Results

Total Results: 1,785 records

Showing results for "problems".

141. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. | PSNet
     psnet.ahrq.gov/issue/examination-maternal-near-miss-experiences-hospital-setting-among-black-women-united-states
     August 26, 2020 - They list communication problems, such as not being believed, their relationship with their provider,

142. Beyond our walls: impact of patient and provider coordination across the continuum on outcomes for surgical patients. | PSNet
     psnet.ahrq.gov/issue/beyond-our-walls-impact-patient-and-provider-coordination-across-continuum-outcomes-surgical
     March 24, 2021 - investigators surveyed patients regarding the coordination of their postdischarge care and identified problems

143. How surgical trainees handle catastrophic errors: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/how-surgical-trainees-handle-catastrophic-errors-qualitative-study
     March 19, 2019 - qualitative study, surgery resident physicians perceive that catastrophic errors result from system problems

144. The effects of physical environments in medical wards on medication communication processes affecting patient safety. | PSNet
     psnet.ahrq.gov/issue/effects-physical-environments-medical-wards-medication-communication-processes-affecting
     November 17, 2021 - At an Australian hospital, frequent interruptions, limited space, and equipment problems were among many

145. Implement strategies to prevent persistent medication errors and hazards. | PSNet
     psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
     March 14, 2023 - Recommended areas of focus include reducing emphasis on the “Five Rights” to address system problems

146. Approaches and Challenges to Electronically Matching Patients' Records Across Providers. | PSNet
     psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers
     September 25, 2019 - Record matching problems can have serious clinical impacts on patients.

147. The 2-Week Itch | PSNet
     psnet.ahrq.gov/web-mm/2-week-itch
     June 16, 2019 - To avert problems, hospitals and pharmacies should consider the possibility of name confusion when adding … this information in pharmacy computer system inventory files can actively signal staff about potential problems … In the future, problems with look and sound-alike products may be lessened because both the FDA and most … Pronunciation tests also are used to help detect potential problems with new names. … Install and utilize computerized alerts to remind providers about potential problems during prescription

148. Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. | PSNet
     psnet.ahrq.gov/issue/implementing-studying-and-reporting-health-system-improvement-era-electronic-health-records
     January 17, 2024 - Research and error reporting are important strategies to uncover problems in health system performance

149. Measuring and improving patient safety through health information technology: the Health IT Safety Framework. | PSNet
     psnet.ahrq.gov/issue/measuring-and-improving-patient-safety-through-health-information-technology-health-it-safety
     December 06, 2023 - The framework focuses on three areas: concerns unique to technology, problems with use and misuse of

150. Targeting the fear of safety reporting on a unit level. | PSNet
     psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level
     December 13, 2023 - The initiative applied high reliability principles of developing safety awareness and learning from problems

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33570/psn-pdf
     June 15, 2024 - Background The past decade's quest to improve patient safety has chiefly addressed quantifiable problems … part of individual clinicians play a role in many diagnostic errors, underlying health care system problems … systematic reviews have assessed the evidence base of interventions to prevent cognitive errors and systems problems

152. Culture of Safety | PSNet
     psnet.ahrq.gov/primer/culture-safety
     September 15, 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

153. Non-accidental Injuries in Infants Attending the Emergency Department. | PSNet
     psnet.ahrq.gov/issue/non-accidental-injuries-infants-attending-emergency-department
     May 31, 2023 - Themes identified as contributing to the problems include lack of information sharing, inconsistent guidance

154. Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. | PSNet
     psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization-challenging
     December 27, 2018 - Irrelevant alarms and out-of-date drug libraries were among the problems identified by survey participants

155. Temporarily holding medication orders safely in order to prevent patient harm. | PSNet
     psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
     March 14, 2023 - reasons for holding medications and how workflow issues can contribute to medication temporary stop order problems

156. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. | PSNet
     psnet.ahrq.gov/issue/promoting-effective-transitions-care-hospital-discharge-review-key-issues-hospitalists
     November 16, 2022 - December 19, 2011 Drug-related problems in older people after hospital discharge and … Physicians General Internal Medicine Hospital Medicine Discontinuities, Gaps, and Hand-Off Problems

157. Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and functional characteristics. | PSNet
     psnet.ahrq.gov/issue/potentially-inappropriate-medications-large-cohort-patients-geriatric-units-association
     April 21, 2021 - December 18, 2013 Drug related problems and pharmacist interventions in a geriatric unit … June 13, 2011 Drug-related problems in medical wards with a computerized physician order

158. Intraoperative patient information handover between anesthesia providers. | PSNet
     psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers
     November 24, 2021 - Using text mining techniques to identify health care providers with patient safety problems … Providers Quality and Safety Professionals Anesthesiology Discontinuities, Gaps, and Hand-Off Problems

159. An effectiveness analysis of healthcare systems using a systems theoretic approach. | PSNet
     psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach
     August 10, 2022 - January 24, 2024 Activating pharmacists to reduce the frequency of medication-related problems … February 8, 2011 Problems and solutions arising during a study in visual semantics of

160. Clinical criteria to screen for inpatient diagnostic errors: a scoping review. | PSNet
     psnet.ahrq.gov/issue/clinical-criteria-screen-inpatient-diagnostic-errors-scoping-review
     December 12, 2018 - March 29, 2023 Using automated methods to detect safety problems with health information … December 30, 2014 Detection of medication-related problems in hospital practice: a review