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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
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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
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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
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hcup-us.ahrq.gov/reports/statbriefs/sb105.jsp
February 01, 2011 - for patients with back problems*
ED visits for patients with back problems as a first-listed diagnosis … with back problems*
Hospital stays for patients with back problems as a principal diagnosis**
Hospital … ED patients with back problems were 6–9 years older than ED patients without back problems (43.6 and … Hospitalized patient with back problems were 10–13 years older than those without back problems (57.2 … any diagnosis of back problems, 47 percent had back problems as a first-listed diagnosis ("spondylosis
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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
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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.
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integrationacademy.ahrq.gov/sites/default/files/2020-07/MDHAQ.pdf
January 01, 2020 - Loss of hair
Dry eyes
Other eye problems
Problems with hearing
Ringing in the ears
Stuffy nose … Sores in the mouth
Dry mouth
Problems with smell or taste
Lump in your throat
Cough
Shortness of … with urination
Gynecological (female) problems
Dizziness
Losing your balance
Muscle pain, aches, … with thinking
Problems with memory
Problems with sleeping
Sexual problems
Burning in sex organs … Problems with social activities
Please check (√) here if you have had none of the above over the last
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www.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
December 01, 2012 - Purpose of tool: This tool provides a structured approach to help physicians and nurses identify the problems … that occurred during the night and potential problems that may occur during the clinical day. … Are there any patients having problems on the unit?
III. … To Followup
Action Taken
Patient scheduling
Equipment availability or problems
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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
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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_apptaide.pdf
December 01, 2017 - What problems should I look for, and what do I need to do if I have these problems? … (Use “The Problems I
Need to Look For” page to help you remember who to contact when you have these … problems.)
5. … What problems should I look for? Who should I contact if the patient has these problems?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
January 01, 2004 - This method is for the
evaluation of usability problems in medical devices. … Figure 3 summarizes the severity of the problems found in Pump 1 and Pump
2. … For Pump 2, there was 1
catastrophic, 26 major, 26 minor, and zero cosmetic usability problems. … Finding usability problems through
heuristic evaluation. … Severity ratings of usability problems for the two 1-channel infusion pumps
Figure 4.
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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
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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
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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.
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/professional-tool.docx
May 01, 2017 - The shadower will observe oral and written communication practices and problems and the effect they have … Use this document to identify problems observed in patient care areas within the practice setting of … Review your list of observed communication and teamwork problems. … Prepare a draft of the problems identified and your proposed solutions. … Were patient problems identified quickly?
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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?
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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