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Showing results for "problems".

  1. psnet.ahrq.gov/issue/efficiency-and-safety-speech-recognition-documentation-electronic-health-record
    February 14, 2024 - 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
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33564/psn-pdf
    March 15, 2025 - Examples of these advantages include: averting problems with handwriting, similar drug names, drug interactions … In that study, although overall prescribing errors decreased, problems related to the CPOE system itself … In many cases, these workarounds represent reasonable adaptations due to problems with the design and … Food and Drug Administration white paper (summarized here), current CPOE systems have fundamental problems … Systems More or new work for clinicians Unfavorable workflow issues Never-ending system demands Problems
  3. psnet.ahrq.gov/issue/unified-model-patient-safety-or-who-froze-my-cheese
    August 23, 2023 - December 6, 2023 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
  4. psnet.ahrq.gov/issue/spectrum-hospitalization-associated-harm-elderly
    April 06, 2022 - Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems … September 7, 2022 Problems with health information technology and their effects on care … January 10, 2024 Medicines related problems (MRPs) originating in primary care settings
  5. psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-cpoe-clinical-pharmacy-practice-hypothesis
    November 16, 2022 - Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems … May 11, 2014 Drug related problems and pharmacist interventions in a geriatric unit employing … March 10, 2010 Drug-related problems in medical wards with a computerized physician order
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837066/psn-pdf
    May 11, 2022 - This study used the healthcare complaints analysis tool (HCAT) to identify and categorize safety problems … Most problems arose during examination/diagnosis and frequently resulted in diagnostic errors or errors
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46867/psn-pdf
    February 20, 2019 - adverse-event-and Safety events in hospitalized patients are captured in three ways: incident reports (process problems … Among Dutch surgical patients, the three methods captured unique problems, but patients with an incident
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33831/psn-pdf
    April 01, 2017 - Mark Chassin: Back when I was on the hospital side struggling with quality and safety problems, it always … developed health care system around the world is struggling with exactly the same quality and safety problems … They find these unsafe conditions when the problems are very small—way upstream from posing serious … but there was no serious effort to solve the problems. … You empower employees to identify problems that you then focus on and solve, and they see that their
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40244/psn-pdf
    March 16, 2011 - https://psnet.ahrq.gov/issue/hospitals-leery-reporting-serious-errors This article describes problems … hospitals-leery-reporting-serious-errors https://psnet.ahrq.gov/issue/girl-dies-during-restraint-hospital-already-criticized-problems
  10. psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition
    November 04, 2015 - Sutcliffe, high-reliability organizations operate under challenging conditions yet experience fewer problems … May 8, 2013 First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety
  11. psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
    February 26, 2025 - So you almost are hardwiring some problems into routine care by saying medication reconciliation has … , and then there are also the deeper levels of problems related to communication and teamwork. … So you have surgical problems, medication problems, diagnostic problems, infections, and so on. … But, you would still have all the other medication problems and tons of nonmedication problems. … Once you're pretty sure what the problems are, it makes more sense to measure those problems.
  12. psnet.ahrq.gov/issue/clinical-safety-englands-national-programme-it-retrospective-analysis-all-reported-safety
    December 31, 2014 - Using FDA reports to inform a classification for health information technology safety problems … December 31, 2014 Identifying patient safety problems associated with information technology … February 14, 2024 Using automated methods to detect safety problems with health information … May 26, 2021 Identifying patient safety problems associated with information technology
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35107/psn-pdf
    April 06, 2011 - /psnet.ahrq.gov/issue/fewer-better-auditory-alarms-will-improve-patient-safety The authors outline problems … with auditory alarms and suggest solutions to these problems.
  14. psnet.ahrq.gov/issue/using-prospective-clinical-surveillance-identify-adverse-events-hospital
    November 11, 2015 - retrospective, and thus subject to biases that limit their ability to paint a comprehensive picture of safety problems … Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60713/psn-pdf
    July 22, 2020 - inbox notifications and communications, clinicians gathering key diagnostic information, technical problems … , data entry problems, and failure of a system to track test results.
  16. 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
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38629/psn-pdf
    May 20, 2009 - https://psnet.ahrq.gov/issue/medication-errors-intensive-care-unit Pharmacy problems, including lack … of medication availability and transcription problems, were the principal contributors to medication
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33671/psn-pdf
    July 01, 2008 - unintended patient harm.(2 ) Citing published studies going back as far as 2002, the authors reported problems … Similar problems have been reported by Maryland's Office of Health Care Quality (OHCQ), a state agency … Leaders must encourage RCA teams to delve deeper to find the system problems that contributed to the … System problems, often called latent conditions, cause an unhealthy environment that sets up failures … Next, the problems need to be fixed.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72566/psn-pdf
    January 01, 2021 - Their analysis identified three primary types of avoidable harm in primary care – problems with diagnoses … , medication-related problems, and delayed referrals.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39889/psn-pdf
    September 29, 2010 - https://psnet.ahrq.gov/issue/rethinking-rapid-response-teams This commentary discusses problems such … supporting the effectiveness of RRTs, the authors advocate for addressing these underlying systematic problems

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