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psnet.ahrq.gov/issue/interprofessional-and-intraprofessional-communication-about-older-peoples-medications-across
June 26, 2019 - September 15, 2021
Drug-related problems and polypharmacy in nursing home residents: … About The Topic
Hospitals
Long-Term Care
Geriatrics
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/impact-pharmacist-administered-deprescribing-intervention-nursing-home-residents-randomized
September 09, 2020 - Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems … November 2, 2022
Drug-related problems and polypharmacy in nursing home residents: a
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psnet.ahrq.gov/issue/role-pharmacist-counseling-preventing-adverse-drug-events-after-hospitalization
November 16, 2022 - Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems … Health Care Executives and Administrators
Hospital Pharmacy
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/trust-and-medical-ai-challenges-we-face-and-expertise-needed-overcome-them
July 22, 2020 - April 24, 2019
Problems with health information technology and their effects on care … April 24, 2018
Identifying patient safety problems associated with information technology
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psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-leaders
August 24, 2022 - Patient safety requires a systems approach to identify problems and arrive at lasting solutions that
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psnet.ahrq.gov/issue/medical-office-survey-2020-user-database-report
April 06, 2022 - Ambulatory practices with weaker safety cultures can experience problems in teamwork, diagnosis , and
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psnet.ahrq.gov/issue/contribution-diagnostic-errors-maternal-morbidity-and-mortality-during-and-immediately-after
February 17, 2021 - explores the role of diagnostic error in maternal morbidity and mortality , the preventability of common problems
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psnet.ahrq.gov/issue/patient-safety-womens-health-care-framework-progress
January 12, 2011 - provides a complete overview of errors in health care and discusses solutions to address these complex problems
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psnet.ahrq.gov/issue/ismp-survey-shows-provider-text-messaging-often-runs-afoul-patient-safety
May 07, 2018 - Participants reported problems such as misidentification of patients, autocorrection errors, and misunderstood
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psnet.ahrq.gov/issue/electronic-health-record-ehr-safety-and-usability-see-what-we-mean
June 08, 2011 - environments while paradoxically introducing inefficiencies and opportunities for error due to usability problems
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psnet.ahrq.gov/issue/maternal-and-infant-health-inequality-new-evidence-linked-administrative-data
August 23, 2017 - Unequal maternal care access and safety are known problems in communities of color.
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psnet.ahrq.gov/node/33872/psn-pdf
January 01, 2018 - significant proportion of complaints represent true safety concerns, although
complaints encompass problems … patient-participation-current-knowledge-and-applicability-patient-safety
https://psnet.ahrq.gov/issue/frequency-and-nature-potentially-harmful-preventable-problems-primary-care-patients … health IT platform for soliciting patient complaints rather than traditional means for
identifying problems … diagnostic-errors
https://psnet.ahrq.gov/issue/frequency-and-nature-potentially-harmful-preventable-problems-primary-care-patients
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psnet.ahrq.gov/issue/improving-clinical-handover-between-intensive-care-unit-and-general-ward-professionals
January 30, 2019 - June 21, 2017
Often overlooked problems with handoffs: from the intensive care unit to … Care Units
Quality and Safety Professionals
Critical Care
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report
December 21, 2022 - Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems … July 22, 2020
Analysis of pharmacist-identified medication-related problems at two United
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psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy
March 21, 2012 - This guidance shares evidence-based steps to address problems such as wrong patient errors and lack
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psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
May 25, 2016 - This book discusses evidence, tools, and case examples to help prepare organizations for problems associated
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psnet.ahrq.gov/issue/putting-patient-patient-safety-qualitative-study-consumer-experiences
October 12, 2011 - This survey identified communication problems as a major patient safety concern for hospitalized patients
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psnet.ahrq.gov/issue/preventing-communication-errors-telephone-medicine
December 01, 2004 - The authors use case scenarios to illustrate potential problems and provide practical solutions in caring
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psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes
November 30, 2016 - This article highlights problems with feed tube medication administration.
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psnet.ahrq.gov/issue/concept-analysis-systems-thinking
August 20, 2018 - Systems thinking focuses on enabling an organization to learn from experience to address complex problems