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Total Results: over 10,000 records

Showing results for "problems".

161. Classifying laboratory incident reports to identify problems that jeopardize patient safety. | PSNet
     psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety
     May 13, 2020 - Study Classifying laboratory incident reports to identify problems that jeopardize … Citation Text: Classifying laboratory incident reports to identify problems that jeopardize patient … Cite Citation Citation Text: Classifying laboratory incident reports to identify problems

162. Medication errors in older people with mental health problems: a review. | PSNet
     psnet.ahrq.gov/issue/medication-errors-older-people-mental-health-problems-review
     April 27, 2022 - Review Medication errors in older people with mental health problems: a review.

163. 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

164. Successfully Integrating Behavioral Health in Primary Care Settings Requires Teamwork (doc file)
     integrationacademy.ahrq.gov/sites/default/files/2020-07/frank_degruy.docx
     January 01, 2020 - to do that, a small team of clinicians working together must be on the job addressing all of these problems … and all aspects of these problems for each patient. … People who are looking for answers to questions or problems that they’ve got as they try to integrate … can find others who might have solved those problems.

165. Systematic review of medication safety assessment methods. | PSNet
     psnet.ahrq.gov/issue/systematic-review-medication-safety-assessment-methods
     January 03, 2017 - different detection methods and found that direct observation captured the greatest number of drug-related problems … However, IR systems demonstrated a higher specificity for severe problems and were generally the least … strategies all have strengths and limitations; however, they seem to capture different drug-related problems … January 3, 2017 The scope of drug-related problems in the home care setting.

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47921/psn-pdf
     June 18, 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

167. 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

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38103/psn-pdf
     October 01, 2008 - 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 … psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality- care-problems … Unplanned readmissions within 30 days of discharge were associated with problems in the quality of … /psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39606/psn-pdf
     April 11, 2011 - Drug-related problems in older people after hospital discharge and interventions to reduce them. … Drug-related problems in older people after hospital discharge and interventions to reduce them. … https://psnet.ahrq.gov/issue/drug-related-problems-older-people-after-hospital-discharge-and-interventions … - reduce-them This review analyzed post-discharge medication-related problems and strategies to improve … https://psnet.ahrq.gov/issue/drug-related-problems-older-people-after-hospital-discharge-and-interventions-reduce-them

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35302/psn-pdf
     July 14, 2009 - Technology induced error and usability: the relationship between usability problems and prescription … Technology induced error and usability: The relationship between usability problems and prescription … https://psnet.ahrq.gov/issue/technology-induced-error-and-usability-relationship-between-usability- problems-and … The authors evaluated physicians' use of handheld prescribing devices and found that usability problems … https://psnet.ahrq.gov/issue/technology-induced-error-and-usability-relationship-between-usability-problems-and

171. The scope of drug-related problems in the home care setting. | PSNet
     psnet.ahrq.gov/issue/scope-drug-related-problems-home-care-setting
     February 16, 2011 - Review The scope of drug-related problems in the home care setting. … The scope of drug-related problems in the home care setting. … The scope of drug-related problems in the home care setting.

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37304/psn-pdf
     January 04, 2012 - Characteristics of patient care management problems identified in emergency department morbidity and … Characteristics of patient care management problems identified in emergency department morbidity and … https://psnet.ahrq.gov/issue/characteristics-patient-care-management-problems-identified-emergency- … conducting retrospective case analyses and points out the most common contributing factors to patient problems … https://psnet.ahrq.gov/issue/characteristics-patient-care-management-problems-identified-emergency-department-morbidity

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41232/psn-pdf
     December 31, 2014 - Using FDA reports to inform a classification for health information technology safety problems. … Using FDA reports to inform a classification for health information technology safety problems. … psnet.ahrq.gov/issue/using-fda-reports-inform-classification-health-information-technology-safety- problems … Investigators uncovered problems with software functionality, system configuration, interface with devices … //psnet.ahrq.gov/issue/using-fda-reports-inform-classification-health-information-technology-safety-problems

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35355/psn-pdf
     July 20, 2009 - Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians … Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians … https://psnet.ahrq.gov/issue/risky-procedures-nurses-hospitals-problems-and-contemplated-refusals- orders-physicians-and … This study explored whether nurses and physicians encountered any problems with refusal to perform … https://psnet.ahrq.gov/issue/risky-procedures-nurses-hospitals-problems-and-contemplated-refusals-orders-physicians-and

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35635/psn-pdf
     June 24, 2010 - Patient safety problems in adolescent medical care. … Patient safety problems in adolescent medical care. J Adolesc Health. 2006;38(1):5-12. … https://psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care Using data from the Colorado … to demonstrate that adolescent-specific factors accounted for more than half of the patient safety problems … https://psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care https://psnet.ahrq.gov/issue

176. 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

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45822/psn-pdf
     April 24, 2018 - Problems with health information technology and their effects on care delivery and patient outcomes: … Problems with health information technology and their effects on care delivery and patient outcomes: … https://psnet.ahrq.gov/issue/problems-health-information-technology-and-their-effects-care-delivery-and … - patient-outcomes This systematic review of studies describing safety problems associated with health … https://psnet.ahrq.gov/issue/problems-health-information-technology-and-their-effects-care-delivery-and-patient-outcomes

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47304/psn-pdf
     October 24, 2018 - Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. … Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. … https://psnet.ahrq.gov/issue/mind-overlap-how-system-problems-contribute-cognitive-failure-and- diagnostic-errors … hospitalist teams on rounds and conducting follow-up work examined the interaction between systems problems … https://psnet.ahrq.gov/issue/mind-overlap-how-system-problems-contribute-cognitive-failure-and-diagnostic-errors

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39858/psn-pdf
     September 22, 2010 - Problems after discharge and understanding of communication with their primary care physicians (PCPs … Problems after discharge and understanding of communication with their primary care physicians among … https://psnet.ahrq.gov/issue/problems-after-discharge-and-understanding-communication-their-primary- … geriatric patients, conducted 2 weeks after hospital discharge, identified a large proportion who suffered problems … https://psnet.ahrq.gov/issue/problems-after-discharge-and-understanding-communication-their-primary-care-physicians-pcps

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47248/psn-pdf
     September 26, 2018 - Frequency and nature of potentially harmful preventable problems in primary care from the patient's … Frequency and nature of potentially harmful preventable problems in primary care from the patient's … https://psnet.ahrq.gov/issue/frequency-and-nature-potentially-harmful-preventable-problems-primary-care … About 8% of patients reported an adverse event, which were frequently problems with medications, accessing … https://psnet.ahrq.gov/issue/frequency-and-nature-potentially-harmful-preventable-problems-primary-care-patients