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Total Results: 7,452 records

Showing results for "problems".

61. Analysing potential harm in Australian general practice: an incident-monitoring study. | PSNet
    psnet.ahrq.gov/issue/analysing-potential-harm-australian-general-practice-incident-monitoring-study
    July 29, 2020 - The authors classify the underlying causes of the events in four categories—communications problems, … procedural problems (which include cognitive errors), clinical problems, and external problems—based

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60052/psn-pdf
    March 18, 2020 - Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective … Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective … https://psnet.ahrq.gov/issue/analysis-pharmacist-identified-medication-related-problems-two-united- … https://psnet.ahrq.gov/issue/analysis-pharmacist-identified-medication-related-problems-two-united-kingdom-hospitals … https://psnet.ahrq.gov/issue/analysis-pharmacist-identified-medication-related-problems-two-united-kingdom-hospitals

63. Safety hazards in cancer care: findings using three different methods. | PSNet
    psnet.ahrq.gov/issue/safety-hazards-cancer-care-findings-using-three-different-methods
    September 27, 2017 - This Danish study analyzed safety problems in oncology care through voluntary error reports , retrospective … While each data source revealed unique hazards, common problems in this patient population included treatment-related … harm (from chemotherapy and other procedures ), health care–associated infections , and problems … June 14, 2011 Activating pharmacists to reduce the frequency of medication-related problems … Quality and Safety Professionals Medical Oncology Discontinuities, Gaps, and Hand-Off Problems

64. Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. | PSNet
    psnet.ahrq.gov/issue/identification-priorities-improvement-medication-safety-primary-care-prioritize-study
    October 05, 2016 - In this study, primary care physicians were asked to identify three significant problems and solutions … Investigators used an innovative approach to rank the problems and solutions described by the 113 clinician … The top three problems identified included incomplete medication reconciliation during a transition … Citation Related Resources From the Same Author(s) Clinician-identified problems … Prioritizing medication safety in care of people with cancer: clinicians' views on main problems

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/844050/psn-pdf
    February 08, 2023 - Using automated methods to detect safety problems with health information technology: a scoping review … Using automated methods to detect safety problems with health information technology: a scoping review … https://psnet.ahrq.gov/issue/using-automated-methods-detect-safety-problems-health-information- technology-scoping-review … https://psnet.ahrq.gov/issue/using-automated-methods-detect-safety-problems-health-information-technology-scoping-review … https://psnet.ahrq.gov/issue/using-automated-methods-detect-safety-problems-health-information-technology-scoping-review

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50914/psn-pdf
    February 19, 2020 - Uncovering, creating or constructing problems? … Uncovering, creating or constructing problems? … https://psnet.ahrq.gov/issue/uncovering-creating-or-constructing-problems-enacting-new-role-support-staff … https://psnet.ahrq.gov/issue/uncovering-creating-or-constructing-problems-enacting-new-role-support-staff-who-raise … https://psnet.ahrq.gov/issue/uncovering-creating-or-constructing-problems-enacting-new-role-support-staff-who-raise

67. Identifying patient safety problems during team rounds: an ethnographic study. | PSNet
    psnet.ahrq.gov/issue/identifying-patient-safety-problems-during-team-rounds-ethnographic-study
    May 11, 2022 - Study Identifying patient safety problems during team rounds: an ethnographic study … Identifying patient safety problems during team rounds: an ethnographic study. … Identifying patient safety problems during team rounds: an ethnographic study.

68. Using incident reports to assess communication failures and patient outcomes. | PSNet
    psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes
    February 06, 2019 - failures and safety has been best studied in the operating room , this issue likely contributes to safety problems … Investigators examined incident reports at an academic medical center to characterize how communication problems … implying that situational awareness was not achieved—were among the most common types of communication problems … Communication problems most often led to delays in care without physical harm, highlighting the difficulty

69. Efficacy of an incident-reporting system in cellular pathology: a practical experience. | PSNet
    psnet.ahrq.gov/issue/efficacy-incident-reporting-system-cellular-pathology-practical-experience
    August 21, 2024 - of voluntary error reports in a cellular pathology laboratory revealed a low incidence of safety problems … January 7, 2015 Good people who try their best can have problems: recognition of human … February 15, 2010 Classifying laboratory incident reports to identify problems that jeopardize

70. The Measurement and Monitoring of Safety. | PSNet
    psnet.ahrq.gov/issue/measurement-and-monitoring-safety
    October 01, 2024 - Despite great effort, health care organizations are still learning how to identify safety problems , … Prior studies have shown that no single method can unearth all safety problems within an organization … adherence to appropriate processes of care), sensitivity to operations (prospectively identifying safety problems

