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Total Results: 7,452 records

Showing results for "problems".

421. Special Section on Patient Safety and Quality in Healthcare. | PSNet
     psnet.ahrq.gov/issue/special-section-patient-safety-and-quality-healthcare
     October 15, 2008 - February 25, 2015 Unintended Consequences: New Problems and New Solutions. … February 17, 2019 Unintended Consequences: New Problems and New Solutions.

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49488/psn-pdf
     August 21, 2005 - references It is not known exactly how often ADEs are associated with PCA use, especially because problems … A possible classification for such overdoses has been proposed.(15) Problems include misprogramming; … In the real world, such technologies are often too expensive and/or plagued with false alarm problems … Caregivers should report any problems or complications associated with PCA pumps (as well as all other … Problems with medical devices may be severely under-reported.

423. Managing patient access and flow in the emergency department to improve patient safety. | PSNet
     psnet.ahrq.gov/issue/managing-patient-access-and-flow-emergency-department-improve-patient-safety
     April 16, 2018 - April 16, 2018 Medication errors with the dosing of insulin: problems across the continuum … Departments Quality and Safety Professionals Emergency Medicine Discontinuities, Gaps, and Hand-Off Problems

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43688/psn-pdf
     November 30, 2016 - Even though most respondents believed that feedback and communication about safety problems was positive … positive safety climate and patient outcomes in nursing homes, it will be critical to address the problems

425. Physician: 'I almost killed a patient' because of an advance directive. | PSNet
     psnet.ahrq.gov/issue/physician-i-almost-killed-patient-because-advance-directive
     June 04, 2014 - May 1, 2019 How DeKalb Medical fixed drug safety problems after fatal error. … Hospitals Physicians Risk Managers Medicine Discontinuities, Gaps, and Hand-Off Problems

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33702/psn-pdf
     November 01, 2010 - 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.

427. Time of Death? | PSNet
     psnet.ahrq.gov/web-mm/time-death
     January 03, 2017 - 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 … Despite the attractiveness of using high-fidelity simulation for ACLS and CPR training, many problems … of chest compression, that may require realistic feedback for learning.( 17 ) With respect to the problems

428. Patient Safety 101 | PSNet
     psnet.ahrq.gov/patient-safety-101
     March 26, 2025 - reporting systems are ubiquitous in hospitals and are a mainstay of efforts to detect safety and quality problems … Human factors engineering is the discipline that attempts to identify and address safety problems

429. In Conversation With… Maureen Bisognano | PSNet
     psnet.ahrq.gov/perspective/conversation-maureen-bisognano
     February 26, 2025 - Board members began to seek out IHI and say, "Are we alone in seeing quality problems in our organization … Every 90 days we convene small teams of people who take on intractable problems in health care. … The Triple Aim emerged from looking at problems in a new way. … And we're looking at using data to predict problems and to prevent them. … They know down to the zip code what nationality and what age and what kind of health problems exist in

430. Care transitions know-how not just for clinicians. | PSNet
     psnet.ahrq.gov/issue/care-transitions-know-how-not-just-clinicians
     May 09, 2018 - Related Resources From the Same Author(s) How DeKalb Medical fixed drug safety problems … Care Providers Facility and Group Administrators Medicine Discontinuities, Gaps, and Hand-Off Problems

431. Ways to avert potential patient care disasters. | PSNet
     psnet.ahrq.gov/issue/ways-avert-potential-patient-care-disasters
     March 01, 2007 - January 31, 2006 Medical simulations identify potential problems before they can pose … Physicians Nurses Quality and Safety Professionals Discontinuities, Gaps, and Hand-Off Problems

432. How your hospital can make you sick. | PSNet
     psnet.ahrq.gov/issue/how-your-hospital-can-make-you-sick
     September 09, 2015 - August 19, 2009 Identifying patient safety problems associated with information technology … August 23, 2017 Safety Problems With Your Child's Medical Device?

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33778/psn-pdf
     March 01, 2015 - individual diagnostic acumen and the psychology of cognition may not attract those interested in system problems … In contrast to the reviewers, clinicians commonly identified organizational problems such as poor policies … Naturally, one might expect clinicians to preferentially attribute diagnostic errors to system problems … Addressing the Problem As intellectually appealing as cognitive debiasing may be, addressing systems problems … diagnostic safety: using electronic health records and system-wide workflows to intercept diagnostic problems

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33781/psn-pdf
     March 01, 2015 - The regulators also received complaints from patients that also drew attention to the problems at Mid … regulatory bodies that might have certain standards and take actions when they see evidence of quality problems … They had some problems with young men having organ failure in a drug trial, and they'd had some excess … In his report he said that all 14 hospitals had problems. … one might have felt the same way after Bristol—that this system has recognized that there are real problems

435. Electronic Health Records | PSNet
     psnet.ahrq.gov/primer/electronic-health-records
     March 15, 2025 - 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.

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49818/psn-pdf
     January 01, 2018 - 64 (34%) reported having a cost-related problem accessing medical care in the past year.(1) These problems … issues, merely having insurance coverage does not fully protect patients from cost-related access problems … In fact, roughly 1 in 5 patients with health insurance report problems paying medical bills.(2) Financial … pathways required to create a system that effectively helps patients navigate cost-related medical problems … Cost-related medical access problems include having a medical issue but not visiting a doctor or clinic

437. Functional safety of health information technology. | PSNet
     psnet.ahrq.gov/issue/functional-safety-health-information-technology
     February 14, 2024 - November 16, 2022 Risky procedures by nurses in hospitals: problems and (contemplated … April 12, 2019 Can a structured checklist prevent problems with laparoscopic equipment

438. Making Medical Devices Safer at Home. | PSNet
     psnet.ahrq.gov/issue/making-medical-devices-safer-home
     July 31, 2013 - Copy Citation Related Resources From the Same Author(s) Safety Problems With … May 21, 2014 Safety Problems With Your Child's Medical Device?

439. The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. | PSNet
     psnet.ahrq.gov/issue/high-cost-low-morale-clinical-laboratory-how-workplace-environment-impacts-patient-safety
     March 06, 2005 - Copy Citation Related Resources From the Same Author(s) The problems of detecting … July 30, 2008 Classifying laboratory incident reports to identify problems that jeopardize

440. Deploying med reconciliation. | PSNet
     psnet.ahrq.gov/issue/deploying-med-reconciliation
     January 06, 2017 - July 14, 2010 Potential benefits and problems with computerized prescriber order entry … See More About The Topic Nurses Nurse Managers Discontinuities, Gaps, and Hand-Off Problems