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psnet.ahrq.gov/issue/frequency-and-nature-prescribing-problems-general-practitioners-training-revisit
December 16, 2020 - Study
The frequency and nature of prescribing problems by general practitioners in … The frequency and nature of prescribing problems by general practitioners in training (REVISiT). … The frequency and nature of prescribing problems by general practitioners in training (REVISiT).
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psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
December 21, 2017 - Study
Identifying patient safety problems associated with information technology … Identifying patient safety problems associated with information technology in general practice: an analysis … Identifying patient safety problems associated with information technology in general practice: an analysis … December 21, 2017
Using automated methods to detect safety problems with health information … May 3, 2023
Problems with health information technology and their effects on care delivery
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-24
June 16, 2019 - epidural tubing mistakenly utilized for an intravenous medication, a topical medication given orally, and problems … Pharmacy
Indwelling Tubes and Catheters
Infusion Pumps
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/drug-related-problems-medical-wards-computerized-physician-order-entry-system
December 01, 2010 - Study
Drug-related problems in medical wards with a computerized physician order … Drug-related problems in medical wards with a computerized physician order entry system. … Drug-related problems in medical wards with a computerized physician order entry system. … December 10, 2014
Drug related problems and pharmacist interventions in a geriatric unit
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psnet.ahrq.gov/issue/using-text-mining-techniques-identify-health-care-providers-patient-safety-problems
July 27, 2022 - Using text mining techniques to identify health care providers with patient safety problems … Using text mining techniques to identify health care providers with patient safety problems: exploratory … Using text mining techniques to identify health care providers with patient safety problems: exploratory
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psnet.ahrq.gov/issue/malpractice-mess
November 14, 2018 - Gawande shares several stories of malpractice lawsuits, giving context to a balanced discussion on problems … March 27, 2019
Insulin pumps have most reported problems in FDA database.
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psnet.ahrq.gov/issue/drug-related-problems-and-polypharmacy-nursing-home-residents-cross-sectional-study
May 25, 2022 - Study
Drug-related problems and polypharmacy in nursing home residents: a cross-sectional … Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study. … Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study.
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psnet.ahrq.gov/primer/reporting-patient-safety-events
March 30, 2022 - are ubiquitous in hospitals and are a mainstay of efforts to detect patient safety events and quality problems … Safety Hazards provides a detailed discussion of other methods of identifying errors and latent safety problems … concerns that are worthy of attention, they do not provide insights into the epidemiology of safety problems … reports therefore provide a snapshot of safety issues, but on their own, cannot place the reported problems
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psnet.ahrq.gov/issue/cancer-diagnoses-delayed-among-prisoners-washington-state
March 24, 2021 - This news story highlights problems in correctional system cancer diagnoses and treatment that may … indicate other types of prison care delivery problems.
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psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex-clinical-systems
July 22, 2009 - Commentary
Case study: identifying potential problems at the human/technical interface … Case study: identifying potential problems at the human/technical interface in complex clinical systems … Case study: identifying potential problems at the human/technical interface in complex clinical systems
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psnet.ahrq.gov/issue/economics-diagnostic-safety
July 28, 2021 - individual skills that degrade diagnosis and outlines the economic ramifications of these embedded problems … April 24, 2024
Non-dispensing pharmacists' actions and solutions of drug therapy problems
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psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety
January 06, 2015 - The results demonstrate the widespread nature of patient safety problems. … February 26, 2020
Frequency and nature of potentially harmful preventable problems in … February 4, 2015
Poll: Many Sick Americans Experience Significant Financial Problems
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psnet.ahrq.gov/primer/diagnostic-errors
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 … reviews have assessed the evidence base of interventions to prevent cognitive errors and systems problems
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-21
January 17, 2018 - error reports provides examples of intravenous amphotericin mix-ups, cardiac catheterization lab set-up problems … Pharmacy
Indwelling Tubes and Catheters
Infusion Pumps
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-17
January 17, 2018 - This monthly selection of medication error reports discusses problems related to intravenous tubing misconnections … Pharmacy
Indwelling Tubes and Catheters
Infusion Pumps
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/hacking-teamwork-health-care-addressing-adverse-effects-ad-hoc-team-composition-critical-care
October 11, 2023 - discusses the three solutions proposed, and the impacts of leveraging this approach for solving other problems … About The Topic
Researchers
Medicine
Nurse Care
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - researchers and commentators have produced widely varying estimates of the death toll ascribable to safety problems … conduct standardized reviews of deaths in order to identify individual clinician issues or systematic problems … within a single organization, and reviewing deaths may provide only a limited view of patient safety problems … they tend to identify a limited subset of issues, such as diagnostic errors, failure to rescue , or problems … formal strategies for identifying preventable deaths and analyzing these deaths to determine systematic problems
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psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems-thinking-safety
March 14, 2022 - organizations to encourage learning from failures and identifying solutions to complex patient safety problems … Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems
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psnet.ahrq.gov/issue/delivering-high-reliability-maternity-care-situ-simulation-source-organisational-resilience
April 05, 2023 - Simulation training can enhance teamwork, identify latent problems, and contribute to improved patient … Using text mining techniques to identify health care providers with patient safety problems
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psnet.ahrq.gov/issue/transforming-healthcare-safety-imperative
June 26, 2019 - patient safety over the past decade, most health care organizations still experience persistent safety problems … These include transparency in disclosing errors and quality problems, integration of care across teams