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psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical-practice
November 17, 2021 - Intravenous (IV) push medication administration is a primary therapeutic approach where process gaps
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psnet.ahrq.gov/issue/ignoring-alarms-how-nhs-eating-disorder-services-are-failing-patients
August 31, 2016 - The report discusses gaps in the investigations of these patient deaths and outlines areas of improvement … Group Administrators
Mental Health Care (Psychiatry and Clinical Psychology)
Discontinuities, Gaps
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psnet.ahrq.gov/issue/what-us-hospitals-are-currently-doing-prevent-common-device-associated-infections-results
June 21, 2023 - Gaps remain in use of antimicrobial devices across all three of these infection types. … conclude that, although implementation of evidence-based infection practices are improving over time, some gaps
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psnet.ahrq.gov/issue/measuring-safety-older-adult-care-homes-scoping-review-international-literature
June 30, 2021 - This systematic review identified several gaps in the available safety measures used for quality monitoring … Resources
A scoping review of adverse incidents research in aged care homes: learnings, gaps
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psnet.ahrq.gov/node/73925/psn-pdf
January 01, 2022 - https://psnet.ahrq.gov/issue/patient-safety-and-mental-health-growing-quality-gap-canada
Safety gaps
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - but potentially just as important for the patient's outcome: how unanticipated or underappreciated gaps … This case illustrates a classic story of gaps or fracture points, in which critical patient information … Because the gaps are continuously changing, static solutions are unlikely to be effective. … Take-Home Points Strategies for reducing gaps in central line safety identified in this case include … Gaps and resilience. In: Bogner MS, ed. Human Error in Medicine. 2nd edition.
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psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
April 10, 2024 - This curated library covers distinct efforts, gaps and core resources that discuss reasons and opportunities … A scoping review of adverse incidents research in aged care homes: learnings, gaps … This scoping review of 46 articles identified several gaps in... … Read More
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Gaps (3) … A scoping review of adverse incidents research in aged care homes: learnings, gaps
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psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and-prescribing-practices
September 07, 2016 - This government report discuses efforts to reduce gaps in medication access and suggests developing clear … About The Topic
Specialty Hospitals
Health Care Providers
Medicine
Discontinuities, Gaps
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psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review
March 07, 2012 - This review highlights gaps in the current literature on handoffs , which include inadequate research … Quality and Safety Professionals
General Internal Medicine
Hospital Medicine
Discontinuities, Gaps
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psnet.ahrq.gov/issue/do-professional-interpreters-improve-clinical-care-patients-limited-english-proficiency
November 30, 2016 - November 30, 2016
Minding the gaps: assessing communication outcomes of electronic preconsultation … February 10, 2021
Medication dosing safety for pediatric patients: recognizing gaps, … Health Care Executives and Administrators
Allied Health Services
Medicine
Discontinuities, Gaps
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psnet.ahrq.gov/issue/alcohol-and-drug-testing-health-professionals-following-preventable-adverse-events-bad-idea
January 02, 2017 - May 1, 2024
Medication dosing safety for pediatric patients: recognizing gaps, safety … December 9, 2020
Patient safety at ten: unmistakable progress, troubling gaps. … January 20, 2015
Discontinuity and disaster: gaps and the negotiation of culpability
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psnet.ahrq.gov/node/46042/psn-pdf
July 12, 2017 - ambulatory care safety: a
novel method to develop context-sensitive interventions
to reduce quality gaps … ambulatory care safety: a novel method to
develop context-sensitive interventions to reduce quality gaps
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psnet.ahrq.gov/issue/communication-between-primary-and-secondary-care-deficits-and-danger
September 23, 2020 - The authors conclude that significant communication gaps exist between primary and secondary care and … Ambulatory Clinic or Office
Physicians
Primary Care
Diagnostic Errors
Discontinuities, Gaps
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psnet.ahrq.gov/issue/mixed-methods-study-examining-teamwork-shared-mental-models-interprofessional-teams-during
January 08, 2020 - Poor team-SMMs were characterized by divergent opinions regarding patient care plans, delays or gaps … Topic
Hospitals
Organizational Behaviorists
Geriatrics
Nurse Care
Discontinuities, Gaps
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psnet.ahrq.gov/issue/understanding-challenges-and-successes-implementing-hybrid-interventions-healthcare-settings
October 23, 2024 - the hospital and home can jeopardize patient safety for a myriad of reasons, such as communication gaps … About The Topic
Hospitals
Geriatrics
Hospital Medicine
Nurse Care
Discontinuities, Gaps
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psnet.ahrq.gov/issue/when-doctors-dont-talk-doctors
December 23, 2020 - October 8, 2008
Disuse of system is cited in gaps in soldiers' care. … More
See More About The Topic
Hospitals
Patients
Medicine
Discontinuities, Gaps
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psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway
November 06, 2015 - This review highlights the many potential communication gaps created by having patients traverse multiple … Topic
Health Care Providers
Quality and Safety Professionals
Surgery
Discontinuities, Gaps
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - Before initiating action, the next step, called evaluation , requires physicians to ask what gaps might … can enroll in the MOC program at any time and take advantage of the self-assessment tools to address gaps … If the answer to the latter question is yes, then, "What gaps do I currently have that I will need to … hepatitis C and his failure to recognize these gaps until a medical director intervened. … question is whether current certification processes truly make a difference and identify important gaps
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psnet.ahrq.gov/issue/patient-safety-and-mental-health-growing-quality-gap-canada
February 19, 2010 - Safety gaps in mental health care offers a limited view if focused primarily on patient suicide .
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psnet.ahrq.gov/node/38260/psn-pdf
April 22, 2011 - issue/information-exchange-among-physicians-caring-same-patient-community
Significant attention to gaps … issue/information-exchange-among-physicians-caring-same-patient-community
https://psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety