Results

Total Results: 1,459 records

Showing results for "inadequate".

301. Patient Stories 2013: Time for Change. | PSNet
     psnet.ahrq.gov/issue/patient-stories-2013-time-change
     November 14, 2011 - This publication provides patient and family accounts of incidents involving inadequate care or harm

302. Complications: acknowledging, managing, and coping with human error. | PSNet
     psnet.ahrq.gov/issue/complications-acknowledging-managing-and-coping-human-error
     March 13, 2024 - clinicians remain reluctant to disclose error , such as shame , insufficient disclosure skills, and inadequate

303. In Conversation with…Pat Croskerry, MD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
     June 01, 2010 - Inadequate staffing with nurses, physicians, and consultants; problems with teamwork; and inadequate … Excessive noise, repeated interruptions, 16 inadequate space to see patients, and delays or inaccuracies … presentations Age extremes Abnormal vital signs Intoxication/mental illness Chronic disease Inadequate … staffing Inadequate teamwork Inadequate consultation Noise, interruptions Lack of equipment

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37531/psn-pdf
     February 22, 2011 - clinicians failed to accurately diagnose the patient; types of errors leading to misdiagnosis included inadequate

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44646/psn-pdf
     November 11, 2015 - Prior studies have shown counting to be inaccurate and an inadequate method of preventing retained foreign

306. The promise of big data: improving patient safety and nursing practice. | PSNet
     psnet.ahrq.gov/issue/promise-big-data-improving-patient-safety-and-nursing-practice
     March 09, 2022 - reviews limitations to successfully using analytics , including insufficient interoperability and inadequate

307. Nurses' knowledge and teaching of possible postpartum complications. | PSNet
     psnet.ahrq.gov/issue/nurses-knowledge-and-teaching-possible-postpartum-complications
     May 31, 2023 - with the major causes of maternal mortality and that education provided to postpartum patients was inadequate

308. Intraoperative patient information handover between anesthesia providers. | PSNet
     psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers
     November 24, 2021 - practices between anesthesiologists in operating rooms, most respondents reported either having an inadequate

309. Enhanced free-text search for aggregated medication error report analysis and risk detection. | PSNet
     psnet.ahrq.gov/issue/enhanced-free-text-search-aggregated-medication-error-report-analysis-and-risk-detection
     April 12, 2019 - identified ME reports involving the specified medications and identified additional findings, such as inadequate

310. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. | PSNet
     psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems
     April 06, 2022 - readmissions within 30 days of discharge were associated with problems in the quality of care, including inadequate

311. Identification of patient safety threats in a post-intensive care clinic. | PSNet
     psnet.ahrq.gov/issue/identification-patient-safety-threats-post-intensive-care-clinic
     November 21, 2021 - Medication errors and inadequate medical follow-up made up nearly half of identified safety threats.

312. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. | PSNet
     psnet.ahrq.gov/issue/wrong-site-craniotomy-analysis-35-cases-and-systems-prevention
     November 16, 2022 - This study found that communication breakdowns, inadequate preoperative checks , technical factors,

313. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. | PSNet
     psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
     September 07, 2022 - Technically inadequate radiographs were responsible for a significant number of missed diagnoses of

314. Health IT Safe Practices for Closing the Loop. | PSNet
     psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop
     March 10, 2021 - Inadequate follow-up of test results can contribute to missed and delayed diagnoses .

315. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
     January 01, 2024 - Spotlight Spotlight Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery Source … Explain basic requirements for using defibrillators successfully. 3 MISSED CONNECTION: A CASE OF INADEQUATE … leads into the anesthesia monitor, and not into the defibrillator. 6 MISSED CONNECTION: A CASE OF INADEQUATE … /pmc/articles/pmc6109805/ Spotlight Source and Credits Objectives Missed Connection: A Case of Inadequate … ECG Oversight in Cardiac Surgery Case Details (1) Case Details (2) Missed Connection: A Case of Inadequate

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840173/psn-pdf
     November 16, 2022 - Inadequate follow-up can contribute to missed or delayed diagnoses and adverse patient outcomes.

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36697/psn-pdf
     February 03, 2011 - the dictated discharge summary) generally was not available in a timely fashion and often contained inadequate

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43533/psn-pdf
     August 28, 2017 - workarounds were more commonly attributed to nontechnical factors such as production pressures or inadequate

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36577/psn-pdf
     January 12, 2011 - to problems noted in other cluster-randomized trials of quality improvement interventions, such as inadequate

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41047/psn-pdf
     November 26, 2014 - Following up test results in a timely fashion is a recognized patient safety problem in primary care, and inadequate