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Total Results: 1,785 records

Showing results for "problems".

281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60629/psn-pdf
     June 24, 2020 - implementing-studying-and-reporting-health-system-improvement-era- electronic-health-records Research and error reporting are important strategies to uncover problems

282. Addressing racial and ethnic bias in pulse oximeters—a wicked problem. | PSNet
     psnet.ahrq.gov/issue/addressing-racial-and-ethnic-bias-pulse-oximeters-wicked-problem
     April 18, 2019 - September 2, 2009 Medication-related problems in critical care survivors: a systematic

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33578/psn-pdf
     September 15, 2024 - test new systems and equipment under real-world conditions as much as possible to identify potential problems … examples, it is generally agreed that human factors principles are underutilized in examination of safety problems

284. Computerized Provider Order Entry and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
     January 01, 2014 - medication errors involving CPOE reported to the commercial MEDMARX database, which tracks medication safety problems … Their work uncovered significant usability problems with every system tested, across a wide array of … Among the problems described were: Inconsistent medication naming within and across systems; Poor

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36818/psn-pdf
     August 26, 2011 - provides a complete overview of errors in health care and discusses solutions to address these complex problems

286. When the Meds Don’t Reach the Bed | PSNet
     psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
     May 16, 2022 - immediately after discharge. 5   Medications and Hospital Readmission Medication ‐ related problems … taken incorrectly. 19 The Meds-to-Beds program was conceived as one possible solution to help with problems … 35   An effective discharge huddle should include a pharmacist to address medication reconciliation problems … sending prescriptions at least 24 hours ahead of hospital discharge so as to allow time to address problems … Safety Professionals Hospital Medicine Hospital Pharmacy Discontinuities, Gaps, and Hand-Off Problems

287. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. | PSNet
     psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
     November 30, 2021 - The physicians felt that they were adequately addressing the patient’s problems, whereas the nurses did … symptoms and signs to the correct diagnosis due to other possible etiologies); and (3) systems-related problems … Later, problems with data gathering and information processing led to a brief delay in recognizing emerging … Analysis of these cases identified clinical judgment problems as a contributing factor (85% of cases) … professionals (e.g., nurses and physicians) are one of the most critical elements of systems-related problems

288. Double Trouble | PSNet
     psnet.ahrq.gov/web-mm/double-trouble
     August 01, 2012 - with preventable ADEs occur at the prescribing and monitoring stages of pharmaceutical care; however, problems … When an error related to problems in medication reconciliation is identified, it is useful to systematically … and that follow the patient into the community can prevent medication errors and other drug-related problems … Can clinical pharmacy services have a positive impact on drug-related problems and health outcomes in

289. Electronic Err | PSNet
     psnet.ahrq.gov/web-mm/electronic-err
     April 01, 2014 - discrepancies were found for problem lists: patients' main EHR problem lists often continued to list problems … long since resolved and failed to include new problems. … Problems with medical records. Med Care. 1971;9:509-17.[ go to PubMed ] 5. Wagner MM, Hogan WR. … Facility and Group Administrators Information Professionals Discontinuities, Gaps, and Hand-Off Problems

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39296/psn-pdf
     January 22, 2017 - process This article describes how one hospital used failure mode and effect analysis to identify problems

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42422/psn-pdf
     November 18, 2013 - evidence that downstream measures, such as timeliness of diagnosis, may fail to detect major system problems

292. Medical Problem Solving: An Analysis of Clinical Reasoning. | PSNet
     psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
     July 18, 2018 - March 27, 2005 First, Do Less Harm: Confronting the Inconvenient Problems of Patient

293. Patient Safety and Health Information Technology: Learning from Our Mistakes | PSNet
     psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
     July 01, 2012 - the technology enhances or obscures.( 3 ) While many of health IT's promised benefits are real, its problems … barrier to our reaching health IT's potential is our systematic refusal to acknowledge health IT's problems … On some level, the defensiveness is understandable.( 8 ) Problems of patient safety are so devastating … freighted health IT with outsized expectations, and this has created a reluctance to acknowledge its problems … The US faced such problems before: we had dozens of railroad gauges, hundreds of time zones, and even

294. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-6
     June 16, 2019 - Administrators Indwelling Tubes and Catheters Infusion Pumps Discontinuities, Gaps, and Hand-Off Problems

295. Doctor, Don't Treat Thyself | PSNet
     psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
     August 21, 2024 - Although the radiologist prudently went to the emergency department to seek help for his illness, problems … self-prescription risks both drug dependency and failure by the physicians to seek professional help for mental problems … ) Physicians who treat other doctors need knowledge about physicians' reaction to illness and the problems

296. Patient and Family Engagement in Long Term Care | PSNet
     psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
     April 10, 2024 - 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

297. Toolkits | PSNet
     psnet.ahrq.gov/toolkits
     March 01, 2025 - Diagnostic Test Interpretation Error (1) Discontinuities, Gaps, and Hand-Off Problems … This guidance shares evidence-based steps to address problems such as wrong patient errors and lack of … safety culture in a nursing home include insufficient staffing and a tendency to blame individuals for problems

298. The Transforming Care at the Bedside (TCAB) Toolkit. | PSNet
     psnet.ahrq.gov/issue/transforming-care-bedside-tcab-toolkit
     January 17, 2024 - July 8, 2013 Poll: Many Sick Americans Experience Significant Financial Problems and

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44400/psn-pdf
     September 23, 2015 - This study highlights its importance as a lens into safety problems.

300. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety | PSNet
     psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
     March 01, 2017 - Focus on problems. … However, culture can often be changed as an outgrowth of effectively tackling specific problems. … through coaching and constructively leveraging resistance, creating a learning orientation by focusing on problems