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Total Results: 7,452 records

Showing results for "problems".

341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33881/psn-pdf
     August 01, 2019 - 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

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45039/psn-pdf
     September 27, 2016 - psnet.ahrq.gov/issue/deaths-following-prehospital-safety-incidents-analysis-national-database Safety problems … study examined patient deaths related to ambulance safety incidents and found that the majority of problems

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41565/psn-pdf
     December 21, 2014 - Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems … Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45320/psn-pdf
     January 01, 2017 - This commentary discusses a commonly used tool to identify root causes of problems. … that its use for root cause analysis in health care may be misguided as it tends to simplify complex problems

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44782/psn-pdf
     January 13, 2016 - swiss-cheese-model-adverse-event-occurrence-closing-holes Shifting the focus from individual failures to system problems … medical error and the role of teamwork training and safety culture in identifying and addressing safety problems

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35193/psn-pdf
     July 10, 2008 - These include system-related problems such as inefficient processes and cognitive problems such as failure

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33582/psn-pdf
     September 15, 2024 - The field of human factors engineering attempts to identify and address safety problems that arise due … Establishing a culture of safety entails obtaining information on perceived safety problems from staff … attuned to the cultural aspects of how care is provided, can determine distinct classes of safety problems … RCA is a formal multidisciplinary process that has the explicit goal of identifying systematic problems … seeking to engage patients in safety efforts, and some studies have shown that patients can identify problems

348. Computerized Provider Order Entry | PSNet
     psnet.ahrq.gov/primer/computerized-provider-order-entry
     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 … Entry Systems More or new work for clinicians Unfavorable workflow issues Never-ending system demands Problems

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40132/psn-pdf
     May 25, 2011 - information-needs-operating-room-teams-what-right-what-wrong-and-what- needed The operating room is an environment often rife with communication problems … This mixed methods study examined information transfer problems from the perspectives of nurses, surgeons

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46263/psn-pdf
     July 12, 2017 - This newsletter article explores the impact of texting in health care, reviews both improvements and problems … A past WebM&M commentary discussed problems stemming from an interruption caused by texting.

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38930/psn-pdf
     January 04, 2010 - Part 1: a review of the extent and causes of medication problems 2002-2008. … Part 1: a review of the extent and causes of medication problems 2002-2008.

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33601/psn-pdf
     December 15, 2024 - However, the investigators found several problems as well. … The latter problems resulted in interruptions and distraction, which can contribute to medical error … , lack of clarity in sources and date of information presented, alert fatigue, and other usability problems … A review of studies of EHR issues that present patient safety risks found numerous problems with software … Problems With Software Functionality and Usability.

353. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34643/psn-pdf
     December 23, 2008 - health-care-cost-drug-related-morbidity-and-mortality-nursing-facilities This study discusses a statistical model to estimate costs associated with drug-related problems … drug therapy, nearly $1.33 in health care resources are consumed in the treatment of drug-related problems

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46238/psn-pdf
     November 08, 2017 - nurses-workarounds-acute-healthcare-settings-scoping-review https://psnet.ahrq.gov/issue/are-workarounds-ethical-managing-moral-problems-health-care-systems … https://psnet.ahrq.gov/issue/are-workarounds-ethical-managing-moral-problems-health-care-systems https

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34981/psn-pdf
     July 14, 2010 - These factors contributed to nearly half of the identified patient safety problems. … elderly or in children, present an opportunity to design tailored interventions to reduce patient safety problems

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46266/psn-pdf
     July 19, 2017 - The authors highlight the challenges and opportunities these problems present to clinical informaticians … types-unintended-consequences-related-computerized-provider-order-entry https://psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34861/psn-pdf
     November 11, 2015 - In most cases, problems were well known, but not addressed, indicating pervasive problems with safety

358. AI as an ecosystem — ensuring generative AI is safe and effective. | PSNet
     psnet.ahrq.gov/issue/ai-ecosystem-ensuring-generative-ai-safe-and-effective
     January 16, 2019 - 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

359. Interdisciplinary communication: an uncharted source of medical error? | PSNet
     psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error
     September 24, 2016 - 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

360. Interruptive communication patterns in the intensive care unit ward round. | PSNet
     psnet.ahrq.gov/issue/interruptive-communication-patterns-intensive-care-unit-ward-round
     December 22, 2010 - 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