Results

Total Results: 7,452 records

Showing results for "problems".

401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34732/psn-pdf
     May 09, 2015 - back on the familiar and easy explanation of human error, missing key opportunities to fix underlying problems … Identifying such problems, however, requires the far richer "second stories" about such critical incidents

402. Ordering of continuous renal replacement therapy in a computerized provider order entry system. | PSNet
     psnet.ahrq.gov/issue/ordering-continuous-renal-replacement-therapy-computerized-provider-order-entry-system
     April 01, 2024 - July 23, 2014 Drug related problems and pharmacist interventions in a geriatric unit … September 28, 2010 Drug-related problems in medical wards with a computerized physician

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33830/psn-pdf
     March 22, 2016 - researchers and commentators have produced widely varying estimates of the death toll ascribable to safety problems … conduct standardized reviews of deaths in order to identify individual clinician issues or systematic problems … within a single organization, and reviewing deaths may provide only a limited view of patient safety problems … they tend to identify a limited subset of issues, such as diagnostic errors, failure to rescue, or problems … formal strategies for identifying preventable deaths and analyzing these deaths to determine systematic problems

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45543/psn-pdf
     February 17, 2017 - codes-patient-safety-indicators-large-scale-surveillance-using- administrative AHRQ Patient Safety Indicators (PSIs) have been utilized to identify safety problems … Application of these novel PSIs in over 10 years of hospital discharge data uncovered safety problems

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36105/psn-pdf
     May 27, 2011 - to implementing the CPOE system in this study, leaders from both hospitals collaborated to identify problems … The authors noted that the lessons learned from the initial implementation problems were essential to

406. In Conversation With… Wanda Pratt, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
     November 01, 2017 - The current electronic health record systems have a lot of problems from a user interface standpoint. … RW : You've talked about patients seeing things in their record and identifying problems. … So in some ways, I see this as more likely to mitigate safety problems and concerns than cause problems … How do you see that and do you see any solutions to those problems? WP : That's a big problem. … One solution could be some triaging of who deals with what kinds of problems.

407. The Role of Patient-facing Technologies to Empower Patients and Improve Safety | PSNet
     psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
     November 01, 2017 - So in some of our work, caregivers have designed different kinds of apps to address those problems. … RW : You've talked about patients seeing things in their record and identifying problems. … So in some ways, I see this as more likely to mitigate safety problems and concerns than cause problems … How do you see that and do you see any solutions to those problems? WP : That's a big problem. … One solution could be some triaging of who deals with what kinds of problems.

408. Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects. | PSNet
     psnet.ahrq.gov/issue/errors-and-electronic-prescribing-controlled-laboratory-study-examine-task-complexity-and
     September 24, 2016 - 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

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45797/psn-pdf
     October 31, 2017 - physician reviewers examined 438 abstracted medical records of patients with rectal bleeding to identify problems … In the majority of cases, they identified problems such as failure to elicit sufficient family history

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42298/psn-pdf
     December 31, 2014 - Institute of Medicine report found that existing health information technology (IT) systems have several problems … These queries can be used for earlier detection of patient care problems associated with health IT,

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33733/psn-pdf
     July 01, 2012 - the technology enhances or obscures.(3) While many of health IT's promised benefits are real, its problems … barrier to our reaching health IT's potential is our systematic refusal to acknowledge health IT's problems … On some level, the defensiveness is understandable.(8) Problems of patient safety are so devastating … There were no questions or answer options on the survey that focused on what appear to be the real problems … The US faced such problems before: we had dozens of railroad gauges, hundreds of time zones, and even

412. Patient Safety: Research into Practice. | PSNet
     psnet.ahrq.gov/issue/patient-safety-research-practice
     December 18, 2019 - Managing Moral Problems in Health Care Systems. … April 12, 2006 First, Do Less Harm: Confronting the Inconvenient Problems of Patient

413. Oral solid medication appearance should play a greater role in medication error prevention. | PSNet
     psnet.ahrq.gov/issue/oral-solid-medication-appearance-should-play-greater-role-medication-error-prevention
     February 20, 2019 - June 10, 2018 Durasal–Durezol mix-up illustrates how dangerous product problems persist … March 6, 2019 Durasal–Durezol mix-up illustrates how dangerous product problems persist

414. Interdisciplinary Perspectives on Medical Error. | PSNet
     psnet.ahrq.gov/issue/interdisciplinary-perspectives-medical-error
     September 27, 2023 - December 23, 2020 Drug-related problems and polypharmacy in nursing home residents: a … April 16, 2018 Unintended Consequences: New Problems and New Solutions.

415. Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. | PSNet
     psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans
     June 26, 2019 - May 24, 2023 Identifying patient safety problems associated with information technology … February 11, 2014 Poll: Many Sick Americans Experience Significant Financial Problems

416. Unintended Consequences of CPOE | PSNet
     psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
     September 01, 2004 - 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 to usability design … These poor interfaces transform old problems into new ones; they eliminate the problem of illegible or … .( 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

417. Identifying patient-centred recommendations for improving patient safety in General Practices in England: a qualitative content analysis of free-text responses using the Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire. | PSNet
     psnet.ahrq.gov/issue/identifying-patient-centred-recommendations-improving-patient-safety-general-practices
     April 25, 2018 - Identifying patient and practice characteristics associated with patient-reported experiences of safety problems … February 26, 2020 Frequency and nature of potentially harmful preventable problems in … Identifying patient and practice characteristics associated with patient-reported experiences of safety problems

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43712/psn-pdf
     December 03, 2014 - systems with highly-integrated electronic health records, such as the Veterans Affairs health system, problems … Even when a surrogate was assigned to receive alerts during a clinician's absence, there were many problems

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49491/psn-pdf
     September 01, 2005 - The case also brings to light several issues of team performance, including (i) problems of situation … Team Coordination Problems Although this case can be framed as a procedural error—premature calling … Differing attitudes about teamwork between doctors and nurses may reflect the problems inherent in such … videos Despite the attractiveness of using high-fidelity simulation for ACLS and CPR training, many problems … depth of chest compression, that may require realistic feedback for learning.(17) With respect to the problems

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33825/psn-pdf
     January 01, 2017 - Problems With Root Cause Analysis in Health Care 1. … within the internal control of the organization or team and do not assign responsibility to broader problems … Focusing more specifically on problems with RCA tools and techniques, Card described "the problem with … Improving the RCA Process In response to these problems with the RCA process, the National Patient Safety … The literature published in 2016 highlights ongoing problems with RCA in health care, most importantly