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psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - researchers and commentators have produced widely varying estimates of the death toll ascribable to safety problems … conduct standardized reviews of deaths in order to identify individual clinician issues or systematic problems … within a single organization, and reviewing deaths may provide only a limited view of patient safety problems … they tend to identify a limited subset of issues, such as diagnostic errors, failure to rescue , or problems … formal strategies for identifying preventable deaths and analyzing these deaths to determine systematic problems
-
psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems-thinking-safety
March 14, 2022 - organizations to encourage learning from failures and identifying solutions to complex patient safety problems … Patient race and opioid misuse history influence provider risk perceptions for future opioid-related problems
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psnet.ahrq.gov/issue/delivering-high-reliability-maternity-care-situ-simulation-source-organisational-resilience
April 05, 2023 - Simulation training can enhance teamwork, identify latent problems, and contribute to improved patient … Using text mining techniques to identify health care providers with patient safety problems
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psnet.ahrq.gov/issue/transforming-healthcare-safety-imperative
June 26, 2019 - 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
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psnet.ahrq.gov/issue/medication-errors-intensive-care-unit
October 12, 2022 - Pharmacy problems, including lack of medication availability and transcription problems, were the principal
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psnet.ahrq.gov/issue/testing-and-labeling-medical-devices-safety-magnetic-resonance-mr-environment
March 12, 2019 - appropriately to support their safe use in the MRI environment and encourages organizational reporting of problems … June 6, 2018
Safety Problems With Your Child's Medical Device?
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psnet.ahrq.gov/issue/reducing-risk-and-promoting-patient-safety-nih-intramural-clinical-research-draft-report
November 18, 2020 - This publication outlines system problems at a large research institution that could compromise patient … prioritization of research productivity over safety, insufficient processes for reporting and tracking problems
-
psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-13
January 17, 2018 - commentary on medication error discusses the effective use of computer alerts, provides examples of problems … Pharmacy
Indwelling Tubes and Catheters
Infusion Pumps
Discontinuities, Gaps, and Hand-Off Problems
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/potential-problem-analysis
January 01, 2023 - IDENTIFY SPECIFIC PROBLEMS that could occur and record them in the first column of a table.
3. … Disadvantages
Only identifies and addresses transparent problems.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english.pdf
March 01, 2023 - exchanging accurate, complete,
and timely information with:
Statement Problems
daily
Problems … weekly
Problems
monthly
Problems
several
times
in the past
12 months
Problems
once or … twice
in the past
12 months
No
problems
in the
past 12
months
Does Not
Apply or
Don’t … We have problems with workflow in this office .. 1 2 3 4 5 9
13. … Providers and staff talk openly about office
problems .............................................
-
integrationacademy.ahrq.gov/sites/default/files/2020-07/MDHAQ.pdf
January 01, 2020 - Loss of hair
Dry eyes
Other eye problems
Problems with hearing
Ringing in the ears
Stuffy nose … Sores in the mouth
Dry mouth
Problems with smell or taste
Lump in your throat
Cough
Shortness of … with urination
Gynecological (female) problems
Dizziness
Losing your balance
Muscle pain, aches, … with thinking
Problems with memory
Problems with sleeping
Sexual problems
Burning in sex organs … Problems with social activities
Please check (√) here if you have had none of the above over the last
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - One promising alternative would be to ask patients about “mistakes and problems” in obtaining a diagnosis … Expanding the scope to also include “problems” encourages reporting of adverse events where patients … To deploy cross-sectional surveys in this way, it is essential to address the problems created by recall … as well as their impact on patients and families, since many of those experiencing problems will have … Respondents should be encouraged to report on both mistakes and diagnostic problems.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-neurodevt.pdf
April 02, 2025 - language, fine-motor, cognitive, and emotional-behavioral
development are highly predictive of true problems … ■ Screening tests for behavioral and psychosocial problems:
■ Temperament and Atypical Behavior … Behavioral Issues
■ Infants <1500g have an increased risk of behavioral, social, and emotional problems … ■ Have a high rate of impaired visual-motor integration and neuromotor and cognitive functions;
problems
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
April 01, 2023 - The Problem
Individuals with non-urgent health problems typically have to schedule an in-person visit … Those who do not want to wait (or who experience problems during evening or overnight hours when physician … , CVS, and others is indicative of the growing demand for immediate access to care for minor health problems … access to information, advice, diagnosis, and treatment related to non-urgent health conditions and problems … Feedback should be gathered from practitioners and members related to any issues or problems that arise
-
psnet.ahrq.gov/issue/burden-and-risk-factors-adverse-drug-events-older-patients-prospective-cross-sectional-study
May 20, 2020 - associated with risk for ADEs, such as the type of drug, number of medications, and number of clinical problems … August 10, 2022
Drug-related problems and polypharmacy in nursing home residents: a cross-sectional
-
psnet.ahrq.gov/issue/reaching-summit-discharge-summaries-quality-improvement-project
March 17, 2021 - improve handoffs with outpatient physicians and ensure communication of potential patient safety problems … Clinic or Office
Quality and Safety Professionals
Medicine
Discontinuities, Gaps, and Hand-Off Problems
-
psnet.ahrq.gov/issue/compensation-claims-danish-emergency-care-identifying-hot-spots-and-blind-spots-quality-care
November 03, 2021 - This study used the healthcare complaints analysis tool (HCAT) to identify and categorize safety problems … Most problems arose during examination/diagnosis and frequently resulted in diagnostic errors or errors
-
psnet.ahrq.gov/issue/medical-diagnoses-commonly-associated-pediatric-malpractice-lawsuits-united-states
November 16, 2022 - Analysis of closed malpractice claims has been used to identify patterns of errors and system problems … Problems in telephone triage were also a common underlying factor.
-
www.ahrq.gov/sops/international/medical-office/translators.html
January 01, 2010 - Information Exchange With Other Settings
(Problems daily, Problems weekly, Problems monthly, Problems … several times in the past 12 months, Problems once or twice in the past 12 months, No problems in the … We have problems with workflow in this office. … Providers and staff talk openly about office problems.
D11. … This office is good at changing office processes to make sure the same problems don't happen again.
-
psnet.ahrq.gov/issue/impact-pharmacist-led-interventions-medication-related-problems-among-patients-treated-cancer
May 10, 2017 - Review
Impact of pharmacist-led interventions on medication-related problems among … Impact of pharmacist-led interventions on medication-related problems among patients treated for cancer … Impact of pharmacist-led interventions on medication-related problems among patients treated for cancer