-
psnet.ahrq.gov/issue/ecri-out-10-deadly-healthcare-technology-hazards-2017
February 21, 2024 - Key concerns highlighted include inadequate sterilization of reusable instruments and smart pump
-
psnet.ahrq.gov/node/44949/psn-pdf
February 01, 2019 - Many of the suicide cases investigated across health care settings had involved inadequate assessments
-
psnet.ahrq.gov/node/47376/psn-pdf
November 02, 2018 - Most potential errors were related to
person-related factors, such as inadequate communication between
-
psnet.ahrq.gov/node/46300/psn-pdf
August 16, 2017 - Clinicians identified limited health literacy and inadequate
information sharing among clinicians as
-
psnet.ahrq.gov/node/47040/psn-pdf
October 18, 2018 - with 58 intensive care unit survivors and caregivers, researchers found that
complex health needs and inadequate
-
psnet.ahrq.gov/node/36947/psn-pdf
September 09, 2011 - A prior AHRQ WebM&M
commentary discusses an example of inadequate warfarin monitoring resulting in adverse
-
psnet.ahrq.gov/node/43040/psn-pdf
March 05, 2014 - The
authors identify a number of factors that contribute to errors, including high workloads, inadequate
-
psnet.ahrq.gov/node/38940/psn-pdf
November 25, 2009 - A case of an inadvertent medication overdose in an infant due to
inadequate parental education is discussed
-
psnet.ahrq.gov/node/46257/psn-pdf
October 11, 2017 - outcomes-concurrent-operations-results-american-college-surgeons-national-
surgical-quality
The practice of scheduling concurrent surgeries has raised concerns about inadequate
-
psnet.ahrq.gov/node/37113/psn-pdf
March 24, 2011 - potentially avoidable" arrests occurred during one calendar year, most of which were
attributable to inadequate
-
psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
November 16, 2022 - diagnosis of a dangerous condition in utero, treatment errors , lack of response to concerns raised, and inadequate
-
psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review
March 01, 2023 - systematic review found that multiple types of cognitive bias are associated with diagnostic mistakes and inadequate
-
psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - reported two major concerns with increasing levels of automation: (i) overreliance on automation and (ii)
inadequate … Overreliance on
technology and inadequate training of clinicians on technology are safety threats that … encourages
use of Glucommander during
transition from IV to subcutaneous
insulin
Organization
Inadequate … of shift and
change in level of care
Poor teamwork between nurses,
physicians, and pharmacists
Inadequate
-
psnet.ahrq.gov/node/47666/psn-pdf
January 01, 2020 - partially-structured-postoperative-handoff-protocol-improves-communication-2-
mixed-surgical
Handoffs represent a vulnerable time for patients in which inadequate
-
psnet.ahrq.gov/issue/surgical-robot-examined-injuries
April 27, 2016 - complications associated with surgical robots, and explains that such errors may have been exacerbated by inadequate
-
psnet.ahrq.gov/issue/disconnected
February 03, 2011 - This narrative illustrates potential dangers and delays that may result from inadequate confirmation
-
psnet.ahrq.gov/node/45613/psn-pdf
September 01, 2018 - The most frequent
contributing cause reported was inadequate staff knowledge or qualification.
-
psnet.ahrq.gov/node/47035/psn-pdf
April 18, 2018 - general-internists-pursuit-diagnostic-excellence-primary-care-proudtobegim-
thread-unites-us
Failure to order an appropriate diagnostic test and inadequate
-
psnet.ahrq.gov/node/40859/psn-pdf
October 19, 2011 - handoffs at an institution with a commercial EMR found that the built-in patient summaries provided
inadequate
-
psnet.ahrq.gov/node/37480/psn-pdf
January 23, 2008 - Most physicians did describe the use of formal reporting systems but felt they were largely
inadequate