-
psnet.ahrq.gov/node/838247/psn-pdf
October 05, 2022 - clinical-deterioration-and-hospital-acquired-complications-adult-patients-isolation
https://psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness
-
psnet.ahrq.gov/node/73628/psn-pdf
August 25, 2021 - comparative-performance-pediatric-weight-estimation-techniques-human-factor-errors-analysis
https://psnet.ahrq.gov/issue/medication-dosing-safety-pediatric-patients-recognizing-gaps-safety-threats-and-best
-
psnet.ahrq.gov/node/50778/psn-pdf
January 08, 2020 - Poor team-SMMs were characterized by divergent opinions regarding patient care plans, delays
or gaps
-
psnet.ahrq.gov/node/851200/psn-pdf
July 05, 2023 - In addition,
post-event process gaps occurred, impacting learning and resolution such as a delay in
-
psnet.ahrq.gov/node/50935/psn-pdf
February 26, 2020 - study found that
workflow constraints, supply-demand issues, variable interpretation quality, and gaps
-
psnet.ahrq.gov/node/73358/psn-pdf
June 02, 2021 - This report discusses gaps in some nursing programs that detract from building safe
medication skills
-
psnet.ahrq.gov/node/41073/psn-pdf
January 18, 2012 - patient safety and quality improvement training in medical school and makes
recommendations to address gaps
-
psnet.ahrq.gov/node/46500/psn-pdf
June 27, 2018 - https://psnet.ahrq.gov/issue/ariadne-labs
Checklists can help catch gaps in communication and process
-
psnet.ahrq.gov/node/37815/psn-pdf
June 18, 2008 - The test identified gaps in knowledge regarding effective patient safety interventions.
-
psnet.ahrq.gov/node/43396/psn-pdf
July 30, 2014 - The author explains how the organization performed a root cause analysis to determine safety gaps in
-
psnet.ahrq.gov/node/39068/psn-pdf
October 28, 2009 - four-patients-say-cedars-sinai-did-not-tell-them-they-had-received-radiation-
overdose
This news piece describes communication gaps
-
psnet.ahrq.gov/node/47214/psn-pdf
June 20, 2018 - cover clinical, legal, and policy issues around enhancing patient safety and will explore
research gaps
-
psnet.ahrq.gov/node/41009/psn-pdf
December 21, 2011 - improving-ambulatory-patient-safety-learning-last-decade-moving-ahead-next
This commentary discusses gaps
-
psnet.ahrq.gov/node/41444/psn-pdf
June 13, 2012 - publication presents findings from an investigation, prompted by reports of alarm fatigue, which
identified gaps
-
psnet.ahrq.gov/issue/impact-automated-notification-follow-actionable-tests-pending-discharge-cluster-randomized
March 04, 2015 - December 31, 2014
Laboratory medicine handoff gaps experienced by primary care practices … Physicians
Information Professionals
Pathology and Laboratory Medicine
Discontinuities, Gaps
-
psnet.ahrq.gov/issue/partially-structured-postoperative-handoff-protocol-improves-communication-2-mixed-surgical
November 19, 2018 - May 23, 2012
Bridging gaps in handoffs: a continuity of care based approach. … The Topic
Intensive Care Units
Physicians
Critical Care
Surgery
Discontinuities, Gaps
-
psnet.ahrq.gov/issue/ambulatory-care-patient-safety-2017-2018
April 15, 2005 - initiative supporting expert review of current metrics , including prioritizing measures and identifying gaps
-
psnet.ahrq.gov/node/43714/psn-pdf
December 17, 2014 - physician who misdiagnosed the patient
when he first presented, including information and communication gaps
-
psnet.ahrq.gov/node/46305/psn-pdf
September 27, 2017 - using-simulation-improve-systems-0
Simulations in health care can help uncover technical weaknesses, teamwork gaps
-
psnet.ahrq.gov/node/40970/psn-pdf
November 30, 2011 - information-chaos-primary-care-implications-physician-performance-and-
patient-safety
This article applies human factors engineering concepts to discuss information gaps