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digital.ahrq.gov/ahrq-funded-projects/effects-age-cognition-and-health-literacy-use-patient-emr/annual-summary/2010
January 01, 2010 - the ability to use a patient portal of an EMR system, the study will identify the root of usability problems … and develop empirically-based interventions to help those who are most likely to face problems interacting … as age, cognitive abilities, health literacy, and task performance. ( Ongoing )
Identify usability problems
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psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry
December 31, 2014 - 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
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psnet.ahrq.gov/issue/comparative-review-patient-safety-initiatives-national-health-information-technology
November 03, 2015 - 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
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psnet.ahrq.gov/issue/results-enhanced-clinic-handoff-and-resident-education-resident-patient-ownership-and-patient
March 28, 2018 - March 28, 2018
Problems after discharge and understanding of communication with their … Admission handoff communications: clinician's shared understanding of patient severity of illness and problems … More About The Topic
Hospitals
Educators
Medicine
Discontinuities, Gaps, and Hand-Off Problems
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/sDvjG49sFm7t3f3CnZUuFw
October 04, 2005 - QUESTIONNAIRE (PHQ-9)DATE:NAME:Over the last 2 weeks, how often have you beenbothered by any of the following problems … Not difficult at allIf you checked off any problems, how difficulthave these problems made it for you
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psnet.ahrq.gov/node/36544/psn-pdf
July 14, 2010 - are screening tools that
can be applied to administrative data to identify potential patient safety problems … review, certain specific
PSIs (such as failure to rescue) did not accurately identify patient safety problems
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psnet.ahrq.gov/node/38291/psn-pdf
April 08, 2011 - united-states
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.
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psnet.ahrq.gov/node/37530/psn-pdf
December 15, 2008 - do-medical-inpatients-who-report-poor-service-quality-experience-more-
adverse-events-and
Prior research has demonstrated that problems … While patients tend to identify these issues
when surveyed about problems they perceive with the quality
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psnet.ahrq.gov/node/42473/psn-pdf
August 13, 2013 - This systematic review found that equipment problems account for a large proportion of
operating room … As the majority of equipment problems were due to potentially preventable issues (such as
equipment
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psnet.ahrq.gov/node/41860/psn-pdf
November 28, 2012 - stakeholder-perspectives-handovers-between-hospital-staff-and-general-
practitioners
Although seminal studies have documented persistent problems … including readmissions
and adverse events after discharge, understanding of the basic mechanisms of these problems
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psnet.ahrq.gov/node/39123/psn-pdf
April 30, 2014 - considered never events, as they are devastating errors that
arise from serious underlying safety problems … Root cause analysis was
used to identify underlying safety problems.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/alcohol-misuse_research-protocol.pdf
April 28, 2010 - ; or use continues despite persistent
social or interpersonal problems. … and secondary prevention of alcohol problems by using screening and brief
interventions in primary … Rapid Alcohol Problems Screen (RAPS). … Screening and intervention for alcohol
problems. … Screening for alcohol problems in primary care: a
systematic review.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017060-weiss-final-report-2011.pdf
January 01, 2011 - Results: Main Study: For phases 1 and 2 approximately 15% of problems were unresolved. … were still unresolved,
or who had problems with their medications. … The revised process was piloted successfully and encountered only a few problems. … within a week of their acute care visit and many of the problems persist after three weeks … • Timely follow-up can be done and it can catch problems at an early stage.
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - In a study of medication errors facilitated by CPOE, researchers identified 18
fundamental problems … in CPOE systems.(5) Subsequently, usability experts traced 12 of the 18 problems
https://psnet.ahrq.gov … These poor interfaces transform old
problems into new ones; they eliminate the problem of illegible … .(15) Such monitoring might have identified this and
related problems prior to their being discovered … Ironies of automation: increasing levels of automation can increase, rather than decrease,
the problems
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psnet.ahrq.gov/node/36697/psn-pdf
February 03, 2011 - suboptimal communication between hospital physicians and outpatient physicians
could contribute to these problems … This study systematically reviewed the literature to determine the
frequency of communication problems
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psnet.ahrq.gov/node/39583/psn-pdf
October 30, 2010 - developed a statistical model to analyze incident
reporting data to identify work areas with safety problems … and rank the severity of safety problems
identified.
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psnet.ahrq.gov/node/39372/psn-pdf
September 20, 2011 - inability) to promptly follow up abnormal test results may lead to diagnostic errors and other safety
problems … Automated alerts within electronic health records should minimize such problems.
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psnet.ahrq.gov/node/37874/psn-pdf
April 18, 2011 - Prior research has identified patient safety problems during
this handoff, perhaps related to a lack … between anesthesiologists and recovery room nurses to assess the
quality of handoffs and potential problems
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psnet.ahrq.gov/node/37945/psn-pdf
July 26, 2010 - Hospitals are engaging in a wide variety of QI activities, targeting common safety problems
such as … However, problems noted in prior research, such as lack of
physician engagement in QI and limited use
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psnet.ahrq.gov/node/34732/psn-pdf
May 09, 2015 - back on the familiar and easy explanation of human error, missing
key opportunities to fix underlying problems … Identifying
such problems, however, requires the far richer "second stories" about such critical incidents