-
psnet.ahrq.gov/node/60288/psn-pdf
April 29, 2020 - This feature discusses industry processes that reduce the reliability of surgical implants,
including gaps
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psnet.ahrq.gov/node/73327/psn-pdf
January 25, 2022 - Organizational participation can identify strengths and gaps in their
systems to design opportunities
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psnet.ahrq.gov/node/72611/psn-pdf
December 23, 2020 - and coordination to improve diagnosis in health care by
addressing systemic weaknesses, knowledge gaps
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psnet.ahrq.gov/node/851462/psn-pdf
July 19, 2023 - This
report discusses gaps in the British National Health Service patient safety culture.
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psnet.ahrq.gov/node/50837/psn-pdf
January 29, 2020 - This
brief summarizes gaps in failure to rescue processes and shares recommendations for health systems
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psnet.ahrq.gov/node/836832/psn-pdf
March 30, 2022 - Advocates suggest that
adjustments be made in curricula, instruction, and student assessment to address gaps
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psnet.ahrq.gov/node/60163/psn-pdf
March 25, 2020 - This news story discusses the suicide of a
concussed woman whose care failed due to gaps in team communication
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psnet.ahrq.gov/node/61053/psn-pdf
October 21, 2020 - Reporting gaps contribute to the perpetuation of the
problem.
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psnet.ahrq.gov/node/841567/psn-pdf
December 14, 2022 - healthcare-acquired infections, decreasing
patient falls, and reducing other healthcare-related complications, gaps … two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety
https://psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
Disparity gaps … recognized;12 recently, mortality rates during the COVID-19
pandemic have further illustrated these gaps … healthcare
disparities and inequities in care, including through quality measurement, to close these gaps
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psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths
September 15, 2021 - This article discusses an analysis of a large nursing home system and gaps in its workforce safety
-
psnet.ahrq.gov/node/50644/psn-pdf
November 06, 2019 - during testimony to remedy these situations include improving employee
background checks, credentialing gaps
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psnet.ahrq.gov/node/72762/psn-pdf
February 17, 2021 - This report examines how gaps in information sharing can affect behavioral health
care.
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psnet.ahrq.gov/node/72796/psn-pdf
March 03, 2021 - several factors they perceived as contributing to
medical errors, including workload and knowledge gaps
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psnet.ahrq.gov/node/855099/psn-pdf
November 08, 2023 - doctors-wrestle-ai-patient-care-citing-lax-oversight
US Food and Drug Administration regulation and review is noted as having gaps
-
psnet.ahrq.gov/node/865705/psn-pdf
May 01, 2024 - There were also
difficulties stemming from gaps in knowledge of reassigned staff, for example, pediatric
-
psnet.ahrq.gov/node/60625/psn-pdf
June 24, 2020 - 19 pandemic has highlighted a range of weaknesses in the health care system including
supply chain gaps
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psnet.ahrq.gov/node/847548/psn-pdf
April 12, 2023 - minnesota-lets-nurses-practice-while-disciplinary-investigations-drag-patients-
keep-getting
Systemic bureaucracy can contribute to process gaps
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psnet.ahrq.gov/node/838142/psn-pdf
September 21, 2022 - This narrative essay discusses gaps in care coordination that contributed to
anticoagulant medication
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psnet.ahrq.gov/node/74196/psn-pdf
December 15, 2021 - highlights look-alike/sound-alike packaging, delayed medication
reconciliation, and dietary monitoring gaps
-
psnet.ahrq.gov/node/844556/psn-pdf
February 15, 2023 - It also discusses barriers to its use such as workload, expertise gaps, and
system integration.