Results

Total Results: 1,459 records

Showing results for "inadequate".

1381. Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes | PSNet
      psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
      July 23, 2024 - number of infants with hypoxic-ischemic encephalopathy (central nervous system damage resulting from inadequate

1382. A Loss of Trust and a Missed Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
      October 31, 2023 - System-related errors, which include technological or organizational barriers Cognitive errors, which include inadequate

1383. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867672/psn-pdf
      February 26, 2025 - Unfortunately, the patient was given an inadequate diagnosis and was discharged while still in pain.

1384. The Impact of Communication on Medication Errors | PSNet
      psnet.ahrq.gov/web-mm/impact-communication-medication-errors
      August 01, 2009 - unsuccessful handoffs include conflicting expectations between sender and receiver, cultural differences, inadequate

1385. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60611/psn-pdf
      June 24, 2020 - Given the complexity of DOAC dosing, the risk of either inadequate anticoagulation or excessive anticoagulation

1386. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865655/psn-pdf
      April 24, 2024 - /psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge was incomplete, because of inadequate

1387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864867/psn-pdf
      April 10, 2024 - management of AIS, an emphasis on collateral information is important when the medical history is inadequate

1388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60363/psn-pdf
      March 01, 2021 - This lack of preparation and inadequate followup care make patients vulnerable to medication errors,

1389. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
      January 29, 2021 - Adverse Outcomes July 8, 2022 WebM&M Cases Inadequate

1390. Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
      April 24, 2024 - of 50 and likely to retire in the next 15 years. 4 Nursing Workforce Challenges and Patient Safety Inadequate

1391. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
      psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
      May 26, 2021 - transplant surgery Prolonged surgery (> 2 hours) Patient-controlled analgesia (with basal rate) Inadequate

1392. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837913/psn-pdf
      August 31, 2022 - associated with interfacility transfer include communication deficits, clinical deterioration, and inadequate

1393. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations | PSNet
      psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
      September 27, 2023 - Unfortunately, the patient was given an inadequate diagnosis and was discharged while still in pain.

1394. In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
      April 24, 2024 - of 50 and likely to retire in the next 15 years. 4 Nursing Workforce Challenges and Patient Safety Inadequate

1395. When the Meds Don’t Reach the Bed | PSNet
      psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
      May 16, 2022 - Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024

1396. Miscommunication During the Interhospital Transport of a Critically Ill Child | PSNet
      psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
      March 27, 2024 - associated with interfacility transfer include communication deficits, clinical deterioration, and inadequate

1397. Hindsight is 20/20: Thrombolytics for Alcohol Intoxication | PSNet
      psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
      December 18, 2024 - the management of AIS, an emphasis on collateral information is important when the medical history is inadequate

1398. Retained Surgical Items: Causation and Prevention | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
      January 04, 2024 - call back systems are ineffective Lack of knowledge about radiographic appearance of surgical items Inadequate

1399. In Conversation With… Wanda Pratt, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
      November 01, 2017 - related to lack of patient awareness, limited health literacy, lower socioeconomic status, older age, inadequate

1400. In Conversation With… Lawrence Smith, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
      February 01, 2012 - In other words, inadequate supervision may lead to unintended harm to patients in the present, but excessive