Results

Total Results: 7,452 records

Showing results for "problems".

441. Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. | PSNet
     psnet.ahrq.gov/issue/misadministration-iv-insulin-associated-dose-measurement-and-hyperkalemia-treatment
     August 24, 2016 - June 10, 2018 Durasal–Durezol mix-up illustrates how dangerous product problems persist … December 15, 2021 Medication errors with the dosing of insulin: problems across the continuum

442. Pump up the volume: how to prioritize events and analyze error data. | PSNet
     psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
     March 14, 2023 - Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems … Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems

443. The hazards of diagnosis. | PSNet
     psnet.ahrq.gov/issue/hazards-diagnosis
     April 06, 2022 - Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems … Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems

444. Improving Usability, Safety and Patient Outcomes With Health Information Technology. | PSNet
     psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technology
     June 15, 2022 - March 2, 2010 Unintended Consequences: New Problems and New Solutions. … September 29, 2017 Unintended Consequences: New Problems and New Solutions.

445. Overview of adverse events related to invasive procedures in the intensive care unit. | PSNet
     psnet.ahrq.gov/issue/overview-adverse-events-related-invasive-procedures-intensive-care-unit
     November 29, 2023 - February 1, 2012 Drug related problems and pharmacist interventions in a geriatric unit … April 6, 2022 Problems in care and avoidability of death after discharge from intensive

446. SWITCH for safety: perioperative hand-off tools. | PSNet
     psnet.ahrq.gov/issue/switch-safety-perioperative-hand-tools
     October 18, 2023 - June 25, 2014 Often overlooked problems with handoffs: from the intensive care unit to … Care Providers Quality and Safety Professionals Surgery Discontinuities, Gaps, and Hand-Off Problems

447. Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping. | PSNet
     psnet.ahrq.gov/issue/ambiguous-abbreviations-audit-abbreviations-paediatric-note-keeping
     November 16, 2022 - Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems … More See More About The Topic Pediatrics Discontinuities, Gaps, and Hand-Off Problems

448. Detection of Safety Hazards | PSNet
     psnet.ahrq.gov/primer/detection-safety-hazards
     March 30, 2022 - The field of  human factors engineering  attempts to identify and address safety problems that arise … Establishing a  culture of safety  entails obtaining information on perceived safety problems from staff … researchers 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

449. High Reliability | PSNet
     psnet.ahrq.gov/primer/high-reliability
     January 29, 2020 - Thus, high reliability organizations work to create an environment in which potential problems are anticipated … so all personnel actively think about what could go wrong and are alert to small signs of potential problems … organizational climate is such that all staff members are comfortable speaking up about potential safety problems … cross monitoring so they may identify potential safety threats quickly and either respond before safety problems

450. Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and functional characteristics. | PSNet
     psnet.ahrq.gov/issue/potentially-inappropriate-medications-large-cohort-patients-geriatric-units-association
     April 21, 2021 - December 18, 2013 Drug related problems and pharmacist interventions in a geriatric unit … June 13, 2011 Drug-related problems in medical wards with a computerized physician order

451. Identifying what is known about improving operating room to intensive care handovers: a scoping review. | PSNet
     psnet.ahrq.gov/issue/identifying-what-known-about-improving-operating-room-intensive-care-handovers-scoping-review
     September 23, 2020 - June 17, 2015 Often overlooked problems with handoffs: from the intensive care unit to … Topic Operating Room Health Care Providers Surgery Discontinuities, Gaps, and Hand-Off Problems

452. Engineering a foundation for partnership to improve medication safety during care transitions. | PSNet
     psnet.ahrq.gov/issue/engineering-foundation-partnership-improve-medication-safety-during-care-transitions
     July 20, 2022 - May 19, 2021 Impact of pharmacist-led interventions on medication-related problems among … Providers Nurse Managers Quality and Safety Professionals Discontinuities, Gaps, and Hand-Off Problems

453. An effectiveness analysis of healthcare systems using a systems theoretic approach. | PSNet
     psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach
     August 10, 2022 - January 24, 2024 Activating pharmacists to reduce the frequency of medication-related problems … February 8, 2011 Problems and solutions arising during a study in visual semantics of

454. Intraoperative patient information handover between anesthesia providers. | PSNet
     psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers
     November 24, 2021 - Using text mining techniques to identify health care providers with patient safety problems … Providers Quality and Safety Professionals Anesthesiology Discontinuities, Gaps, and Hand-Off Problems

455. Improving patient safety in developing countries—moving towards an integrated approach. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach
     December 02, 2020 - December 14, 2016 Clinician-identified problems and solutions for delayed diagnosis in … Prioritizing medication safety in care of people with cancer: clinicians' views on main problems

456. Controlled trial to improve resident sign-out in a medical intensive care unit. | PSNet
     psnet.ahrq.gov/issue/controlled-trial-improve-resident-sign-out-medical-intensive-care-unit
     August 04, 2021 - July 17, 2019 Identifying patient safety problems during team rounds: an ethnographic … Facility and Group Administrators Educators Critical Care Discontinuities, Gaps, and Hand-Off Problems

457. Utility of clinical examination in the diagnosis of emergency department patients admitted to the department of medicine of an academic hospital. | PSNet
     psnet.ahrq.gov/issue/utility-clinical-examination-diagnosis-emergency-department-patients-admitted-department
     April 06, 2022 - Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems … September 7, 2022 Problems with health information technology and their effects on care

458. Incidence of adverse drug events and medication errors in Japan: the JADE Study. | PSNet
     psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-japan-jade-study
     September 25, 2019 - Do emergency physicians attribute drug-related emergency department visits to medication-related problems … Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems

459. Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. | PSNet
     psnet.ahrq.gov/issue/inpatient-notes-just-what-doctor-ordered-checklists-improve-diagnosis
     August 14, 2019 - February 22, 2023 Mind the overlap: how system problems contribute to cognitive failure … July 31, 2019 Mind the overlap: how system problems contribute to cognitive failure and

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33787/psn-pdf
     January 01, 2018 - 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