Results

Total Results: 1,459 records

Showing results for "inadequate".

1181. Webmm Spotlight Suicide Risk Assessment (pdf file)
      psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
      January 01, 2019 - are used to identify patients for follow up suicide assessments • Main root causes of problem: – Inadequate

1182. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet
      psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
      September 01, 2012 - what can happen when best practices are not followed, and resulting complications are missed due to inadequate

1183. Wrong Turn through Colon: Misplaced PEG | PSNet
      psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
      May 01, 2017 - However, the delay in identifying the problem resulted in sustained inadequate nutrition and significant

1184. Preventable Rash | PSNet
      psnet.ahrq.gov/web-mm/preventable-rash
      October 01, 2012 - The Commentary This case highlights the danger of inadequate follow-up of outpatient tests and the

1185. Inflicting Confusion | PSNet
      psnet.ahrq.gov/web-mm/inflicting-confusion
      August 04, 2021 - therapies (anti-TNFs) are the backbone of treatment for patients with moderate to severe Crohn disease with inadequate

1186. Medical Devices in the "Wild" | PSNet
      psnet.ahrq.gov/web-mm/medical-devices-wild
      March 27, 2024 - industries are not efficient knowledge markets.( 12 ) In other words, the medical device industry has an inadequate

1187. Breathe Easy: Safe Tracheostomy Management | PSNet
      psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
      June 07, 2023 - Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024

1188. Discharge Instructions in the PACU: Who Remembers? | PSNet
      psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
      August 05, 2009 - Vague written instructions and follow-up verbal interactions were inadequate and, therefore, failed to

1189. Unexpected Drawbacks of Electronic Order Sets | PSNet
      psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
      December 01, 2017 - order set development.( 1,5 ) Order sets can suffer from lack of standardization, usability violations, inadequate

1190. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49630/psn-pdf
      July 01, 2011 - complications, including major hemorrhage, than those continued on it.(11) For new patients especially, an inadequate

1191. Departure From Central Line Ritual | PSNet
      psnet.ahrq.gov/web-mm/departure-central-line-ritual
      October 13, 2018 - As documented in prior case series literature, inattention, inexperience, and inadequate supervision

1192. Picking Up the Cause of the Stroke | PSNet
      psnet.ahrq.gov/web-mm/picking-cause-stroke
      August 07, 2024 - Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024

1193. Where's the Feeding Tube? | PSNet
      psnet.ahrq.gov/web-mm/wheres-feeding-tube
      September 01, 2003 - Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024

1194. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865374/psn-pdf
      March 27, 2024 - Poor system design and inadequate workflow considerations during implementation can also lead to alert

1195. Diagnostic Overshadowing Dangers | PSNet
      psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
      February 12, 2020 - conditions, but rather to nonbehavioral medical problems.( 3 ) Many also have unstable housing and inadequate

1196. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room | PSNet
      psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
      July 28, 2021 - Medication Safety March 31, 2022 WebM&M Cases Inadequate

1197. CVC Removal: A Procedure Like Any Other | PSNet
      psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
      October 01, 2018 - removing CVCs, but the fact that he was not familiar with the protocol or the CVC removal kit suggests inadequate

1198. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability | PSNet
      psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
      May 27, 2020 - Inadequate hand-off communication.  Sentinel Event Alert.  2017(55). 

1199. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846563/psn-pdf
      March 21, 2023 - High stakes patient care must be provided despite complex patient conditions, incomplete information, inadequate

1200. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45107/psn-pdf
      May 09, 2017 - Missing clinical and behavioral health data in a large electronic health record (EHR) system. May 9, 2017 Madden JM, Lakoma MD, Rusinak D, et al. Missing clinical and behavioral health data in a large electronic health record (EHR) system. J Am Med Info Asso. 2016;23(6):1143-1149. doi:10.1093/jamia/ocw021. https:/…