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Total Results: 7,452 records

Showing results for "problems".

281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33687/psn-pdf
     August 01, 2009 - In effect, work system problems increase a hypothetical ward nurse's workload from 5 patients to 5.3 … Ironically, the true magnitude of work system problems remains hidden because frontline health care … are not investigated to find and remove underlying causes.(12) Thus, similar problems are likely to … can be more productive than examining a broad category of problems months after their occurrence (e.g … At the same time, managers should ensure that problems are solved at the most effective level.

282. Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. | PSNet
     psnet.ahrq.gov/issue/prospective-daily-review-discharge-medications-pharmacists-effects-measures-safety-and
     July 14, 2010 - A substantive percentage of medication problems were prevented due to pharmacist engagement. … Pharmacists Information Professionals Hospital Pharmacy Discontinuities, Gaps, and Hand-Off Problems

283. An evaluation of information transfer through the continuum of surgical care: a feasibility study. | PSNet
     psnet.ahrq.gov/issue/evaluation-information-transfer-through-continuum-surgical-care-feasibility-study
     December 21, 2014 - handoff during the preoperative, intraoperative, and postoperative periods, and found significant problems … September 26, 2012 Postoperative handover: problems, pitfalls, and prevention of error

284. Using an interactive voice response system to improve patient safety following hospital discharge. | PSNet
     psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge
     February 01, 2017 - received an automated phone call 48 hours after hospital discharge to assess for new symptoms, medication problems … Hospitals General Internal Medicine Hospital Medicine Discontinuities, Gaps, and Hand-Off Problems

285. Adverse events and near misses relating to information management in a hospital. | PSNet
     psnet.ahrq.gov/issue/adverse-events-and-near-misses-relating-information-management-hospital
     December 29, 2014 - This analysis of incident reports found that problems with handling patient clinical information were … Administrators Information Professionals Hospital Medicine Discontinuities, Gaps, and Hand-Off Problems

286. Trends in anesthesia-related liability and lessons learned. | PSNet
     psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
     August 22, 2018 - Closed claim analysis can identify care problems and inform improvement strategies. … Situational awareness , distractions, equipment problems , and pain medicine complications contributed

287. Deaths following prehospital safety incidents: an analysis of a national database. | PSNet
     psnet.ahrq.gov/issue/deaths-following-prehospital-safety-incidents-analysis-national-database
     October 03, 2018 - Safety problems in prehospital care can lead to adverse events. … study examined patient deaths related to ambulance safety incidents and found that the majority of problems

288. Gaps in pediatric clinician communication and opportunities for improvement. | PSNet
     psnet.ahrq.gov/issue/gaps-pediatric-clinician-communication-and-opportunities-improvement
     March 24, 2011 - This study used focus groups to explore problems in clinician-to-clinician communication among pediatricians … April 11, 2011 Patient safety problems in adolescent medical care.

289. When things go wrong: how health care organizations deal with major failures. | PSNet
     psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
     March 13, 2013 - In most cases, problems were well known, but not addressed, indicating pervasive problems with safety

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47683/psn-pdf
     April 10, 2019 - Design of hospital errors and omissions activities that include patient-specific medication related problems … Design of hospital errors and omissions activities that include patient-specific medication related problems

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47568/psn-pdf
     March 06, 2019 - issue/trends-anesthesia-related-liability-and-lessons-learned Closed claim analysis can identify care problems … Situational awareness, distractions, equipment problems, and pain medicine complications contributed

292. Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? | PSNet
     psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and
     March 05, 2025 - June 17, 2014 Preventable deaths due to problems in care in English acute hospitals: … September 26, 2012 Postoperative handover: problems, pitfalls, and prevention of error … Ambulatory Care Health Care Providers Neurology Discontinuities, Gaps, and Hand-Off Problems

293. A systematic review of the psychological literature on interruption and its patient safety implications. | PSNet
     psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications
     September 24, 2016 - 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 … in Acute Hospital Care Units April 26, 2023 Mind the overlap: how system problems

294. Freedom to Speak Up: A Review of Whistleblowing in the NHS. | PSNet
     psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs
     April 24, 2013 - Staff willingness to raise awareness of problems that could affect patient care is an important indicator … Hospitals Health Care Executives and Administrators Medicine Discontinuities, Gaps, and Hand-Off Problems

295. Meltdown: Why Our Systems Fail and What We Can Do About It. | PSNet
     psnet.ahrq.gov/issue/meltdown-why-our-systems-fail-and-what-we-can-do-about-it
     March 09, 2016 - The authors highlight how complexity can exacerbate problems, small glitches can manifest themselves … Managing Moral Problems in Health Care Systems.

296. To Err Is Human — To Delay Is Deadly. | PSNet
     psnet.ahrq.gov/issue/err-human-delay-deadly
     July 11, 2017 - As the report notes, preventable safety problems such as medication errors and health care–associated … Related Resources From the Same Author(s) Unintended Consequences: New Problems

297. Death by 1,000 clicks: where electronic health records went wrong. | PSNet
     psnet.ahrq.gov/issue/death-1000-clicks-where-electronic-health-records-went-wrong
     September 19, 2018 - harm linked to software glitches and user errors, fraudulent behavior (upcoding), interoperability problems … March 20, 2019 Insulin pumps have most reported problems in FDA database.

298. Adverse Health Events in Minnesota: Annual Reports. | PSNet
     psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
     February 28, 2015 - The National Quality Forum has defined 29 never events —patient safety problems that should never … January 8, 2020 Identifying patient safety problems associated with information technology

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47840/psn-pdf
     July 31, 2019 - Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems … Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication- related problems

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853965/psn-pdf
     September 27, 2023 - This metasynthesis identified four overarching themes: (1) problems with access to health care services … treatment, and the expected patient role; (3) experiencing inappropriate care and bad treatment; (4) problems