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psnet.ahrq.gov/issue/comparative-review-patient-safety-initiatives-national-health-information-technology
November 03, 2015 - February 14, 2024
Using automated methods to detect safety problems with health information … February 8, 2023
Problems with health information technology and their effects on care … April 24, 2018
Identifying patient safety problems associated with information technology
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digital.ahrq.gov/ahrq-funded-projects/effects-age-cognition-and-health-literacy-use-patient-emr/annual-summary/2010
January 01, 2010 - the ability to use a patient portal of an EMR system, the study will identify the root of usability problems … and develop empirically-based interventions to help those who are most likely to face problems interacting … as age, cognitive abilities, health literacy, and task performance. ( Ongoing )
Identify usability problems
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/sDvjG49sFm7t3f3CnZUuFw
October 04, 2005 - QUESTIONNAIRE (PHQ-9)DATE:NAME:Over the last 2 weeks, how often have you beenbothered by any of the following problems … Not difficult at allIf you checked off any problems, how difficulthave these problems made it for you
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psnet.ahrq.gov/issue/results-enhanced-clinic-handoff-and-resident-education-resident-patient-ownership-and-patient
March 28, 2018 - March 28, 2018
Problems after discharge and understanding of communication with their … Admission handoff communications: clinician's shared understanding of patient severity of illness and problems … More About The Topic
Hospitals
Educators
Medicine
Discontinuities, Gaps, and Hand-Off Problems
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/ecWjjTgXCffjwPyqgNCEpR
February 01, 2006 - These language problems can involve difficulty with grammar (syntax), words or
vocabulary (semantics … Language and speech problems can exist either together or
separately. … In turn, these problems may lead to
overall academic underachievement and a lower IQ that may persist … into young
adulthood.2 How persistent these problems are is unknown. … Can clinical judgment detect children with speech-language
problems?
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hcup-us.ahrq.gov/datainnovations/ICD10Imp_Romano_NAHDO_October2016.pdf
October 27, 2016 - 24 1.269
Comparability ratio = Rate based on ICD-10 codes/Rate based on ICD-9 codes
Each of these problems … and resolve…
Comparability of Selected IQIs between
ICD-9-CM and ICD-10-CM/PCS
IQI Comparability Problems … 13
IQI Comparability Problems:
Obstetric Laceration Repair
• General Equivalence Mapping files map … linkage between the two code sets for repairing an obstetric
laceration… 14
IQI Comparability Problems … for IQIs and PQIs
• But some comparability problems are intrinsic in how
the code sets were designed
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meps.ahrq.gov/data_files/publications/st331/stat331.shtml
July 01, 2011 - cancer, mental disorders, trauma-related disorders, osteoarthritis, asthma, hypertension, diabetes, back problems … third and fourth followed by mental disorders, diabetes, hypertension, hyperlipidemia, asthma, and back problems … For men, the lowest expenditures were for back problems ($14.4 billion). … Cancer Mental disorders Trauma-related disorders Osteoarthritis COPD, asthma Hypertension Diabetes Back problems … Cancer Mental disorders Trauma-related disorders Osteoarthritis COPD, asthma Hypertension Diabetes Back problems
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psnet.ahrq.gov/node/36697/psn-pdf
February 03, 2011 - suboptimal communication between hospital physicians and outpatient physicians
could contribute to these problems … This study systematically reviewed the literature to determine the
frequency of communication problems
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psnet.ahrq.gov/node/39583/psn-pdf
October 30, 2010 - developed a statistical model to analyze incident
reporting data to identify work areas with safety problems … and rank the severity of safety problems
identified.
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psnet.ahrq.gov/node/39372/psn-pdf
September 20, 2011 - inability) to promptly follow up abnormal test results may lead to diagnostic errors and other safety
problems … Automated alerts within electronic health records should minimize such problems.
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psnet.ahrq.gov/node/37874/psn-pdf
April 18, 2011 - Prior research has identified patient safety problems during
this handoff, perhaps related to a lack … between anesthesiologists and recovery room nurses to assess the
quality of handoffs and potential problems
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psnet.ahrq.gov/node/37945/psn-pdf
July 26, 2010 - Hospitals are engaging in a wide variety of QI activities, targeting common safety problems
such as … However, problems noted in prior research, such as lack of
physician engagement in QI and limited use
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psnet.ahrq.gov/node/34732/psn-pdf
May 09, 2015 - back on the familiar and easy explanation of human error, missing
key opportunities to fix underlying problems … Identifying
such problems, however, requires the far richer "second stories" about such critical incidents
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psnet.ahrq.gov/perspective/conversation-charles-ornstein
October 01, 2009 - But what really captured my interest were the problems at a hospital in South Los Angeles, King/Drew … So those two things together made us open our eyes to what could be serious problems at King. … Even the best hospitals in the country have problems, and there are problems that they can fix. … I understood about safety problems. I understood about system problems. … and the role that people play in problems, and the interplay between the two.
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - But what really captured my interest were the problems at a hospital in South Los Angeles, King/Drew … So those two things together made us open our eyes to what could be serious problems at King. … Even the best hospitals in the country have problems, and there are problems that they can fix. … I understood about safety problems. I understood about system problems. … and the role that people play in problems, and the interplay between the two.
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psnet.ahrq.gov/node/33793/psn-pdf
November 01, 2015 - So you almost are
hardwiring some problems into routine care by saying medication reconciliation has … , and then there are also the deeper levels of problems related to
communication and teamwork. … So you have surgical problems, medication problems, diagnostic problems, infections,
and so on. … But, you would still have all the other medication
problems and tons of nonmedication problems. … Once you're pretty sure what the problems are, it makes more sense to measure those problems.
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psnet.ahrq.gov/node/45543/psn-pdf
February 17, 2017 - codes-patient-safety-indicators-large-scale-surveillance-using-
administrative
AHRQ Patient Safety Indicators (PSIs) have been utilized to identify safety problems … Application of these novel PSIs
in over 10 years of hospital discharge data uncovered safety problems
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psnet.ahrq.gov/node/36105/psn-pdf
May 27, 2011 - to implementing the CPOE system in this study, leaders from both hospitals collaborated to
identify problems … The authors noted that the lessons learned from the initial
implementation problems were essential to
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/alcohol-misuse_research-protocol.pdf
April 28, 2010 - ; or use continues despite persistent
social or interpersonal problems. … and secondary prevention of alcohol problems by using screening and brief
interventions in primary … Rapid Alcohol Problems Screen (RAPS). … Screening and intervention for alcohol
problems. … Screening for alcohol problems in primary care: a
systematic review.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017060-weiss-final-report-2011.pdf
January 01, 2011 - Results: Main Study: For phases 1 and 2 approximately 15% of problems were unresolved. … were still unresolved,
or who had problems with their medications. … The revised process was piloted successfully and encountered only a few problems. … within a week of their acute care visit and many of the problems persist after three weeks … • Timely follow-up can be done and it can catch problems at an early stage.