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Total Results: 983 records

Showing results for "gaps".

41. National Patient Safety Goals | PSNet
    psnet.ahrq.gov/primer/national-patient-safety-goals
    January 16, 2025 - strategies to enhance patient safety and reduce preventable harm in healthcare settings, there are gaps … United States over the past two decades, the COVID-19 pandemic uncovered and worsened significant gaps … Action Plan along with its companion Self-Assessment Tool and Implementation Resource Guide to analyze gaps

42. Omissions of care in nursing homes: a uniform definition for research and quality improvement. | PSNet
    psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement
    August 01, 2012 - 2024 A scoping review of adverse incidents research in aged care homes: learnings, gaps … A scoping review of adverse incidents research in aged care homes: learnings, gaps

43. Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. | PSNet
    psnet.ahrq.gov/issue/towards-diagnostic-excellence-academic-ward-teams-building-conceptual-model-team-dynamics
    August 20, 2018 - August 28, 2024 Self-reported gaps in care coordination and preventable adverse outcomes … January 18, 2023 Frailty, gaps in care coordination, and preventable adverse events.

44. Future directions for diagnostic decision support. | PSNet
    psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support
    February 25, 2019 - article explores how decision support systems and technology-enhanced consultations can best address gaps

45. Near Miss With Neonate | PSNet
    psnet.ahrq.gov/web-mm/near-miss-neonate
    August 15, 2018 - A recent study demonstrated that knowledge gaps among providers led to inconsistencies in CDC guideline … on the part of the provider who performed the second screening test or the result of communication gaps … In this case, communication gaps and a lack of interprofessional teamwork may also have contributed to … Labor and Delivery Health Care Providers Obstetrics Infectious Diseases Discontinuities, Gaps

46. Pulse oximeters and their inaccuracies will get FDA scrutiny today. What took so long? | PSNet
    psnet.ahrq.gov/issue/pulse-oximeters-and-their-inaccuracies-will-get-fda-scrutiny-today-what-took-so-long
    February 14, 2024 - This article recognizes the flaws  of  pulse oximeters on patients with darker skin, gaps in the literature

47. Minnesota lets nurses practice while disciplinary investigations drag on. Patients keep getting hurt. | PSNet
    psnet.ahrq.gov/issue/minnesota-lets-nurses-practice-while-disciplinary-investigations-drag-patients-keep-getting
    April 22, 2020 - Systemic bureaucracy can contribute to process gaps that result in needless complexities and failure

48. ISMP Medication Safety Self Assessment® for Perioperative Settings. | PSNet
    psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings
    January 26, 2023 - Organizational participation can identify strengths and gaps in their systems to design opportunities

49. Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. | PSNet
    psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults
    May 25, 2022 - It also discusses barriers to its use such as workload, expertise gaps, and system integration.

50. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer | PSNet
    psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
    February 26, 2025 - Plan-Do-Study-Act (PDSA) model of quality improvement to identify missing elements and illuminate key gaps … Use quality improvement process models to identify missing elements and/or to illuminate key gaps strategically … data, to analyze it, and to generate an actionable plan based on quality data in order to close any gaps … Realize you may locate gaps that create a need to redesign current models of care. … Boston, MA The ASN initial study in radiology revealed some additional challenges and substantial gaps

51. The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster-randomized controlled trial. | PSNet
    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

52. Advancing Diagnostic Excellence in Maternal Health Care. | PSNet
    psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care
    October 19, 2022 - free workshops discussed current challenges in diagnostic excellence, identifications of knowledge gaps

53. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851389/psn-pdf
    July 31, 2023 - Boston, MA The ASN initial study in radiology revealed some additional challenges and substantial gaps … Plan-Do-Study-Act (PDSA) model of quality improvement to identify missing elements and illuminate key gaps … Use quality improvement process models to identify missing elements and/or to illuminate key gaps strategically … psnet.ahrq.gov//#16 analyze it, and to generate an actionable plan based on quality data in order to close any gaps … Realize you may locate gaps that create a need to redesign current models of care.

54. Should audits consider the care pathway model? A new approach to benchmarking real-world activities. | PSNet
    psnet.ahrq.gov/issue/should-audits-consider-care-pathway-model-new-approach-benchmarking-real-world-activities
    July 28, 2021 - Clinical audits are used to compare clinical practices against standards of care to identify gaps in

55. A health system that won't learn from its mistakes. | PSNet
    psnet.ahrq.gov/issue/health-system-wont-learn-its-mistakes
    October 26, 2022 - This narrative essay discusses gaps in care coordination that contributed to anticoagulant medication

56. Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. | PSNet
    psnet.ahrq.gov/issue/care-deficiencies-and-leaders-inadequate-reviews-patient-who-died-lt-col-luke-weathers-jr-va
    April 10, 2024 - Communication gaps at the time of clinical deterioration affected nurse assignments and delays in care

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73281/psn-pdf
    May 19, 2021 - This systematic review identified several gaps in the available safety measures used for quality monitoring

58. Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence | PSNet
    psnet.ahrq.gov/issue/nurse-bias-and-nursing-care-disparities-related-patient-characteristics-scoping-review
    March 17, 2021 - 2023 A scoping review of adverse incidents research in aged care homes: learnings, gaps

59. An integrative systematic review of employee silence and voice in healthcare: what are we really measuring. | PSNet
    psnet.ahrq.gov/issue/integrative-systematic-review-employee-silence-and-voice-healthcare-what-are-we-really
    August 03, 2022 - The authors identified several evidence gaps, including a reliance on self-reported data and overrepresentation

60. A system-wide hospital child maltreatment patient safety program. | PSNet
    psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program
    September 15, 2021 - Physicians have demonstrated knowledge gaps in accurately diagnosing child maltreatment.