-
psnet.ahrq.gov/issue/simple-surgery-harrowing-complications
November 07, 2012 - Related Resources
Top Penn State Health surgeon warned leaders about transplant problems
-
psnet.ahrq.gov/issue/patient-safety-papers
July 03, 2013 - Administrators
Risk Managers
Quality and Safety Professionals
Discontinuities, Gaps, and Hand-Off Problems
-
psnet.ahrq.gov/issue/reducing-patient-harm-opiates
April 29, 2018 - June 10, 2018
Durasal–Durezol mix-up illustrates how dangerous product problems persist
-
psnet.ahrq.gov/issue/how-make-emergency-department-visit-safe-one
November 02, 2005 - Emergency Departments
Patients
Emergency Medicine
Discontinuities, Gaps, and Hand-Off Problems
-
psnet.ahrq.gov/issue/safe-intrahospital-transport-non-icu-patient-using-standardized-handoff-communication
March 18, 2010 - Executives and Administrators
Educators
Internal Medicine
Discontinuities, Gaps, and Hand-Off Problems
-
psnet.ahrq.gov/issue/medication-errors-common-hospital-diabetes
May 13, 2009 - May 2, 2018
Medication errors with the dosing of insulin: problems across the continuum
-
psnet.ahrq.gov/issue/radiation-offers-new-cures-and-ways-do-harm
January 20, 2010 - May 29, 2019
Insulin pumps have most reported problems in FDA database.
-
psnet.ahrq.gov/issue/patient-safety-curriculum
March 27, 2005 - November 21, 2011
Case study: identifying potential problems at the human/technical interface
-
psnet.ahrq.gov/issue/medication-reconciliation-handbook-2nd-edition
May 04, 2015 - Health Care Executives and Administrators
Medicine
Pharmacy
Discontinuities, Gaps, and Hand-Off Problems
-
psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis
August 31, 2016 - Health Care Providers
Pediatrics
Infectious Diseases
Discontinuities, Gaps, and Hand-Off Problems
-
psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - to the reason for hospitalization, adverse drug reactions, hospital-acquired infections, and other problems … Risks are varied, spanning from progression of underlying disease to emergence of new problems not present … Patients were coming back to the hospital for a range of problems often not directly related to why they … in the hospital had perturbed their systems in a way that made them susceptible to a wide range of problems … Then we need pathways to share so that we can quickly address the problems.
-
psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - Such improvement benefits safety directly by fixing the root of the problems. … benefits safety indirectly, by demonstrating the importance that the organization places on fixing the problems … There was some prospective thought about the problems of scaling, and still the problems emerged. … How do you prevent those problems, which seem to me almost natural and maybe even inevitable? … that, unless that's really well coordinated, it's really not the answer to some kinds of important problems
-
psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - 2.0 display would allow the user to view a patient's current vital signs, medications, and medical problems … health care organization to focus on taking care of patients, instead of spending time on interface problems … Finding usability problems through heuristic evaluation. … When computers entered my world, I began to see certain problems that I had not anticipated: changes … The management of your blood pressure, your vaccinations, simple acute problems (like URIs and bronchitis
-
psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
April 13, 2018 - May 8, 2013
First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety
-
psnet.ahrq.gov/issue/warning-health-it-may-be-hazardous-your-healthcare
July 30, 2008 - March 27, 2018
Medication errors in older people with mental health problems: a review
-
psnet.ahrq.gov/issue/fda-advise-err-medication-errors-associated-cerebyx
May 02, 2018 - March 6, 2019
Durasal–Durezol mix-up illustrates how dangerous product problems persist
-
psnet.ahrq.gov/issue/if-safety-your-yardstick-measuring-culture-top-down-must-be-priority
April 29, 2018 - June 10, 2018
Durasal–Durezol mix-up illustrates how dangerous product problems persist
-
psnet.ahrq.gov/issue/health-literacy-prescription-end-confusion
August 15, 2012 - More About The Topic
Health Care Providers
Patients
Discontinuities, Gaps, and Hand-Off Problems
-
psnet.ahrq.gov/issue/my-medicines
January 13, 2016 - May 21, 2014
Safety Problems With Your Child's Medical Device?
-
psnet.ahrq.gov/issue/polypharmacy-0
October 09, 2013 - July 1, 2020
Reasons for drug administration problems and perceived needs for assistance