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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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.
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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
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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.
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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
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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.
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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
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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
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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.
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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.
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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