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Total Results: 1,785 records

Showing results for "problems".

121. Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. | PSNet
     psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry
     December 31, 2014 - February 14, 2024 Using automated methods to detect safety problems with health information … February 8, 2023 Problems with health information technology and their effects on care … April 24, 2018 Identifying patient safety problems associated with information technology

122. Strategies for learning from failure. | PSNet
     psnet.ahrq.gov/issue/strategies-learning-failure
     September 25, 2024 - recommends that organizations maintain a learning culture, actively promote detection and reporting of problems

123. Detection of Safety Hazards | PSNet
     psnet.ahrq.gov/primer/detection-safety-hazards
     March 30, 2022 - The field of  human factors engineering  attempts to identify and address safety problems that arise … Establishing a  culture of safety  entails obtaining information on perceived safety problems from staff … researchers attuned to the cultural aspects of how care is provided, can determine distinct classes of safety problems … RCA is a formal multidisciplinary process that has the explicit goal of identifying systematic problems … seeking to  engage patients in safety  efforts, and  some studies  have shown that patients can identify problems

124. VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. | PSNet
     psnet.ahrq.gov/issue/va-pauses-16b-oracle-cerner-ehr-deployments-indefinitely-address-error-ridden-early-rollout
     September 14, 2022 - Notable problems have occurred during the testing of the new electronic health records (EHR) system

125. Machine learning is booming in medicine. It’s also facing a credibility crisis. | PSNet
     psnet.ahrq.gov/issue/machine-learning-booming-medicine-its-also-facing-credibility-crisis
     May 22, 2019 - This news story highlights how underlying problems and testing failures limit the trustworthiness

126. Advancing Diagnostic Excellence in Maternal Health Care. | PSNet
     psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care
     October 19, 2022 - identifications of knowledge gaps, and strategies to decrease maternal disparities, cancer misdiagnoses and problems

127. Patient Safety 101 | PSNet
     psnet.ahrq.gov/patient-safety-101
     March 26, 2025 - reporting systems are ubiquitous in hospitals and are a mainstay of efforts to detect safety and quality problems … Human factors engineering is the discipline that attempts to identify and address safety problems

128. High Reliability | PSNet
     psnet.ahrq.gov/primer/high-reliability
     January 29, 2020 - Thus, high reliability organizations work to create an environment in which potential problems are anticipated … so all personnel actively think about what could go wrong and are alert to small signs of potential problems … organizational climate is such that all staff members are comfortable speaking up about potential safety problems … cross monitoring so they may identify potential safety threats quickly and either respond before safety problems

129. The Role of Health Literacy in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
     March 22, 2009 - Improving Health Literacy to Protect Patient Safety , communication problems among health care providers … acting upon health information.( 2 ) Specifically, limited health literacy has been repeatedly linked to problems … skills, health status, and greater mortality risk.( 3 , 4 ) It is estimated that these health literacy problems … Public hospital patients, for the most part, are disempowered and may be used to having problems with … It could either exacerbate the problems because we're developing health IT interventions that really

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33563/psn-pdf
     September 16, 2024 - punishment encouragement of collaboration across ranks and disciplines to seek solutions to patient safety problems … consistently complained of the lack of a blame-free environment, and providers at all levels have noted problems … being widely implemented to help address cultural issues such as rigid hierarchies and communication problems

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36549/psn-pdf
     March 21, 2017 - defined "error" more broadly than traditional definitions, including such issues as falls, communication problems … least one error-related concern during their hospitalization, most commonly due to well-recognized problems

132. Diagnostic stewardship—leveraging the laboratory to improve antimicrobial use. | PSNet
     psnet.ahrq.gov/issue/diagnostic-stewardship-leveraging-laboratory-improve-antimicrobial-use
     March 15, 2023 - Problems managing laboratory tests can contribute to diagnostic error.

133. Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. | PSNet
     psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-resident-complaints
     October 12, 2022 - Patient complaints have the potential to be used for care improvement as they surface problems in health

134. Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. | PSNet
     psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans
     June 26, 2019 - May 24, 2023 Identifying patient safety problems associated with information technology … February 11, 2014 Poll: Many Sick Americans Experience Significant Financial Problems

135. National Patient Safety Agency (NPSA). | PSNet
     psnet.ahrq.gov/issue/national-patient-safety-agency-npsa
     October 26, 2007 - in 2001 to coordinate efforts across the United Kingdom in reporting and learning from mistakes and problems

136. Millions of people used tainted breathing machines. The FDA failed to use its power to protect them. | PSNet
     psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power-protect-them
     June 28, 2023 - It discusses problems with a widely used sleep apnea breathing device (continuous positive airway pressure

137. Improving Usability, Safety and Patient Outcomes With Health Information Technology. | PSNet
     psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technology
     June 15, 2022 - March 2, 2010 Unintended Consequences: New Problems and New Solutions. … September 29, 2017 Unintended Consequences: New Problems and New Solutions.

138. Tiered daily huddles: the power of teamwork in managing large healthcare organisations. | PSNet
     psnet.ahrq.gov/issue/tiered-daily-huddles-power-teamwork-managing-large-healthcare-organisations
     December 09, 2020 - The tiered huddle structure uses six tiers to share information and address problems at all levels of

139. Clinical decision support for drug related events: moving towards better prevention. | PSNet
     psnet.ahrq.gov/issue/clinical-decision-support-drug-related-events-moving-towards-better-prevention
     December 16, 2020 - This commentary discusses how organizations are using clinical decision support systems to track problems

140. The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. | PSNet
     psnet.ahrq.gov/issue/economics-patient-safety-part-iii-long-term-care-valuing-safety-long-haul
     September 28, 2022 - This report examined the costs of avoidable problems in long term care and suggests prevention strategies