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psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
March 01, 2009 - Public hospital patients, for the most part, are disempowered and may be used to having problems with … doing that for anticoagulant care, but our research has shown that even this condition is fraught with problems … It could either exacerbate the problems because we're developing health IT interventions that really … Improving Health Literacy to Protect Patient Safety , communication problems among health care providers … skills, health status, and greater mortality risk.( 3 , 4 ) It is estimated that these health literacy problems
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psnet.ahrq.gov/issue/how-implicit-bias-harm-patient-care
December 04, 2019 - More
See More About The Topic
Physicians
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/glossary/swiss-cheese-model
September 13, 2021 - In fact, many of the systems problems discussed by Reason and others—poorly designed work schedules,
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psnet.ahrq.gov/issue/handoff-communication
October 16, 2019 - Operating Room
Health Care Providers
Anesthesiology
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/impact-medical-errors-and-malpractice-health-economics-quality-and-patient-safety
November 28, 2018 - July 12, 2017
Unintended Consequences: New Problems and New Solutions.
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psnet.ahrq.gov/issue/fentanyl-patch-can-be-deadly-children
January 13, 2021 - May 21, 2014
Safety Problems With Your Child's Medical Device?
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psnet.ahrq.gov/issue/safer-hospital-care-strategies-continuous-innovation
October 05, 2022 - Managing Moral Problems in Health Care Systems.
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psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
February 12, 2020 - General Public
Policy Makers
Medicine
Pediatrics
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - Maternal safety considerations for perinatal mental health are important because untreated mental health problems … Healthcare providers should routinely screen for perinatal mental health problems, including depression … Patients with perinatal mental health problems require ongoing follow-up care to ensure that they are … Individuals should receive education on the signs and symptoms of perinatal mental health problems, as … well as the potential risks associated with untreated mental health problems during pregnancy and postpartum
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - Trask, RN, Kathleen M Carlsen, PA, Brooks T Kuhn, MD
Background
This case exemplifies the multiple problems … The patient in this case experienced cascading problems that ultimately led to clinical decompensation … This commentary will discuss the various components of this case that contributed to the problems that … clinicians’ ability to observe patients, which may cause safety issues. 20 Methods to mitigate these problems
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psnet.ahrq.gov/issue/machine-learning-medicine
March 13, 2024 - Patient safety culture, health information technology implementation, and medical office problems
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psnet.ahrq.gov/issue/teamwork-toolkit
July 21, 2021 - Providers
Health Care Executives and Administrators
Educators
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/minnesota-lets-nurses-practice-while-disciplinary-investigations-drag-patients-keep-getting
April 22, 2020 - March 1, 2023
A girl dies during restraint at hospital already criticized for problems
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psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology
December 18, 2019 - Managing Moral Problems in Health Care Systems.
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psnet.ahrq.gov/issue/be-active-member-your-health-care-team
April 08, 2020 - October 9, 2013
Safety Problems With Your Child's Medical Device?
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psnet.ahrq.gov/web-mm/do-me-favor
September 12, 2016 - preferred to be treated by someone they know), reluctance to seek care through formal channels for minor problems … themselves or members of their immediate families, with the exception of routine care for minor short-term problems … While advice about routine problems, referrals, or simple prescriptions could be considered appropriate
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psnet.ahrq.gov/issue/association-face-face-handoffs-and-outcomes-hospitalized-internal-medicine-patients
March 12, 2025 - Health Care Executives and Administrators
Internal Medicine
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review-0
July 31, 2024 - January 17, 2024
Drug-related problems among older people with dementia: a systematic
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psnet.ahrq.gov/issue/developing-and-evaluating-large-language-model-generated-emergency-medicine-handoff-notes
March 12, 2025 - Emergency Departments
Emergency Medicine
Hospital Medicine
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/guidelines-human-factors-critical-situations-2023
November 29, 2023 - August 7, 2013
Drug related problems and pharmacist interventions in a geriatric unit