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digital.ahrq.gov/ahrq-funded-projects/preventing-medication-related-problems-care-transitions-skilled-nursing
July 31, 2025 - Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities … This research will explore the effectiveness of the PIT program in reducing medication-related problems … Evaluation will include the occurrence of medication-related problems 30 days following hospital discharge … The research team anticipates a significant decrease in medicine-related problems among patients involved … consequences of those problems—that people will recover, require less time in SNFs, that they get back
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psnet.ahrq.gov/issue/risky-procedures-nurses-hospitals-problems-and-contemplated-refusals-orders-physicians-and
February 14, 2024 - Study
Risky procedures by nurses in hospitals: problems and (contemplated) refusals … Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians … This study explored whether nurses and physicians encountered any problems with refusal to perform certain … Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians
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psnet.ahrq.gov/issue/drug-related-problems-older-people-after-hospital-discharge-and-interventions-reduce-them
September 13, 2023 - Review
Drug-related problems in older people after hospital discharge and interventions … Drug-related problems in older people after hospital discharge and interventions to reduce them. … This review analyzed post-discharge medication-related problems and strategies to improve care transitions … Drug-related problems in older people after hospital discharge and interventions to reduce them.
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psnet.ahrq.gov/issue/technology-induced-error-and-usability-relationship-between-usability-problems-and
June 15, 2022 - Study
Technology induced error and usability: the relationship between usability problems … Technology induced error and usability: The relationship between usability problems and prescription … The authors evaluated physicians' use of handheld prescribing devices and found that usability problems … Technology induced error and usability: The relationship between usability problems and prescription
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process-decision-program-chart
January 01, 2023 - Once potential issues are found, preventive measures are developed, allowing the problems to either be … When looking for potential problems prior to implementing a sizeable and complicated plan. … The questions should revolve around problems that could arise or things that could go wrong. … ADD THE REMAINING POTENTIAL PROBLEMS to your tree diagram. … Disadvantages
Only identifies and addresses transparent problems.
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digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
January 01, 2020 - during the transition may improve care coordination and communication, and reduce medication-related problems … Davidson, Giana Organization: University of Washington Research Profile: Preventing Medication-Related Problems … Our hope is that we will see a significant decrease in medication-related problems, and also the downstream … consequences of those problems—that people will recover, require less time in SNFs, that they get back … Davidson is anticipating the program will decrease medication-related problems and improve overall patient
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psnet.ahrq.gov/issue/using-fda-reports-inform-classification-health-information-technology-safety-problems
November 03, 2015 - 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. … Investigators uncovered problems with software functionality, system configuration, interface with devices … Using FDA reports to inform a classification for health information technology safety problems. … February 8, 2023
Problems with health information technology and their effects on care
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/contingency-diagram
January 01, 2023 - Diagram
Description
The contingency diagram uses brainstorming to generate a list of problems … Once problems are identified, then solutions to the problems are determined. … Uses
When identifying causes of potential problems.
When developing solutions to problems.
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psnet.ahrq.gov/issue/patient-safety-culture-health-information-technology-implementation-and-medical-office
December 15, 2010 - Patient safety culture, health information technology implementation, and medical office problems … Patient Safety Culture, Health Information Technology Implementation, and Medical Office Problems That … Better safety culture scores were associated with fewer problems, and practices undergoing health IT … implementation reported more problems. … Patient Safety Culture, Health Information Technology Implementation, and Medical Office Problems That
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psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review
July 20, 2022 - Study
Classic
Preventable deaths due to problems in care … Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review … The reviewers did find evidence of significant quality problems among both preventable and non-preventable … Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review … December 16, 2020
Problems in care and avoidability of death after discharge from intensive
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
June 01, 2017 - There are many ways to solve problems. Does your organization have a preferred method? … Slide 4: How Do Problems Get Flagged? … Say:
Most problems are identified by staff or are observed by supervisors. … Box 4 refers to process redesign problems or problems with flow between departments that need additional … She will know that it is successful when fewer similar problems occur.
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psnet.ahrq.gov/issue/medication-related-problems-critical-care-survivors-systematic-review
August 20, 2018 - Review
Medication-related problems in critical care survivors: a systematic review … Medication-related problems in critical care survivors: a systematic review. … studies found that as many as 80% of patients on critical care services experienced medication-related problems … Common problems include inappropriate continuation of newly-prescribed medications as well as discontinuation … Medication-related problems in critical care survivors: a systematic review.
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www.ahrq.gov/sites/default/files/2024-09/temte-report.pdf
January 01, 2024 - Patients identified from 1 to 10 problems. … Comparison of the number patient-
identified and clinician-identified problems
The number of problems … problems (44.1 vs. 51.2; ANOVA: F[1,521] =7.10; P<0.00). … Relating Number of Problems to Task Load. … these problems.
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psnet.ahrq.gov/issue/mind-overlap-how-system-problems-contribute-cognitive-failure-and-diagnostic-errors
August 14, 2019 - Study
Mind the overlap: how system problems contribute to cognitive failure and diagnostic … Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. … hospitalist teams on rounds and conducting follow-up work examined the interaction between systems problems … Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors.
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digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery/citation/nursing
January 01, 2023 - The limits of technology: far from a panacea, IT is merely a tool for solving problems. … IT is merely a tool for solving problems. Mod Healthcar 2006 Aug 7;36(31):20.
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-decision-support-evidence-based-pharmacotherapy-0
January 01, 2023 - Decision support for evidence-based pharmacotherapy detects adherence problems but does not impact medication … Decision support for evidence-based pharmacotherapy detects adherence problems but does not impact medication
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digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr-9
January 01, 2023 - Decision support for acute problems: the role of the standardized patient in usability testing. … Decision support for acute problems: the role of the standardized patient in usability testing.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/citation/pareto
January 01, 2023 - Distribution of problems, medications and lab results in electronic health records: the pareto principle … Distribution of problems, medications and lab results in electronic health records: the pareto principle
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effectivehealthcare.ahrq.gov/health-topics/speech-language-problems-in-children
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psnet.ahrq.gov/issue/medicines-related-problems-mrps-originating-primary-care-settings-older-adults-systematic
March 04, 2015 - Review
Medicines related problems (MRPs) originating in primary care settings in … Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic … This systematic review including 21 studies on medication-related problems in in older adults identified … The authors found the classes of medication related problems are similar to studies from a decade ago … Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic