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Total Results: 7,452 records

Showing results for "problems".

321. The effectiveness of management-by-walking-around: a randomized field study. | PSNet
     psnet.ahrq.gov/issue/effectiveness-management-walking-around-randomized-field-study
     October 01, 2014 - randomized study of executive walkrounds , in which senior leaders engage with frontline staff to identify problems … September 10, 2014 Identifying patient safety problems during team rounds: an ethnographic

322. Work-arounds observed by fourth-year nursing students. | PSNet
     psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students
     July 30, 2014 - These results are consistent with prior studies linking nurse understaffing to patient safety problems … September 27, 2023 Drug-related problems and polypharmacy in nursing home residents:

323. Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. | PSNet
     psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and
     February 20, 2016 - This ethnographic study explored the underlying reasons for safety and communication problems at the … Administrators Non-Health Care Professionals Emergency Medicine Discontinuities, Gaps, and Hand-Off Problems

324. Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. | PSNet
     psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care
     September 07, 2016 - This analysis found that scheduling problems among patients seeking primary care from Veterans Affairs … Executives and Administrators Policy Makers Primary Care Discontinuities, Gaps, and Hand-Off Problems

325. Blood sampling guidelines with focus on patient safety and identification—a review. | PSNet
     psnet.ahrq.gov/issue/blood-sampling-guidelines-focus-patient-safety-and-identification-review
     August 10, 2016 - A WebM&M commentary explored problems associated with mislabeled blood samples. … Sample December 1, 2006 Classifying laboratory incident reports to identify problems

326. The clinical and medicolegal implications of radiology results communication. | PSNet
     psnet.ahrq.gov/issue/clinical-and-medicolegal-implications-radiology-results-communication
     August 20, 2018 - Problems with sharing information among clinicians can diminish safety of care. … Topic Hospitals Health Care Providers Radiology Discontinuities, Gaps, and Hand-Off Problems

327. Building a Patient Safety Toolkit for use in general practice. | PSNet
     psnet.ahrq.gov/issue/patient-safety-toolkit-general-practice
     April 25, 2018 - practitioners in the United Kingdom that provides various instruments to help prevent and analyze safety problems … August 22, 2018 The frequency and nature of prescribing problems by general practitioners

328. The Public's Views on Medical Error in Massachusetts. | PSNet
     psnet.ahrq.gov/issue/publics-views-medical-error-massachusetts
     January 30, 2019 - Prior patient surveys have brought to light previously unrecognized safety problems, although discrepancies … July 24, 2013 Poll: Many Sick Americans Experience Significant Financial Problems and

329. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. | PSNet
     psnet.ahrq.gov/issue/safer-prescribing-and-care-elderly-space-cluster-randomised-controlled-trial-general-practice
     November 18, 2020 - November 18, 2020 The frequency and nature of prescribing problems by general practitioners … January 4, 2012 New problems and iatrogenic events among older adults in the first 30 … April 8, 2020 Non-dispensing pharmacists' actions and solutions of drug therapy problems

330. The effect of cognitive load and task complexity on automation bias in electronic prescribing. | PSNet
     psnet.ahrq.gov/issue/effect-cognitive-load-and-task-complexity-automation-bias-electronic-prescribing
     May 01, 2019 - 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

331. Assessing the safety of a new clinical decision support system for a national helpline. | PSNet
     psnet.ahrq.gov/issue/assessing-safety-new-clinical-decision-support-system-national-helpline
     February 08, 2023 - Related Resources From the Same Author(s) Using automated methods to detect safety problems … February 8, 2023 Problems with health information technology and their effects on care … April 24, 2018 Identifying patient safety problems associated with information technology

332. Pharmacologically inappropriate prescriptions for elderly patients in general practice: how common? | PSNet
     psnet.ahrq.gov/issue/pharmacologically-inappropriate-prescriptions-elderly-patients-general-practice-how-common
     March 08, 2023 - Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems … November 19, 2016 Assessing nourishment problems at a hospital: what can we learn from … February 15, 2011 Problems after discharge and understanding of communication with their

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42906/psn-pdf
     February 27, 2014 - https://psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology This commentary reviews problems … heroism-safe-design-leveraging-technology https://psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37337/psn-pdf
     January 02, 2017 - attitudes-toward-medical-device-use-errors-and-prevention-adverse-events This qualitative study reported the user, pump design problems … attitudes-toward-medical-device-use-errors-and-prevention-adverse-events https://psnet.ahrq.gov/issue/problems-medical-devices-may-be-severely-under-reported

335. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39134/psn-pdf
     December 07, 2009 - Admission handoff communications: clinician's shared understanding of patient severity of illness and problems … on a patient's overall severity of illness, but did not agree on prioritization of specific acute problems

336. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49421/psn-pdf
     October 01, 2003 - A total of 180 laboratory problems were detected, for a crude frequency of 1.1 laboratory problems per … Of 180 reported problems, 49 impacted patient care (27%). … problems were the most common overall (33.9%), similar to the urine mishandling case presented here … Classifying laboratory incident reports to identify problems that jeopardize patient safety. … Problems in laboratory testing in primary care. JAMA. 1996;275:635-9.[ go to PubMed ] 10.

337. In Conversation With… Erik Hollnagel, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
     February 26, 2025 - Erik Hollnagel : I've worked with safety-related problems in a wide variety of industries since the late … Everybody tends to look at what they do themselves and see all the problems, and they look at what others … What characterizes the problems in health care is that the professionals who work there are under so … They sell standardized systems that don't really fit the particular hospital, and it creates problems … The problems are not easily solved because the problems are not of our making; the problems are in the

338. Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions. | PSNet
     psnet.ahrq.gov/issue/evaluation-older-persons-medications-critical-incident-technique-study-exploring-healthcare
     July 14, 2021 - Improving Diagnostic Safety and Quality April 26, 2023 Drug-related problems … May 4, 2022 How do patients respond to safety problems in ambulatory care? … April 8, 2020 Non-dispensing pharmacists' actions and solutions of drug therapy problems

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41098/psn-pdf
     March 04, 2015 - automated-identification-extreme-risk-events-clinical-incident-reports Incident reports can yield useful information about safety problems … use of informatics technology to screen incident reports in order to identify high-severity safety problems

340. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33589/psn-pdf
     September 15, 2024 - Thus, high reliability organizations work to create an environment in which potential problems are anticipated … all personnel actively think about what could go wrong and are alert to small signs of potential problems … organizational climate is such that all staff members are comfortable speaking up about potential safety problems … monitoring so they may identify potential safety threats quickly and either respond before safety problems