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Total Results: 7,452 records

Showing results for "problems".

461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49496/psn-pdf
     December 01, 2005 - many specific ways.(2,3) In 2001, 21.4% of working-age persons reporting blindness or major vision problems … Untrained staff can present a range of problems, including failing to convey respect (eg, not introducing … Observing patients carefully during this process should generally identify potential problems. … determine whether they are successfully performing self-care activities and to identify any questions or problems

462. PCA Overdose | PSNet
     psnet.ahrq.gov/web-mm/pca-overdose
     April 01, 2017 - ADEs).( 2,3 ) 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.

463. A biased test kept thousands of Black people from getting a kidney transplant. | PSNet
     psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
     September 02, 2016 - facility leaves 10 hospitalized December 4, 2019 Insulin pumps have most reported problems … Related Resources Top Penn State Health surgeon warned leaders about transplant problems

464. Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities. | PSNet
     psnet.ahrq.gov/issue/third-annual-report-adverse-health-events-wyoming-healthcare-facilities
     October 11, 2016 - Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems … July 31, 2019 Analysis of pharmacist-identified medication-related problems at two United

465. Understanding models of error and how they apply in clinical practice. | PSNet
     psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
     October 11, 2016 - June 27, 2016 Analysis of pharmacist-identified medication-related problems at two United … Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems

466. Workarounds and Resiliency on the Front Lines of Health Care | PSNet
     psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
     August 01, 2009 - In effect, work system problems increase a hypothetical ward nurse's workload from 5 patients to 5.3 … are not investigated to find and remove underlying causes.( 12 ) Thus, similar problems are likely to … can be more productive than examining a broad category of problems months after their occurrence (e.g … At the same time, managers should ensure that problems are solved at the most effective level. … as they occur, solving those problems, converting what you don't understand into something that you

467. In Conversation with...Steven J. Spear, DBA, MS, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
     August 01, 2009 - as they occur, solving those problems, converting what you don't understand into something that you … They started tackling some really tough problems: patient falls, surgical site infections, central line … Those problems are manifestations of systems that are imperfect and have to be imperfect because they … In effect, work system problems increase a hypothetical ward nurse's workload from 5 patients to 5.3 … At the same time, managers should ensure that problems are solved at the most effective level.

468. In Conversation with...Lucian Leape, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
     August 01, 2006 - Those problems were solved in the next 10 years or so. … It was clear to me that we had major policy problems. … I don't think they're bad people, but certain problems are being totally ignored. … Despite Jeep's leadership, the publication of data pointing to major problems in anesthesia safety and … We have many of the same problems we had a generation ago, and we've added some new ones: making changes

469. Getting Into Patient Safety: A Personal Story | PSNet
     psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
     August 01, 2006 - Despite Jeep's leadership, the publication of data pointing to major problems in anesthesia safety and … We have many of the same problems we had a generation ago, and we've added some new ones: making changes … Those problems were solved in the next 10 years or so. … It was clear to me that we had major policy problems. … I don't think they're bad people, but certain problems are being totally ignored.

470. An overlooked condition. | PSNet
     psnet.ahrq.gov/issue/overlooked-condition
     October 03, 2018 - December 15, 2021 Insulin pumps have most reported problems in FDA database. … May 2, 2018 Medication errors with the dosing of insulin: problems across the continuum

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33712/psn-pdf
     June 01, 2011 - what we are doing in health care over the past 10 years, as we've thought about safety and quality problems … The epiphany was to approach these issues as system problems rather than manifestations of individual … ET: It's possible to imagine the categories of problems that can arise through new technologies or new … it might take a certain kind of consistent courage in all parts of organizations to face potential problems … I think the problems usually come not because people are greedy or selfish or that they don't care,

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49470/psn-pdf
     December 01, 2004 - Patient safety problems, similar to the two illustrative cases, are exceedingly common in the early … They must be empowered to recognize and speak up about the development of important new health problems … Conclusion Safety problems frequently do occur at discharge. … Despite a preliminary understanding of what causes those problems, more research is needed to better … elucidate both the problems and potential solutions.

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33682/psn-pdf
     April 01, 2009 - RW: On one hand, there is tremendous pressure to fix the problems of medical errors and poor quality; … has focused health care organizations—particularly hospitals—on solving critical safety and quality problems … One of the problems is that all of the organizations have to agree on exactly the same way to manage … What we hear in the field is no longer, "There are problems, but they're not in my place." … Organizations know they have quality problems.

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33639/psn-pdf
     September 01, 2006 - other physician, that other nurse, the other floor, the hospital down the street, yeah, they have problems … , but I don't have problems. … First, I felt that we needed to have people who could analyze problems and come up with feasible solutions … The reports are important, but past a certain point, you already have enough to know where the problems … We look at the problems, and I think this is the important thing.

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33642/psn-pdf
     November 01, 2006 - Initially, I was interested in the classical problems in psychology (memory, attention, thinking, problem … https://psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd DN: Well, there are two problems … Yes, one is that your expertise blinds you to the problems that everyday people have. … DN: The same philosophy has to be used to get computers in health care, or you're apt to make the problems … Many problems in instituting these new technologies have to do with the workflow and the way the work

476. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
     July 01, 2007 - and defibrillation are often not compliant with American Heart Association resuscitation guidelines Problems … Defibrillator failures: causes of problems and recommendations for improvement. … Defibrillator failures: causes of problems and recommendations for improvement. … Defibrillator failures: causes of problems and recommendations for improvement. … Although most failures to defibrillate are due to user error, they occur in the context of systems problems

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49396/psn-pdf
     April 01, 2003 - To avert problems, hospitals and pharmacies should consider the possibility of name confusion when adding … information in pharmacy computer system inventory files can actively signal staff about potential problems … In the future, problems with look and sound-alike products may be lessened because both the FDA and … Pronunciation tests also are used to help detect potential problems with new names. … references http://www.ismp.org Install and utilize computerized alerts to remind providers about potential problems

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49418/psn-pdf
     October 01, 2003 - The majority concerned the well-known problems of misplacement of light, narrow-bore feeding tubes, … In this case, the problems probably arose more from a lack of knowledge than poor technique. … This case highlights several general problems. … Ultimately, these are problems of knowledge, training, and credentialing, but they can also be addressed

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33872/psn-pdf
     January 01, 2018 - significant proportion of complaints represent true safety concerns, although complaints encompass problems … patient-participation-current-knowledge-and-applicability-patient-safety https://psnet.ahrq.gov/issue/frequency-and-nature-potentially-harmful-preventable-problems-primary-care-patients … health IT platform for soliciting patient complaints rather than traditional means for identifying problems … diagnostic-errors https://psnet.ahrq.gov/issue/frequency-and-nature-potentially-harmful-preventable-problems-primary-care-patients

480. Structured handover in general surgery: an audit of current practice. | PSNet
     psnet.ahrq.gov/issue/structured-handover-general-surgery-audit-current-practice
     August 08, 2018 - June 17, 2015 Postoperative handover: problems, pitfalls, and prevention of error. … Room Health Care Executives and Administrators Surgery Discontinuities, Gaps, and Hand-Off Problems