-
psnet.ahrq.gov/issue/more-algorithms-analysis-safety-events-involving-ml-enabled-medical-devices-reported-fda
May 01, 2019 - January 9, 2019
Using automated methods to detect safety problems with health information … February 14, 2024
Problems with health information technology and their effects on care … April 24, 2018
Identifying patient safety problems associated with information technology … August 11, 2021
Insulin pumps have most reported problems in FDA database.
-
hcup-us.ahrq.gov/db/nation/kid/reports/KID_2000_File_Composition.pdf
January 01, 2000 - Some hospitals close during the
year; other hospitals have technical problems that prevent them from … Some hospitals close during the
year; other hospitals have technical problems that prevent them from … Some hospitals close during the
year; other hospitals have technical problems that prevent them from … Some hospitals close during the
year; other hospitals have technical problems that prevent them from … Some hospitals close during the
year; other hospitals have technical problems that prevent them from
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6f.pdf
March 01, 2017 - The Problem
Individuals with non-urgent health problems typically have to schedule an in-person
visit … Those who do not want to wait (or who experience problems during evening or overnight
hours when physician … CVS, and
others is indicative of the growing demand for immediate access to care for minor health
problems … access to information, advice, diagnosis, and treatment related to non-urgent
health conditions and problems … Feedback should be gathered from practitioners and members related to any
issues or problems that arise
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
January 01, 2010 - and procedural complications.1 Many of these complications can be attributed to discharge planning problems … Discuss with the patient and family five key areas to prevent problems at home:
1. … Highlight warning signs and problems
4. Explain test results
5.
-
digital.ahrq.gov/sites/default/files/docs/resource/James_Fricton_IQHIT_Q1_HP_Recommendations_for_Preventing_Complications_for_Chronic_Illnesses.pdf
January 01, 2005 - dentists awareness and clinical decision-making for patients with chronic conditions by identifying problems … Care
Oral Manifestations Assessment for Prevention of Problems Treatment Planning
Modifications … Care
Oral Manifestations Assessment for Prevention of Problems Treatment Planning
Modifications … Care
Oral Manifestations Assessment for Prevention of Problems Treatment Planning
Modifications … Treatment Planning Modifications
problems
Speech problems
Burning mouth
eating
glossitis
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
July 01, 2023 - Key insights about learning from patient experience to address diagnostic problems include:
1. … Expanding the scope to also include “problems” encourages
reporting of adverse events where patients … as well as their impact
on patients and families, since many of those experiencing problems will have … ■ Respondents should be encouraged to report on both mistakes and diagnostic problems.
2. … ■ To encourage the most complete and representative reports about diagnostic problems,
elicitation
-
psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - unintended patient harm.( 2 ) Citing published studies going back as far as 2002, the authors reported problems … Similar problems have been reported by Maryland's Office of Health Care Quality (OHCQ), a state agency … Leaders must encourage RCA teams to delve deeper to find the system problems that contributed to the … System problems, often called latent conditions, cause an unhealthy environment that sets up failures … Next, the problems need to be fixed.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/ExecSummcaseplancustsvce-RAND7607.pdf
July 01, 2007 - Use CAHPS to flag
problems. … • While the CAHPS survey can signal that customer service problems exist, other
surveys and assessment … tools were needed in order to identify specific problems,
their underlying causes, and actions for … • Gathered specific information to learn more
about customer service problems identified by CAHPS … The department’s performance problems escalated to a
point where the director’s original improvement
-
digital.ahrq.gov/sites/default/files/docs/survey/health-e-access-telemedicine-interview-guide%20.pdf
June 16, 2021 - . Yes No Have you had any other problems with this doctor’s office? Specify:
18. … Telemedicine is perfect for common childhood illnesses and problems like rashes, colds, pinkeye and ear … For more serious problems your doctor or school nurse would recommend going to the
doctor’s office … Now that you’ve heard about telemedicine, if your child had one of these problems, how likely would you … For more serious problems your doctor or school nurse would recommend going to the
doctor’s office
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - to discuss adverse or potentially adverse events that occurred
Facilitates discussion of how to stop problems … Teamwork | ‹#›
AHRQ Safety Program for Ambulatory Surgery
24
Create a way to collect identified problems … or other important information
Designate someone in the facility to monitor and fix problems identified … Update those who reported problems about steps taken to fix them
Using Debriefings for Continuous Quality … Read back specimen labeling including patient’s name
Debriefing
Surgical team discusses—
Equipment problems
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/primary-care-research-conference-proceedings.pdf
January 01, 2023 - ’s wicked problems. … • Importance of complex network of services to address problems. … while ignoring the system and
structure that the problems exist in … with solutions to those problems. … Session Activity 3: Wicked Problems
Breakout groups to identify various wicked problems that affect
-
www.ahrq.gov/funding/process/grant-app-basics/index.html
October 01, 2016 - Common Problems Identified During Peer Review
Below is a list of many common problems that result in
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
January 01, 2017 - understand the patient safety risks in their clinical areas
Gives insight into potential solutions to these problems … ALL staff
Immediately after training on the Science of Safety so providers have lenses to see system problems … It builds intuition about and sensitivity to future problems. … This process will raise team awareness of emerging problems and allow the team to anticipate solutions … Review and anticipate potential problems throughout the program.
-
psnet.ahrq.gov/issue/deriving-icd-10-codes-patient-safety-indicators-large-scale-surveillance-using-administrative
December 29, 2014 - AHRQ Patient Safety Indicators (PSIs) have been utilized to identify safety problems and suboptimal … Application of these novel PSIs in over 10 years of hospital discharge data uncovered safety problems
-
psnet.ahrq.gov/issue/prone-score-algorithm-predicting-doctors-risks-formal-patient-complaints-using-routinely
September 07, 2011 - Past studies have found a correlation between patient complaints and patient safety problems. … October 17, 2018
Identifying patient safety problems associated with information technology
-
psnet.ahrq.gov/issue/incorrect-surgical-procedures-within-and-outside-operating-room
November 21, 2011 - considered never events , as they are devastating errors that arise from serious underlying safety problems … Root cause analysis was used to identify underlying safety problems.
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
October 01, 2016 - Taking antibiotics when they
are not needed may cause health problems. … There are five potential health problems that occur as a result of taking
an antibiotic.
1. … • Although we cannot be certain that any of these problems will occur, it is important that you
and
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.docx
October 01, 2016 - Taking antibiotics when they are not needed may cause health problems. … There are five potential health problems that occur as a result of taking an antibiotic.
1. … Although we cannot be certain that any of these problems will occur, it is important that you and your
-
www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/why/index.html
June 01, 2020 - There is a growing literature documenting quality-of-care problems specific to children. … Dependence on adults and the fragmentation of service delivery systems pose problems related to: … The particular perspectives and problems of accessing and coordinating children's health care in a variety
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-30-teams.pdf
September 01, 2015 - Deliver a short training on the characteristics of high-functioning care teams and common
problems … • The types of problems that prevent teams from accomplishing their goals. … Common problems of teams and how to identify them. … They may run into problems because they lack the content
knowledge or technical skills to accomplish … you and the team take
steps to resolve the problems.