Results

Total Results: 1,785 records

Showing results for "problems".

221. In Conversation With… Charles Vincent, MPhil, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
     July 10, 2024 - The fact that reporting systems per se are not going to sort all our safety problems should not be blamed … delayed measuring safety critical issues, you know, whether it's infections, falls, or central line problems … There's no reason that clinicians shouldn't take a different view, but if you think about all the safety problems … different areas, whether it's in internal medicine or in pediatrics or whatever, there are multiple problems … Firstly, I think people realize now that incident reporting is not going to solve all our problems.

222. Year-end resident clinic handoffs: narrative review and recommendations for improvement. | PSNet
     psnet.ahrq.gov/issue/year-end-resident-clinic-handoffs-narrative-review-and-recommendations-improvement
     March 28, 2018 - March 2, 2011 Problems after discharge and understanding of communication with their … Hospitals Facility and Group Administrators Medicine Discontinuities, Gaps, and Hand-Off Problems

223. Effectiveness of interventions to improve patient handover in surgery: a systematic review. | PSNet
     psnet.ahrq.gov/issue/effectiveness-interventions-improve-patient-handover-surgery-systematic-review
     June 25, 2018 - June 22, 2016 Often overlooked problems with handoffs: from the intensive care unit to … Room Health Care Executives and Administrators Surgery Discontinuities, Gaps, and Hand-Off Problems

224. Patient safety curriculum for surgical residency programs: results of a national consensus conference. | PSNet
     psnet.ahrq.gov/issue/patient-safety-curriculum-surgical-residency-programs-results-national-consensus-conference
     September 16, 2009 - Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems … Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems

225. Reporting trends in a regional medication error data-sharing system. | PSNet
     psnet.ahrq.gov/issue/reporting-trends-regional-medication-error-data-sharing-system
     September 29, 2010 - January 3, 2017 Paramedic intubation errors: isolated events or symptoms of larger problems … 2010 Application of an engineering problem-solving methodology to address persistent problems

226. Email for communicating results of diagnostic medical investigations to patients. | PSNet
     psnet.ahrq.gov/issue/email-communicating-results-diagnostic-medical-investigations-patients
     December 14, 2016 - December 14, 2016 Clinician-identified problems and solutions for delayed diagnosis in … Prioritizing medication safety in care of people with cancer: clinicians' views on main problems

227. The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals. | PSNet
     psnet.ahrq.gov/issue/girl-who-died-twice-every-patients-nightmare-libby-zion-case-and-hidden-hazards-hospitals
     May 09, 2018 - Managing Moral Problems in Health Care Systems. … Care Providers Non-Health Care Professionals Patients Discontinuities, Gaps, and Hand-Off Problems

228. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/867461
     January 31, 2024 - This report examined the costs of avoidable problems in long term care and suggests prevention strategies … Patient complaints have the potential to be used for care improvement as they surface problems in health … Patient complaints have the potential to be used for care improvement as they surface problems in health … This report examined the costs of avoidable problems in long term care and suggests prevention strategies

229. Keeping Patients Safe: Transforming the Work Environment of Nurses. | PSNet
     psnet.ahrq.gov/issue/keeping-patients-safe-transforming-work-environment-nurses
     July 05, 2016 - This AHRQ-funded Institute of Medicine study identifies solutions to problems in hospital, nursing home

230. National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. | PSNet
     psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report
     January 11, 2013 - rigorous evaluation process that, interestingly, found that measures of other well-documented safety problems

231. The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition. | PSNet
     psnet.ahrq.gov/issue/fifth-discipline-art-practice-learning-organization-revised-updated-edition
     May 12, 2010 - introduces the concept of systems thinking and describes how systems often conspire to create their own problems

232. Nursing Home Survey on Patient Safety Culture. | PSNet
     psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture
     November 23, 2016 - safety culture in a nursing home include insufficient staffing and a tendency to blame individuals for problems

233. Patient-reported missed nursing care correlated with adverse events. | PSNet
     psnet.ahrq.gov/issue/patient-reported-missed-nursing-care-correlated-adverse-events
     September 27, 2017 - reported pressure ulcers , medication errors , hospital-acquired infections , and intravenous line problems

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33776/psn-pdf
     January 01, 2015 - Everybody can point out problems. … Deming, he would say, and the number changed over time, roughly 94% of problems are due to the system … There's a progression where an organization should be able to find the right problems to solve early … For example, if people aren't washing their hands often enough, there are usually systemic problems … Deming's teachings that if slogans and posters worked, we would have already solved these problems in

235. A Costly Colonoscopy Leads to a Delay in Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
     September 01, 2014 - 64 (34%) reported having a cost-related problem accessing medical care in the past year.( 1 ) These problems … of issues, merely having insurance coverage does not fully protect patients from cost-related access problems … In fact, roughly 1 in 5 patients with health insurance report problems paying medical bills.( 2 ) Financial … pathways required to create a system that effectively helps patients navigate cost-related medical problems … Cost-related medical access problems include having a medical issue but not visiting a doctor or clinic

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36579/psn-pdf
     June 16, 2019 - report discussed medication reconciliation and community pharmacists, look-alike and sound- alike problems

237. Improving patient safety in handover from intensive care unit to general ward: a systematic review. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-handover-intensive-care-unit-general-ward-systematic-review
     June 12, 2008 - April 22, 2015 Often overlooked problems with handoffs: from the intensive care unit … Intensive Care Units Health Care Providers Critical Care Discontinuities, Gaps, and Hand-Off Problems

238. Information transfer and communication in surgery: a systematic review. | PSNet
     psnet.ahrq.gov/issue/information-transfer-and-communication-surgery-systematic-review
     September 26, 2012 - August 11, 2010 Postoperative handover: problems, pitfalls, and prevention of error. … December 21, 2014 Often overlooked problems with handoffs: from the intensive care unit

239. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. | PSNet
     psnet.ahrq.gov/issue/surgeon-information-transfer-and-communication-factors-affecting-quality-and-efficiency
     December 21, 2014 - Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems … Safety Professionals Organizational Behaviorists Surgery Discontinuities, Gaps, and Hand-Off Problems

240. Medication discrepancies in resident sign-outs and their potential to harm. | PSNet
     psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm
     March 28, 2011 - February 3, 2011 Problems after discharge and understanding of communication with their … See More About The Topic Hospitals Internal Medicine Discontinuities, Gaps, and Hand-Off Problems