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Total Results: 983 records

Showing results for "gaps".

61. When COVID-19 hit, many elderly were left to die. | PSNet
    psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die
    June 24, 2020 - Data gaps, resource allocation choices, and hospital space considerations are noted situations that have

62. Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. | PSNet
    psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-leaders
    August 24, 2022 - The resource insists these components be incorporated in work to close quality and safety gaps across

63. Healthcare team resilience during COVID-19: a qualitative study. | PSNet
    psnet.ahrq.gov/issue/healthcare-team-resilience-during-covid-19-qualitative-study
    February 20, 2019 - There were also difficulties stemming from gaps in knowledge of reassigned staff, for example, pediatric

64. Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation. | PSNet
    psnet.ahrq.gov/issue/improving-diagnosis-feedback-and-deliberate-practice-one-one-coaching-diagnostic-maturation
    July 06, 2022 - sessions focused on generating differential diagnoses and identifying cognitive errors and knowledge gaps

65. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet
    psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
    August 29, 2021 - The submitted case highlights how a variety of factors and quality gaps may contribute to errors during … The above case highlights several gaps in controlled-substance procedures that could place patients and … utilized within the perioperative setting Evaluate controlled substance use processes to identify gaps

66. Addressing the quality and safety gap—parts I-III. | PSNet
    psnet.ahrq.gov/issue/addressing-quality-and-safety-gap-parts-i-iii
    January 17, 2024 - Book/Report Addressing the quality and safety gap—parts I-III. Citation Text: Addressing the quality and safety gap—parts I-III. Princeton, NJ: Robert Wood Johnson Foundation; November 2010. Copy Citation Save Save to your library Print Downlo…

67. Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. | PSNet
    psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and-care-patient-chico-community-based-outpatient
    November 29, 2023 - Gaps in care for psychologically vulnerable patients can result in harm to family members and self-harm

68. Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. | PSNet
    psnet.ahrq.gov/issue/characterising-icu-ward-handoffs-three-academic-medical-centres-process-and-perceptions
    September 27, 2023 - suboptimal handoff communication between these settings, and review of the process maps revealed safety gaps

69. The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. | PSNet
    psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety
    April 03, 2019 - These results collectively convey ongoing, large-scale safety gaps in health care delivery.

70. An infection, unnoticed, turns unstoppable. | PSNet
    psnet.ahrq.gov/issue/infection-unnoticed-turns-unstoppable
    November 07, 2012 - This newspaper article reports on gaps in communication and a missed sepsis diagnosis that led to a

71. Medical bias: from pain pills to COVID-19, racial discrimination in health care festers. | PSNet
    psnet.ahrq.gov/issue/medical-bias-pain-pills-covid-19-racial-discrimination-health-care-festers
    June 24, 2020 - -19 pandemic has highlighted a range of weaknesses in the health care system including supply chain gaps

72. Scoping review of patients' attitudes about their role and behaviours to ensure safe care at the direct care level. | PSNet
    psnet.ahrq.gov/issue/scoping-review-patients-attitudes-about-their-role-and-behaviours-ensure-safe-care-direct
    May 19, 2021 - found increasing interest in patient and family engagement in safety and identified several research gaps

73. The Lancet Commission on lessons for the future from the COVID-19 pandemic. | PSNet
    psnet.ahrq.gov/issue/lancet-commission-lessons-future-covid-19-pandemic
    January 12, 2022 - COVID-19 illuminated gaps in emergency preparedness and healthcare delivery in the face of a global

74. Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee. | PSNet
    psnet.ahrq.gov/issue/deficiencies-care-care-coordination-and-facility-response-patient-who-died-suicide-memphis-va
    December 16, 2020 - This report analyzes how documentation gaps, medication reconciliation problems, and poor care coordination

75. Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. | PSNet
    psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription
    February 02, 2022 - This report discusses gaps in some nursing programs that detract from building safe medication skills

76. Clinical nurse competence and its effect on patient safety culture: a systematic review. | PSNet
    psnet.ahrq.gov/issue/clinical-nurse-competence-and-its-effect-patient-safety-culture-systematic-review
    March 22, 2023 - The researchers identified several gaps in the evidence, including the need for rigorous research measuring

77. Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. | PSNet
    psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review
    November 10, 2021 - Researchers conclude that addressing gaps maternal mental health care is essential to improving maternal

78. Systemic causes of in-hospital intravenous medication errors: a systematic review. | PSNet
    psnet.ahrq.gov/issue/systemic-causes-hospital-intravenous-medication-errors-systematic-review
    July 01, 2020 - during medication administration, prescribing and preparation, with common errors involving knowledge gaps

79. "Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation. | PSNet
    psnet.ahrq.gov/issue/some-version-most-time-surgical-safety-checklist-patient-safety-and-everyday-experience
    December 15, 2021 - Gaps between policy and practice were identified and implications for policy makers, administrators

80. Health professionals' perspectives of safety issues in mental health services: a qualitative study. | PSNet
    psnet.ahrq.gov/issue/health-professionals-perspectives-safety-issues-mental-health-services-qualitative-study
    August 05, 2020 - The UK’s National Health System has faced gaps in mental health care delivery affecting patient safety