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Total Results: 1,459 records

Showing results for "inadequate".

1241. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49573/psn-pdf
      January 01, 2009 - Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168:1755-1760.

1242. Communication Error in a Closed ICU | PSNet
      psnet.ahrq.gov/web-mm/communication-error-closed-icu
      July 01, 2016 - Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024

1243. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet
      psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
      November 13, 2024 - well-intentioned clinicians surrounded by complex clinical conditions, poorly designed processes, and inadequate

1244. Innovations | PSNet
      psnet.ahrq.gov/innovations
      February 26, 2025 - Linkedin Copy URL Concern over patient safety issues associated with inadequate

1245. Failure to Rescue | PSNet
      psnet.ahrq.gov/primer/failure-rescue
      September 15, 2024 - anticipate and identify these symptoms and signs as being consistent with pulmonary embolism, leading to an inadequate

1246. Complaints as Safety Surveillance | PSNet
      psnet.ahrq.gov/web-mm/complaints-safety-surveillance
      May 05, 2021 - And in cases where recurrent complaints arise from an unsafe environment (inadequate supervision, excessive

1247. Delayed Recognition of a Positive Blood Culture | PSNet
      psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
      January 29, 2020 - patients without signs or symptoms of infection in their Choosing Wisely recommendations.( 7 ) Conversely, inadequate

1248. The Safety Challenges of Supervision and Night Coverage in Academic Residency | PSNet
      psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
      February 21, 2024 - This case demonstrates a multitude of nighttime systems vulnerabilities, including inadequate handoffs

1249. Treatment Challenges After Discharge | PSNet
      psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
      January 03, 2017 - timely TPAD follow-up.( 15 ) Yet relying on individual providers to complete timely TPAD follow-up is inadequate

1250. From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient | PSNet
      psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
      October 04, 2023 - opioid regimen was modified to oxycodone for an additional 5 days, presumably due to concern about inadequate

1251. Burnout | PSNet
      psnet.ahrq.gov/primer/burnout
      November 20, 2024 - global pandemic, systems factors such as the availability of personal protective equipment (PPE) and inadequate

1252. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet
      psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
      March 15, 2023 - WebM&M Cases Two Pills, Same Drug June 1, 2005 Inadequate

1253. Impact of System Failures on Healthcare Workers | PSNet
      psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
      August 30, 2023 - High stakes patient care must be provided despite complex patient conditions, incomplete information, inadequate

1254. Root Cause Analysis Gone Wrong | PSNet
      psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
      August 28, 2024 - Adverse events can then be seen as arising from inadequate control of these constraints between the different

1255. Watch the Warfarin! | PSNet
      psnet.ahrq.gov/web-mm/watch-warfarin
      December 01, 2013 - complications, including major hemorrhage, than those continued on it.( 11 ) For new patients especially, an inadequate

1256. The Worst Headache | PSNet
      psnet.ahrq.gov/web-mm/worst-headache
      July 01, 2016 - further evaluate the patient with CT, followed by LP if the CT is negative, equivocal or technically inadequate

1257. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
      January 01, 2024 - their nursing leadership or senior physicians if they feel that management by junior physicians is inadequate

1258. Coming Undone: Failure of Closure Device | PSNet
      psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
      April 01, 2006 - The bleeding is typically from arterial puncture above the inguinal ligament or inadequate hemostasis

1259. Engaging Seriously Ill Older Patients in Advance Care Planning | PSNet
      psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
      December 22, 2018 - List the consequences of inadequate communication and planning for care at the end of life.

1260. 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:/…