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Total Results: 7,452 records

Showing results for "problems".

381. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety | PSNet
     psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
     October 01, 2009 - But what really captured my interest were the problems at a hospital in South Los Angeles, King/Drew … So those two things together made us open our eyes to what could be serious problems at King. … Even the best hospitals in the country have problems, and there are problems that they can fix. … I understood about safety problems. I understood about system problems. … and the role that people play in problems, and the interplay between the two.

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41847/psn-pdf
     November 28, 2012 - quality improvement collaboratives have been used to successfully address a variety of patient safety problems … authors speculate that the collaborative approach may be useful for more specific, targeted safety problems

383. Third wrong-sided brain surgery at R.I. hospital. | PSNet
     psnet.ahrq.gov/issue/third-wrong-sided-brain-surgery-ri-hospital
     April 10, 2024 - facility leaves 10 hospitalized December 4, 2019 Insulin pumps have most reported problems … August 18, 2010 A girl dies during restraint at hospital already criticized for problems

384. In Conversation with...Patrick S. Romano, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph
     July 10, 2024 - Everyone who has looked at multiple data sources has found that, in any one data source, you see problems … With systems based on ICD-9-CM codes, like the Patient Safety Indicators, there are problems with how … With systems based on triggers, there are problems with the inherent performance of those triggers and … How do you know where your problems are? How do you know what you need to improve? … are, what the root causes are, why failures are occurring, and how to fix those problems.

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33793/psn-pdf
     November 01, 2015 - 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.

386. Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. | PSNet
     psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry
     December 31, 2014 - 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

387. A comparative review of patient safety initiatives for national health information technology. | PSNet
     psnet.ahrq.gov/issue/comparative-review-patient-safety-initiatives-national-health-information-technology
     November 03, 2015 - 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

388. Results of an enhanced clinic handoff and resident education on resident patient ownership and patient safety. | PSNet
     psnet.ahrq.gov/issue/results-enhanced-clinic-handoff-and-resident-education-resident-patient-ownership-and-patient
     March 28, 2018 - March 28, 2018 Problems after discharge and understanding of communication with their … Admission handoff communications: clinician's shared understanding of patient severity of illness and problems … More About The Topic Hospitals Educators Medicine Discontinuities, Gaps, and Hand-Off Problems

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36544/psn-pdf
     July 14, 2010 - are screening tools that can be applied to administrative data to identify potential patient safety problems … review, certain specific PSIs (such as failure to rescue) did not accurately identify patient safety problems

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38291/psn-pdf
     April 08, 2011 - united-states Analysis of closed malpractice claims has been used to identify patterns of errors and system problems … Problems in telephone triage were also a common underlying factor.

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37530/psn-pdf
     December 15, 2008 - do-medical-inpatients-who-report-poor-service-quality-experience-more- adverse-events-and Prior research has demonstrated that problems … While patients tend to identify these issues when surveyed about problems they perceive with the quality

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42473/psn-pdf
     August 13, 2013 - This systematic review found that equipment problems account for a large proportion of operating room … As the majority of equipment problems were due to potentially preventable issues (such as equipment

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41860/psn-pdf
     November 28, 2012 - stakeholder-perspectives-handovers-between-hospital-staff-and-general- practitioners Although seminal studies have documented persistent problems … including readmissions and adverse events after discharge, understanding of the basic mechanisms of these problems

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39123/psn-pdf
     April 30, 2014 - considered never events, as they are devastating errors that arise from serious underlying safety problems … Root cause analysis was used to identify underlying safety problems.

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49771/psn-pdf
     July 01, 2016 - In a study of medication errors facilitated by CPOE, researchers identified 18 fundamental problems … in CPOE systems.(5) Subsequently, usability experts traced 12 of the 18 problems https://psnet.ahrq.gov … These poor interfaces transform old problems into new ones; they eliminate the problem of illegible … .(15) Such monitoring might have identified this and related problems prior to their being discovered … Ironies of automation: increasing levels of automation can increase, rather than decrease, the problems

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36697/psn-pdf
     February 03, 2011 - suboptimal communication between hospital physicians and outpatient physicians could contribute to these problems … This study systematically reviewed the literature to determine the frequency of communication problems

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39583/psn-pdf
     October 30, 2010 - developed a statistical model to analyze incident reporting data to identify work areas with safety problems … and rank the severity of safety problems identified.

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39372/psn-pdf
     September 20, 2011 - inability) to promptly follow up abnormal test results may lead to diagnostic errors and other safety problems … Automated alerts within electronic health records should minimize such problems.

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37874/psn-pdf
     April 18, 2011 - Prior research has identified patient safety problems during this handoff, perhaps related to a lack … between anesthesiologists and recovery room nurses to assess the quality of handoffs and potential problems

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37945/psn-pdf
     July 26, 2010 - Hospitals are engaging in a wide variety of QI activities, targeting common safety problems such as … However, problems noted in prior research, such as lack of physician engagement in QI and limited use