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Total Results: 1,785 records

Showing results for "problems".

161. ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. | PSNet
     psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults
     May 11, 2017 - This report provides information about problems associated with insulin use in adults and offers consensus-developed

162. When doctors get the wrong patient. | PSNet
     psnet.ahrq.gov/issue/when-doctors-get-wrong-patient
     December 14, 2016 - Misidentification of patients can result in problems such as medication administration delays, blood

163. In Conversation with...Steven J. Spear, DBA, MS, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
     August 01, 2009 - as they occur, solving those problems, converting what you don't understand into something that you … They started tackling some really tough problems: patient falls, surgical site infections, central line … Those problems are manifestations of systems that are imperfect and have to be imperfect because they … In effect, work system problems increase a hypothetical ward nurse's workload from 5 patients to 5.3 … At the same time, managers should ensure that problems are solved at the most effective level.

164. A decade of health information technology usability challenges and the path forward. | PSNet
     psnet.ahrq.gov/issue/decade-health-information-technology-usability-challenges-and-path-forward
     January 16, 2019 - Health information technology (IT) usability problems can affect patient safety.

165. Patient safety is not elective: a debate at the NPSF Patient Safety Congress. | PSNet
     psnet.ahrq.gov/issue/patient-safety-not-elective-debate-npsf-patient-safety-congress
     March 18, 2019 - one argument describing the need for health care to differentiate individual failures from systems problems

166. Lessons from the Covid War: An Investigative Report. | PSNet
     psnet.ahrq.gov/issue/lessons-covid-war-investigative-report
     March 09, 2022 - book examines breakdowns in the US response to the COVID-19 epidemic to understand causes of the problems

167. In Conversation with...Lucian Leape, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
     August 01, 2006 - Those problems were solved in the next 10 years or so. … It was clear to me that we had major policy problems. … I don't think they're bad people, but certain problems are being totally ignored. … Despite Jeep's leadership, the publication of data pointing to major problems in anesthesia safety and … We have many of the same problems we had a generation ago, and we've added some new ones: making changes

168. Getting Into Patient Safety: A Personal Story | PSNet
     psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
     August 01, 2006 - Despite Jeep's leadership, the publication of data pointing to major problems in anesthesia safety and … We have many of the same problems we had a generation ago, and we've added some new ones: making changes … Those problems were solved in the next 10 years or so. … It was clear to me that we had major policy problems. … I don't think they're bad people, but certain problems are being totally ignored.

169. PCA Overdose | PSNet
     psnet.ahrq.gov/web-mm/pca-overdose
     April 01, 2017 - ADEs).( 2,3 ) It is not known exactly how often ADEs are associated with PCA use, especially because problems … A possible classification for such overdoses has been proposed.( 15 ) Problems include misprogramming … In the real world, such technologies are often too expensive and/or plagued with false alarm problems … Caregivers should report any problems or complications associated with PCA pumps (as well as all other … Problems with medical devices may be severely under-reported.

170. Crushing or splitting medications: unrecognized hazards. | PSNet
     psnet.ahrq.gov/issue/crushing-or-splitting-medications-unrecognized-hazards
     October 26, 2010 - This commentary discusses problems associated with crushing or splitting medications and recommends

171. Just a Cup of Tea – an Introduction to the SEIPS Framework. | PSNet
     psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework
     January 31, 2018 - and uses an everyday non-clinical activity to illustrate its use for a broad audience to identify problems

172. Drug name confusion: preventing medication errors. | PSNet
     psnet.ahrq.gov/issue/drug-name-confusion-preventing-medication-errors
     January 29, 2018 - This article reports on problems with drug names, the naming process for medications, and both industry

173. Analysis of reported drug interactions: a recipe for harm to patients. | PSNet
     psnet.ahrq.gov/issue/analysis-reported-drug-interactions-recipe-harm-patients
     January 20, 2016 - over a 7-year period to the Pennsylvania Patient Safety Authority, this analysis found that common problems

174. Learning From Mistakes. | PSNet
     psnet.ahrq.gov/issue/learning-mistakes
     March 28, 2018 - The National Health Service (NHS) has a history of sharing analyses of problems in its system.

175. Complaints and Raising Concerns. | PSNet
     psnet.ahrq.gov/issue/complaints-and-raising-concerns
     November 16, 2015 - Complaints are a proactive way to monitor and address recurring problems that may result in adverse

176. Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. | PSNet
     psnet.ahrq.gov/issue/oncology-pharmacist-led-medication-reconciliation-among-cancer-patients-initiating
     March 24, 2021 - July 10, 2024 Impact of pharmacist-led interventions on medication-related problems among … April 28, 2021 Analysis of pharmacist-identified medication-related problems at two United

177. The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review. | PSNet
     psnet.ahrq.gov/issue/impact-electronic-health-record-interoperability-safety-and-quality-care-high-income
     July 27, 2022 - September 27, 2023 Drug-related problems and polypharmacy in nursing home residents: … Ambulatory Clinic or Office Information Professionals Discontinuities, Gaps, and Hand-Off Problems

178. Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/which-adverse-events-and-which-drugs-are-implicated-drug-related-hospital-admissions
     August 11, 2021 - September 9, 2020 Drug-related problems and polypharmacy in nursing home residents: a … July 22, 2020 View More Related Resources Medicines related problems

179. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. | PSNet
     psnet.ahrq.gov/issue/discontinuation-outpatient-medications-implications-electronic-messaging-pharmacies-using
     October 05, 2022 - August 19, 2020 Using automated methods to detect safety problems with health information … Safety Professionals Information Professionals Medicine Discontinuities, Gaps, and Hand-Off Problems

180. Clinical and economic impact of medication reconciliation in cancer patients: a systematic review. | PSNet
     psnet.ahrq.gov/issue/clinical-and-economic-impact-medication-reconciliation-cancer-patients-systematic-review
     January 27, 2019 - Related Resources Impact of pharmacist-led interventions on medication-related problems … Hospitals Ambulatory Clinic or Office Medical Oncology Discontinuities, Gaps, and Hand-Off Problems