a computerized
physician order entry system. … https://psnet.ahrq.gov/issue/drug-related-problems-medical-wards-computerized-physician-order-entry- … https://psnet.ahrq.gov/issue/drug-related-problems-medical-wards-computerized-physician-order-entry-system … https://psnet.ahrq.gov/issue/drug-related-problems-medical-wards-computerized-physician-order-entry-system
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psnet.ahrq.gov/node/42747/psn-pdf
November 20, 2013 - Drug related problems and pharmacist interventions in a
geriatric unit employing electronic prescribing … Drug related problems and pharmacist
interventions in a geriatric unit employing electronic prescribing … https://psnet.ahrq.gov/issue/drug-related-problems-and-pharmacist-interventions-geriatric-unit-employing … https://psnet.ahrq.gov/issue/drug-related-problems-and-pharmacist-interventions-geriatric-unit-employing-electronic … https://psnet.ahrq.gov/issue/drug-related-problems-and-pharmacist-interventions-geriatric-unit-employing-electronic
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psnet.ahrq.gov/node/38387/psn-pdf
February 04, 2009 - Obstetrician-gynecologists' opinions about patient safety:
costs and liability remain problems; are … Obstetrician-gynecologists' opinions about patient safety: costs
and liability remain problems; are … psnet.ahrq.gov/issue/obstetrician-gynecologists-opinions-about-patient-safety-costs-and-liability-
remain-problems … psnet.ahrq.gov/issue/obstetrician-gynecologists-opinions-about-patient-safety-costs-and-liability-remain-problems … psnet.ahrq.gov/issue/obstetrician-gynecologists-opinions-about-patient-safety-costs-and-liability-remain-problems
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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 … Preventable deaths due to problems in care in English acute hospitals:
a retrospective case record review … https://psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective … The reviewers did find evidence of significant quality problems among both preventable and
non-preventable … https://psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review
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psnet.ahrq.gov/node/35718/psn-pdf
May 27, 2011 - Potential benefits and problems with computerized
prescriber order entry: analysis of a voluntary medication … Potential benefits and problems with computerized prescriber
order entry: analysis of a voluntary medication … https://psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis … https://psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis-voluntary … https://psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis-voluntary
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - This is a far more efficient method of identifying potential safety problems than most other methods … But it would score low on sensitivity, as many important safety problems would go undetected, as they … "( 8 ) In absolute terms, however, the rate of quality problems was only 9.8% among patients who died … Another concern is that culprit quality problems in cases such as the present one may be undetectable … Although death in low-mortality DRGs has high intuitive appeal as an indicator of safety problems,
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psnet.ahrq.gov/node/42587/psn-pdf
September 25, 2013 - Application of an engineering problem-solving
methodology to address persistent problems in patient … Application of an engineering problem-solving methodology to address persistent
problems in patient … https://psnet.ahrq.gov/issue/application-engineering-problem-solving-methodology-address-persistent-
problems-patient … https://psnet.ahrq.gov/issue/application-engineering-problem-solving-methodology-address-persistent-problems-patient … https://psnet.ahrq.gov/issue/application-engineering-problem-solving-methodology-address-persistent-problems-patient
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psnet.ahrq.gov/issue/using-automated-methods-detect-safety-problems-health-information-technology-scoping-review
April 07, 2019 - Review
Using automated methods to detect safety problems with health information … Using automated methods to detect safety problems with health information technology: a scoping review … Using automated methods to detect safety problems with health information technology: a scoping review … April 7, 2019
Identifying patient safety problems associated with information technology
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psnet.ahrq.gov/issue/mismatch-made-america
December 31, 2018 - A WebM&M commentary discussed problems associated with name similarities in the electronic patient … Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems … Hospitals
Ambulatory Care
Health Care Providers
Medicine
Discontinuities, Gaps, and Hand-Off Problems