-
psnet.ahrq.gov/node/44782/psn-pdf
January 13, 2016 - swiss-cheese-model-adverse-event-occurrence-closing-holes
Shifting the focus from individual failures to system problems … medical error and the role of teamwork training and safety culture in identifying and addressing safety
problems
-
psnet.ahrq.gov/node/35193/psn-pdf
July 10, 2008 - These include system-related problems such as inefficient processes and cognitive problems such
as failure
-
psnet.ahrq.gov/node/40132/psn-pdf
May 25, 2011 - information-needs-operating-room-teams-what-right-what-wrong-and-what-
needed
The operating room is an environment often rife with communication problems … This mixed methods study
examined information transfer problems from the perspectives of nurses, surgeons
-
psnet.ahrq.gov/node/46263/psn-pdf
July 12, 2017 - This newsletter article explores the impact of texting in health care, reviews both improvements and
problems … A past
WebM&M commentary discussed problems stemming from an interruption caused by texting.
-
psnet.ahrq.gov/node/38930/psn-pdf
January 04, 2010 - Part 1: a review of the extent and causes of
medication problems 2002-2008. … Part 1: a
review of the extent and causes of medication problems 2002-2008.
-
hcup-us.ahrq.gov/reports/factsandfigures/figures/2006/2006_5_1c.jsp
January 01, 2006 - 26%
456,000
16%
Preterm birth
183,400
13%
168,600
6%
Post-birth respiratory problems … 73,600
5%
61,300
2%
Respiratory distress syndrome
58,200
4%
29,600
1%
Feeding problems
-
psnet.ahrq.gov/node/34643/psn-pdf
December 23, 2008 - health-care-cost-drug-related-morbidity-and-mortality-nursing-facilities
This study discusses a statistical model to estimate costs associated with drug-related problems … drug therapy, nearly $1.33 in health care resources are consumed in the treatment of
drug-related problems
-
psnet.ahrq.gov/node/46238/psn-pdf
November 08, 2017 - nurses-workarounds-acute-healthcare-settings-scoping-review
https://psnet.ahrq.gov/issue/are-workarounds-ethical-managing-moral-problems-health-care-systems … https://psnet.ahrq.gov/issue/are-workarounds-ethical-managing-moral-problems-health-care-systems
https
-
psnet.ahrq.gov/node/34981/psn-pdf
July 14, 2010 - These factors
contributed to nearly half of the identified patient safety problems. … elderly or in children, present an opportunity to design tailored interventions to reduce patient safety
problems
-
psnet.ahrq.gov/node/46266/psn-pdf
July 19, 2017 - The authors highlight the
challenges and opportunities these problems present to clinical informaticians … types-unintended-consequences-related-computerized-provider-order-entry
https://psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
-
psnet.ahrq.gov/node/34861/psn-pdf
November 11, 2015 - In most cases, problems were well known, but not addressed, indicating pervasive
problems with safety
-
effectivehealthcare.ahrq.gov/sites/default/files/data-extraction.ppt
January 01, 2009 - It is not uncommon that studies with overt methodological problems also report inconsistent data, and … Examples of Data Reporting Problems (II)
Examples of Data Reporting Problems (II)
This is obviously … Examples of Data Reporting Problems (III)
Examples of Data Reporting Problems (III)
The mean age is … Why Do Such Problems Exist? … Why Do Such Problems Exist?
Reference:
Green BF, Hall JA.
-
psnet.ahrq.gov/issue/ai-ecosystem-ensuring-generative-ai-safe-and-effective
January 16, 2019 - December 6, 2023
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
-
psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error
September 24, 2016 - December 6, 2023
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
-
psnet.ahrq.gov/issue/interruptive-communication-patterns-intensive-care-unit-ward-round
December 22, 2010 - December 6, 2023
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
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/speech-and-language-delay-in-preschool-children-screening-2006
February 15, 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?
-
psnet.ahrq.gov/node/39568/psn-pdf
August 08, 2010 - Telephone management of acute and chronic conditions is common, but may be a source of errors and
safety problems … telephone consultations were briefer and less detailed than face-to-face visits for similar clinical problems
-
psnet.ahrq.gov/node/45098/psn-pdf
May 04, 2016 - reducing-risk-and-promoting-patient-safety-nih-intramural-clinical-research-
draft-report
This publication outlines system problems … prioritization of research
productivity over safety, insufficient processes for reporting and tracking problems
-
psnet.ahrq.gov/node/46327/psn-pdf
October 17, 2017 - Identifying patient and practice characteristics associated
with patient-reported experiences of safety problems … Identifying patient and practice characteristics associated with
patient-reported experiences of safety problems
-
psnet.ahrq.gov/node/45617/psn-pdf
November 30, 2016 - theory can be applied to diagnostic decision-making, this commentary
presents a case that illustrates problems … etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning
https://psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-prioritize-study