-
psnet.ahrq.gov/node/39975/psn-pdf
March 03, 2011 - of surgical procedures to assess the incidence, types, and consequences of surgical
communication problems … , and found that failure to discuss equipment problems and progress of the
procedure were common, resulting
-
psnet.ahrq.gov/node/33638/psn-pdf
August 01, 2006 - A few
seminal publications helped to expose human error in anesthesia and its underlying causes as problems … Despite Jeep's leadership, the publication of data pointing to major problems in anesthesia safety and … value to safety concerns and paying greater attention to
minor events that are harbingers of bigger problems … factors: the availability of data (both qualitative
and quantitative) that identified many of the problems … We have many of the
same problems we had a generation ago, and we've added some new ones: making changes
-
psnet.ahrq.gov/web-mm/urine-tough-position
January 01, 2009 - A total of 180 laboratory problems were detected, for a crude frequency of 1.1 laboratory problems per … Of 180 reported problems, 49 impacted patient care (27%). … problems were the most common overall (33.9%), similar to the urine mishandling case presented here. … Classifying laboratory incident reports to identify problems that jeopardize patient safety. … Problems in laboratory testing in primary care. JAMA. 1996;275:635-9.[ go to PubMed ] 10.
-
psnet.ahrq.gov/node/33812/psn-pdf
August 01, 2016 - Bernardo Perea-Pérez: There are several potentially significant problems in dentistry. … First, there are
problems with the methods of disinfection and sterilization of dental instruments, … Maybe the fourth concern is problems related to drug interactions,
especially in elderly people. … On the other hand, the main problems are dangers to the privacy of
health data and the possibility that … The patient safety field in general has focused on systems that
have problems rather than individual
-
psnet.ahrq.gov/issue/reduced-verification-medication-alerts-increases-prescribing-errors
January 09, 2019 - 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
-
psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - You're supposed to try to identify teamwork, communication, or patient identification problems and use … the incident to get a handle on some problems in your institution. … The plausible part of this hope is that some institutions would have idiosyncratic problems, which is … to say problems other than those highlighted in the literature. … KS : There are two problems there, you're right.
-
psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - the incident to get a handle on some problems in your institution. … The plausible part of this hope is that some institutions would have idiosyncratic problems, which is … to say problems other than those highlighted in the literature. … Many such reports, for instance ones involving opiates or anticoagulants, capture problems that occur … KS : There are two problems there, you're right.
-
digital.ahrq.gov/sites/default/files/docs/medicaid/health-it-implementation.pdf
December 01, 2005 - Anticipating Implementation Problems
4. Evaluating Health Information Systems
5. … How can Health IT help solve these
problems? … Problems with the data storage:
– These communication problems arise partly because the data is stored … Problems of Overuse and Underuse
– 30% of children receive excessive antibiotics for otitis
– 20-50% … This is critical to understanding the runtime problems.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-therapies-update_consumer.pdf
January 01, 2016 - The cancer
is found from a biopsy done after a man has a high PSA level
or has surgery for problems … These may
include your risk level, your age, and any other health problems. … � Your age
� Your cancer risk level
� Your medical history
� Other health problems you
may have … The most common side effects
are urinary, bowel, and sexual problems. … Some problems happen
soon after treatment, but others develop over time.
-
psnet.ahrq.gov/node/36549/psn-pdf
March 21, 2017 - defined "error" more broadly than traditional definitions,
including such issues as falls, communication problems … least one error-related concern during
their hospitalization, most commonly due to well-recognized problems
-
psnet.ahrq.gov/node/39173/psn-pdf
November 02, 2014 - patient safety over the past decade, most health
care organizations still experience persistent safety problems … These include transparency in disclosing errors and quality problems, integration of care
across teams
-
psnet.ahrq.gov/node/39236/psn-pdf
May 25, 2010 - Do emergency physicians attribute drug-related
emergency department visits to medication-related
problems … Do emergency physicians attribute drug-related emergency
department visits to medication-related problems
-
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?
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/child-maltreatment-primary-care-interventions-november-2018
August 18, 2016 - disruptive, aggressive, or delinquent behavior)
Healthy social-emotional development (e.g., attachment problems … functioning, and self-concept; hypervigilance; exaggerated startle response; dissociation; concentration problems … ; somatic problems (e.g., headaches, gastrointestinal problems); sleep disturbances; and nightmares … years" and the inclusion criteria to no longer exclude children and adolescents with serious behavioral problems
-
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
-
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
-
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.
-
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.
-
psnet.ahrq.gov/node/41847/psn-pdf
November 28, 2012 - quality improvement collaboratives have been used to successfully address a variety of
patient safety problems … authors
speculate that the collaborative approach may be useful for more specific, targeted safety problems
-
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.