71. Medication errors with the dosing of insulin: problems across the continuum. | PSNet
    psnet.ahrq.gov/issue/medication-errors-dosing-insulin-problems-across-continuum
    March 14, 2012 - Government Resource Medication errors with the dosing of insulin: problems across … Citation Text: Medication errors with the dosing of insulin: problems across the continuum. … Cite Citation Citation Text: Medication errors with the dosing of insulin: problems … Duplicate Insulin Order March 1, 2019 Insulin pumps have most reported problems

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74237/psn-pdf
    January 12, 2022 - Encouraging patients to speak up about problems in cancer care. … Encouraging patients to speak up about problems in cancer care. … https://psnet.ahrq.gov/issue/encouraging-patients-speak-about-problems-cancer-care Patient engagement … https://psnet.ahrq.gov/issue/encouraging-patients-speak-about-problems-cancer-care https://psnet.ahrq.gov

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73102/psn-pdf
    July 01, 2022 - The HomeMeds Medication Safety Program identified and addressed targeted medication problems, leading … The software alerts the user to potential medication problems using criteria developed by an expert … The pharmacist verifies the regimen's appropriateness, identifies problems or concerns that warrant … High proportion of Medicaid waiver clients had medication problems:? … In the waiver program, 61 percent of pharmacist-confirmed problems had changes. 

74. Are Workarounds Ethical? Managing Moral Problems in Health Care Systems. | PSNet
    psnet.ahrq.gov/issue/are-workarounds-ethical-managing-moral-problems-health-care-systems
    March 09, 2016 - Managing Moral Problems in Health Care Systems. Citation Text: Are Workarounds Ethical? … Managing Moral Problems in Health Care Systems. Berlinger N. … Managing Moral Problems in Health Care Systems. Berlinger N. … May 8, 2013 First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety

75. Paramedic intubation errors: isolated events or symptoms of larger problems? | PSNet
    psnet.ahrq.gov/issue/paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems
    February 18, 2009 - Study Paramedic intubation errors: isolated events or symptoms of larger problems … Paramedic intubation errors: isolated events or symptoms of larger problems? … Paramedic intubation errors: isolated events or symptoms of larger problems?

76. Situational Awareness | PSNet
    psnet.ahrq.gov/taxonomy/term/3440
    April 10, 2025 - Failure to maintain situational awareness can result in various problems that compound the crisis. … situational awareness to the point that steps are not taken to address immediately life-threatening problems

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/853251/psn-pdf
    July 19, 2024 - This annual report presents insights drawn from problems staff share with Freedom to Speak Up Guardians … in the United Kingdom to capitalize on problems to drive improvement. … why-do-systems-responding-concerns-and-complaints-so-often-fail-patients-families-and https://psnet.ahrq.gov/issue/uncovering-creating-or-constructing-problems-enacting-new-role-support-staff-who-raise

78. Activating pharmacists to reduce the frequency of medication-related problems (ACTMed): a stepped wedge cluster randomised trial. | PSNet
    psnet.ahrq.gov/issue/activating-pharmacists-reduce-frequency-medication-related-problems-actmed-stepped-wedge
    January 08, 2025 - Study Activating pharmacists to reduce the frequency of medication-related problems … Activating pharmacists to reduce the frequency of medication‐related problems (ACTMed): a stepped wedge … Activating pharmacists to reduce the frequency of medication‐related problems (ACTMed): a stepped wedge … November 11, 2020 Non-dispensing pharmacists' actions and solutions of drug therapy problems

79. Adverse drug events and medication problems in "Hospital at Home" patients. | PSNet
    psnet.ahrq.gov/issue/adverse-drug-events-and-medication-problems-hospital-home-patients
    December 16, 2020 - Study Adverse drug events and medication problems in "Hospital at Home" patients. … Adverse drug events and medication problems in "Hospital at Home" patients. … Adverse drug events and medication problems in "Hospital at Home" patients.

80. Safety first! Using a checklist for intrafacility transport of adult intensive care patients. | PSNet
    psnet.ahrq.gov/issue/safety-first-using-checklist-intrafacility-transport-adult-intensive-care-patients
    October 09, 2024 - standardizing intrahospital transport and providing criteria to identify patients at high risk for problems … April 22, 2015 Often overlooked problems with handoffs: from the intensive care unit … Health Care Executives and Administrators Critical Care Discontinuities, Gaps, and Hand-Off Problems