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Showing results for "problems".

41. Assessing nourishment problems at a hospital: what can we learn from them? | PSNet
    psnet.ahrq.gov/issue/assessing-nourishment-problems-hospital-what-can-we-learn-them
    January 08, 2025 - Study Assessing nourishment problems at a hospital: what can we learn from them? … Assessing nourishment problems at a hospital: what can we learn from them? … Of the 89 nutrition-related problems, 20% were very severe, including one that resulted in patient death … Assessing nourishment problems at a hospital: what can we learn from them?

42. Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study. | PSNet
    psnet.ahrq.gov/issue/problems-care-and-avoidability-death-after-discharge-intensive-care-multi-centre
    March 23, 2022 - Study Problems in care and avoidability of death after discharge from intensive care … Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective … Common problems identified include out-of-hours discharge from the ICU, suboptimal rehabilitation, absent … Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective … September 30, 2020 Preventable deaths due to problems in care in English acute hospitals

43. Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.   | PSNet
    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

44. Process Decision Program Chart | Digital Healthcare Research
    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.

45. Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program | Digital Healthcare Research
    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

46. Using FDA reports to inform a classification for health information technology safety problems. | PSNet
    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

47. Contingency Diagram | Digital Healthcare Research
    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.

48. Postoperative handover: problems, pitfalls, and prevention of error. | PSNet
    psnet.ahrq.gov/issue/postoperative-handover-problems-pitfalls-and-prevention-error
    September 26, 2012 - Image/Poster Postoperative handover: problems, pitfalls, and prevention of error. … Postoperative handover: problems, pitfalls, and prevention of error. … Postoperative handover: problems, pitfalls, and prevention of error. … Care Providers Quality and Safety Professionals Surgery Discontinuities, Gaps, and Hand-Off Problems

49. Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error. | PSNet
    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

50. Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. | PSNet
    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

51. First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. | PSNet
    psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety
    March 29, 2007 - Book/Report First, Do Less Harm: Confronting the Inconvenient Problems of Patient … Citation Text: First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. … perspectives to address why, despite tactics like health care information technology implementation, problems … Cite Citation Citation Text: First, Do Less Harm: Confronting the Inconvenient Problems

52. Module 3: Problem Solving and Escalation - Facilitator Notes | Agency for Healthcare Research and Quality
    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.

53. Final Progress Report: Problem Density, Workload, and Medical Error in Primary Care Practice: a WREN Study (pdf file)
    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.

54. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. | PSNet
    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.

55. The limits of technology: far from a panacea, IT is merely a tool for solving problems. | Digital Healthcare Research
    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.

56. Decision support for evidence-based pharmacotherapy detects adherence problems but does not impact medication use. | Digital Healthcare Research
    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

57. Decision support for acute problems: the role of the standardized patient in usability testing. | Digital Healthcare Research
    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.

58. Distribution of problems, medications and lab results in electronic health records: the pareto principle at work. | Digital Healthcare Research
    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

59. Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review. | PSNet
    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

60. | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/health-topics/speech-language-problems-in-children