-
psnet.ahrq.gov/node/47063/psn-pdf
November 19, 2018 - i-pass-handoff-program-use-campaign-effect-transformational-change
https://psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/issue/inadequate-hand-communication
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psnet.ahrq.gov/node/39294/psn-pdf
January 03, 2017 - Despite efforts to develop standardized approaches, providers remain
concerned about the impact of inadequate
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psnet.ahrq.gov/node/39001/psn-pdf
April 04, 2011 - psnet.ahrq.gov/issue/timely-follow-abnormal-diagnostic-imaging-test-results-outpatient-setting-are-
electronic
Inadequate
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psnet.ahrq.gov/node/40871/psn-pdf
October 26, 2011 - psnet.ahrq.gov/issue/rethinking-resident-supervision-improve-safety-hierarchical-interprofessional-
models
Inadequate
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psnet.ahrq.gov/node/37096/psn-pdf
June 24, 2010 - A prior study also found that
screening administrative data alone was an inadequate method for identifying
-
psnet.ahrq.gov/node/47357/psn-pdf
October 03, 2018 - included 47 studies in
their analysis, 28 of which demonstrated a relationship between fatigue or inadequate
-
psnet.ahrq.gov/node/44189/psn-pdf
September 09, 2015 - A case of a delayed diagnosis due to inadequate signout is discussed in a previous AHRQ
WebM&M commentary
-
psnet.ahrq.gov/node/45536/psn-pdf
October 05, 2016 - The main issues included inability to meet patients'
care needs and inadequate communication between
-
psnet.ahrq.gov/node/49848/psn-pdf
January 01, 2019 - Inadequate Preanesthetic Evaluation, Airway Trouble
November 1, 2018
Blitz J. … Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. 2018. … https://psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
The Case
Case #1: … The biopsy of the tongue mass was obtained,
https://psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
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psnet.ahrq.gov/issue/hazards-tied-medical-records-rush
July 26, 2011 - Although clinicians want to avoid returning to paper records, they find current electronic systems inadequate
-
psnet.ahrq.gov/node/46108/psn-pdf
December 21, 2017 - were not as likely to speak up about this compared to a traditional patient safety threat
such as inadequate
-
psnet.ahrq.gov/node/46542/psn-pdf
June 19, 2018 - Previous WebM&M commentaries highlight the dangers of
inadequate medication reconciliation in inpatient
-
psnet.ahrq.gov/node/43475/psn-pdf
July 18, 2016 - cross-sectional analysis sought to determine how a punitive work environment, poor feedback about
errors, and inadequate
-
psnet.ahrq.gov/node/42748/psn-pdf
November 20, 2013 - Given that information transfer with verbal signout has also been shown to be
inadequate, this study
-
psnet.ahrq.gov/node/43207/psn-pdf
April 25, 2016 - Inadequate communication was the most common root cause identified in adverse events, and
within this
-
psnet.ahrq.gov/node/45730/psn-pdf
December 14, 2016 - during a transition in care, insufficient education provided to patients on their medications,
and inadequate
-
psnet.ahrq.gov/node/41967/psn-pdf
May 10, 2013 - Significant
gaps in health IT safety initiatives were identified, including inadequate regulatory oversight
-
psnet.ahrq.gov/node/40239/psn-pdf
February 23, 2011 - A past AHRQ WebM&M commentary discusses a case
of inadequate warfarin monitoring that resulted in an
-
psnet.ahrq.gov/node/40692/psn-pdf
October 04, 2011 - The majority of errors were partly attributable to inadequate
equipment for caring for such patients
-
psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
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