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psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
November 01, 2023 - Inadequate Preanesthetic Evaluation, Airway Trouble
Citation Text:
Blitz J. … Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. … Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. … Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet].
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psnet.ahrq.gov/issue/inadequate-hand-communication
April 02, 2015 - Sentinel Event Alerts
Inadequate hand-off communication. … Citation Text:
Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. … Linkedin
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Inadequate
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psnet.ahrq.gov/issue/radiologists-responses-inadequate-referrals
December 07, 2011 - Study
Radiologists' responses to inadequate referrals. … Radiologists' responses to inadequate referrals. … Radiologists frequently receive inadequate or unclear clinical information from referring clinicians … Radiologists' responses to inadequate referrals.
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psnet.ahrq.gov/issue/inadequate-health-literacy-among-paid-caregivers-seniors
May 04, 2010 - Study
Inadequate health literacy among paid caregivers of seniors. … Inadequate health literacy among paid caregivers of seniors. … This study found that more than one third of paid caregivers had inadequate health literacy , and a … Inadequate health literacy among paid caregivers of seniors.
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psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care
November 07, 2012 - Study
Classic
Consequences of inadequate sign-out for patient … Consequences of inadequate sign-out for patient care. … Consequences of inadequate sign-out for patient care.
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psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error
October 25, 2023 - Commentary
Disclosure programmes in the US--an inadequate response to medical error … Disclosure programmes in the US—an inadequate response to medical error. … Disclosure programmes in the US—an inadequate response to medical error. … December 13, 2023
When mistakes multiply: how inadequate responses to medical mishaps
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psnet.ahrq.gov/issue/sidelining-safety-fdas-inadequate-response-iom
November 13, 2009 - Commentary
Sidelining safety — the FDA's inadequate response to the IOM. … Sidelining safety--the FDA's inadequate response to the IOM. N Engl J Med. 2007;357(10):960-3. … Sidelining safety--the FDA's inadequate response to the IOM. N Engl J Med. 2007;357(10):960-3.
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psnet.ahrq.gov/issue/error-body-weight-estimation-leads-inadequate-parenteral-anticoagulation
April 14, 2021 - Study
Error in body weight estimation leads to inadequate parenteral anticoagulation … Error in body weight estimation leads to inadequate parenteral anticoagulation. … Inadequate dosing of anticoagulant medications was common in the emergency department due to inaccurate … Error in body weight estimation leads to inadequate parenteral anticoagulation.
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psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
January 29, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia
Citation … Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. … Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. … When it is associated with impaired ventilation and inadequate brain oxygenation, it can lead to brain … Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia.
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psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - SPOTLIGHT CASE
Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery … Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. … Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. … Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. … Adverse Outcomes
July 8, 2022
WebM&M Cases
Inadequate
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psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events
June 07, 2023 - Study
Inadequate preoperative team briefings lead to more intraoperative adverse … Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. … This audit study found that inadequate preoperative briefings resulted in more minor adverse events. … Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events.
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psnet.ahrq.gov/issue/incoming-interns-recognize-inadequate-physical-examination-cause-patient-harm
July 20, 2022 - Study
Incoming interns recognize inadequate physical examination as a cause of patient … Incoming interns recognize inadequate physical examination as a cause of patient harm. … study involving a survey of incoming interns found that nearly all medical interns believe that inadequate … physical examination can lead to adverse events and that 45% have witnessed an adverse event due to inadequate … Incoming interns recognize inadequate physical examination as a cause of patient harm.
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care
Citation Text:
Gould E, Craddock … Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care. PSNet [internet]. … Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care. PSNet [internet]. … Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care. PSNet [internet].
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psnet.ahrq.gov/issue/litigation-related-inadequate-anaesthesia-analysis-claims-against-nhs-england-1995-2007
November 16, 2022 - Study
Litigation related to inadequate anaesthesia: an analysis of claims against … Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007 … Anesthetic awareness , awakening during anesthesia, and inadequate regional anesthesia were implicated … Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007
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psnet.ahrq.gov/issue/delivery-inadequate-level-maternal-care-associated-severe-maternal-morbidity
September 29, 2021 - Study
Delivery at an inadequate level of maternal care is associated with severe … Delivery at an inadequate level of maternal care is associated with severe maternal morbidity. … the one-third of individuals with a high-risk obstetric condition, 13% delivered at a hospital with inadequate … Delivery at an inadequate level of maternal care is associated with severe maternal morbidity.
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psnet.ahrq.gov/issue/performance-3-sets-criteria-potentially-inappropriate-prescribing-older-people-identify
December 21, 2022 - Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate … Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate … three PIM/PPO criteria sets and found that all three performed poorly as diagnostic tools to identify inadequate … Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate
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www.ahrq.gov/topics/ruralinner-city-residents.html
infections (STDs/STIs), HIV, and drug-resistant tuberculosis, as well as higher rates of homelessness/inadequate
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psnet.ahrq.gov/issue/avoidable-iatrogenic-complications-urethral-catheterization-and-inadequate-intern-training
March 02, 2011 - Study
Avoidable iatrogenic complications of urethral catheterization and inadequate … Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care … This study found that inadequate training and supervision of medical students and interns contribute … Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixB_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - memory
• Sub-optimal support of teamwork (situation awareness)
• Confusing information display
• Inadequate … vendor Testing
• Inadequate vendor software change control
• Inadequate control of user access
• … local testing
• Inadequate project management
• Inadequate software change control
• Inadequate control … of user access
• Suboptimal interface management
• Other
Other factors
• Inadequate training … • Excessive workload (including cognitive)
• Inadequate organizational change management
• Inadequate
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psnet.ahrq.gov/node/60693/psn-pdf
July 15, 2020 - Incoming interns recognize inadequate physical
examination as a cause of patient harm. … Incoming interns recognize inadequate physical examination as a cause
of patient harm. … https://psnet.ahrq.gov/issue/incoming-interns-recognize-inadequate-physical-examination-cause-patient … https://psnet.ahrq.gov/issue/incoming-interns-recognize-inadequate-physical-examination-cause-patient-harm … https://psnet.ahrq.gov/issue/incoming-interns-recognize-inadequate-physical-examination-cause-patient-harm