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psnet.ahrq.gov/issue/drug-related-problems-older-people-after-hospital-discharge-and-interventions-reduce-them
September 13, 2023 - Review
Drug-related problems in older people after hospital discharge and interventions … Drug-related problems in older people after hospital discharge and interventions to reduce them. … This review analyzed post-discharge medication-related problems and strategies to improve care transitions … Drug-related problems in older people after hospital discharge and interventions to reduce them.
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psnet.ahrq.gov/issue/technology-induced-error-and-usability-relationship-between-usability-problems-and
June 15, 2022 - Study
Technology induced error and usability: the relationship between usability problems … Technology induced error and usability: The relationship between usability problems and prescription … The authors evaluated physicians' use of handheld prescribing devices and found that usability problems … Technology induced error and usability: The relationship between usability problems and prescription
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psnet.ahrq.gov/issue/using-fda-reports-inform-classification-health-information-technology-safety-problems
November 03, 2015 - Using FDA reports to inform a classification for health information technology safety problems … Using FDA reports to inform a classification for health information technology safety problems. … Investigators uncovered problems with software functionality, system configuration, interface with devices … Using FDA reports to inform a classification for health information technology safety problems. … February 8, 2023
Problems with health information technology and their effects on care
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psnet.ahrq.gov/issue/patient-safety-culture-health-information-technology-implementation-and-medical-office
December 15, 2010 - Patient safety culture, health information technology implementation, and medical office problems … Patient Safety Culture, Health Information Technology Implementation, and Medical Office Problems That … Better safety culture scores were associated with fewer problems, and practices undergoing health IT … implementation reported more problems. … Patient Safety Culture, Health Information Technology Implementation, and Medical Office Problems That
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psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review
July 20, 2022 - Study
Classic
Preventable deaths due to problems in care … Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review … The reviewers did find evidence of significant quality problems among both preventable and non-preventable … Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review … December 16, 2020
Problems in care and avoidability of death after discharge from intensive
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psnet.ahrq.gov/issue/medication-related-problems-critical-care-survivors-systematic-review
August 20, 2018 - Review
Medication-related problems in critical care survivors: a systematic review … Medication-related problems in critical care survivors: a systematic review. … studies found that as many as 80% of patients on critical care services experienced medication-related problems … Common problems include inappropriate continuation of newly-prescribed medications as well as discontinuation … Medication-related problems in critical care survivors: a systematic review.
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psnet.ahrq.gov/issue/mind-overlap-how-system-problems-contribute-cognitive-failure-and-diagnostic-errors
August 14, 2019 - Study
Mind the overlap: how system problems contribute to cognitive failure and diagnostic … Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. … hospitalist teams on rounds and conducting follow-up work examined the interaction between systems problems … Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors.
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psnet.ahrq.gov/issue/medicines-related-problems-mrps-originating-primary-care-settings-older-adults-systematic
March 04, 2015 - Review
Medicines related problems (MRPs) originating in primary care settings in … Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic … This systematic review including 21 studies on medication-related problems in in older adults identified … The authors found the classes of medication related problems are similar to studies from a decade ago … Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic
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psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety
March 29, 2007 - Book/Report
First, Do Less Harm: Confronting the Inconvenient Problems of Patient … Citation Text:
First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. … perspectives to address why, despite tactics like health care information technology implementation, problems … Cite
Citation
Citation Text:
First, Do Less Harm: Confronting the Inconvenient Problems
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psnet.ahrq.gov/issue/admission-handoff-communications-clinicians-shared-understanding-patient-severity-illness-and
May 31, 2017 - Admission handoff communications: clinician's shared understanding of patient severity of illness and problems … agreed on a patient's overall severity of illness, but did not agree on prioritization of specific acute problems … May 15, 2019
Patient safety problems in adolescent medical care. … Care Providers
Quality and Safety Professionals
Educators
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/patient-race-and-opioid-misuse-history-influence-provider-risk-perceptions-future-opioid
March 24, 2021 - Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems … Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems … previous opioid misuse behaviors impact providers’ risk assessment for future prescription opioid-related problems … Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems
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psnet.ahrq.gov/issue/frequency-and-nature-potentially-harmful-preventable-problems-primary-care-patients
June 30, 2021 - Study
Frequency and nature of potentially harmful preventable problems in primary … Frequency and nature of potentially harmful preventable problems in primary care from the patient's perspective … About 8% of patients reported an adverse event, which were frequently problems with medications, accessing … Frequency and nature of potentially harmful preventable problems in primary care from the patient's perspective
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psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - The HomeMeds Medication Safety Program identified and addressed targeted medication problems, leading … Program implementation identified and addressed several common medication problems found among older … In the waiver study, 62 percent of pharmacist-confirmed therapeutic duplication problems were resolved … In the waiver program, 61 percent of pharmacist-confirmed problems had changes. … Over time, the nurses and the pharmacist began to identify common medication-related problems and felt
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psnet.ahrq.gov/issue/using-statistical-text-classification-identify-health-information-technology-incidents
February 14, 2024 - Institute of Medicine report found that existing health information technology (IT) systems have several problems … These queries can be used for earlier detection of patient care problems associated with health IT, in … 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
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psnet.ahrq.gov/issue/characteristics-patient-care-management-problems-identified-emergency-department-morbidity
April 24, 2018 - Study
Characteristics of patient care management problems identified in emergency … Characteristics of patient care management problems identified in emergency department morbidity and … conducting retrospective case analyses and points out the most common contributing factors to patient problems … Characteristics of patient care management problems identified in emergency department morbidity and
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psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-prioritize-study
December 14, 2016 - Study
Clinician-identified problems and solutions for delayed diagnosis in primary … Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study … Participants identified 33 discrete problems associated with delays in diagnosis and suggested 27 solutions … Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study … Prioritizing medication safety in care of people with cancer: clinicians' views on main problems
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psnet.ahrq.gov/issue/problems-after-discharge-and-understanding-communication-their-primary-care-physicians-pcps
March 28, 2018 - Study
Problems after discharge and understanding of communication with their primary … Problems after discharge and understanding of communication with their primary care physicians among … geriatric patients, conducted 2 weeks after hospital discharge, identified a large proportion who suffered problems … Problems after discharge and understanding of communication with their primary care physicians among
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psnet.ahrq.gov/issue/drug-related-problems-and-pharmacist-interventions-geriatric-unit-employing-electronic
June 26, 2024 - Study
Drug related problems and pharmacist interventions in a geriatric unit employing … 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 … November 30, 2022
Non-dispensing pharmacists' actions and solutions of drug therapy problems … February 15, 2011
Drug-related problems in medical wards with a computerized physician
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psnet.ahrq.gov/issue/reasons-drug-administration-problems-and-perceived-needs-assistance-patients-family
November 02, 2010 - Study
Reasons for drug administration problems and perceived needs for assistance … Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers … Patients and caregivers were generally unaware of errors and primarily attributed administration problems … Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers
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psnet.ahrq.gov/issue/do-professionalism-lapses-medical-school-predict-problems-residency-and-clinical-practice
February 15, 2017 - Study
Do professionalism lapses in medical school predict problems in residency and … Do professionalism lapses in medical school predict problems in residency and clinical practice? … professional-related reasons to matched controls to explore whether professionalism lapses predict problems … Do professionalism lapses in medical school predict problems in residency and clinical practice?