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psnet.ahrq.gov/issue/saying-sorry
October 20, 2021 - 2018
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Related Resources
When mistakes multiply: how inadequate
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psnet.ahrq.gov/issue/essential-role-leadership-developing-safety-culture
November 24, 2021 - January 17, 2019
Inadequate hand-off communication.
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psnet.ahrq.gov/issue/health-care-simulation-advance-safety-responding-ebola-and-other-threats
September 16, 2015 - AHRQ WebM&M case study using simulation found that the use of protective equipment for Ebola was inadequate
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psnet.ahrq.gov/issue/do-staffing-levels-predict-missed-nursing-care
September 27, 2017 - This study surveyed nurses and discovered that inadequate nurse staffing levels may partly explain
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psnet.ahrq.gov/issue/guidance-safe-medical-staffing-report-working-party
February 08, 2011 - explored staffing levels in United Kingdom trusts for three tiers of expertise and found them to be inadequate
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psnet.ahrq.gov/issue/half-time-nursing-homes-scrutinized-safety-medicare-are-still-treacherous
March 13, 2019 - inspection reports that have uncovered factors in long-term care facilities that contribute to inadequate
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psnet.ahrq.gov/node/46307/psn-pdf
August 20, 2018 - post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-
sectional-study
Missed nursing care may result from inadequate
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psnet.ahrq.gov/node/39679/psn-pdf
January 19, 2011 - affected professionals, and those that did generally described
existing workplace support structures as inadequate
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psnet.ahrq.gov/node/36342/psn-pdf
March 02, 2011 - due
to multiple process breakdowns, including failure to order an appropriate diagnostic test and inadequate
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psnet.ahrq.gov/node/42946/psn-pdf
January 07, 2015 - Major barriers included the amount of time required
to log in and inadequate computer infrastructure
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psnet.ahrq.gov/node/41451/psn-pdf
October 19, 2012 - Inadequate knowledge was the most commonly reported cognitive factor, with more
experienced physicians
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psnet.ahrq.gov/node/46842/psn-pdf
June 22, 2018 - to evaluate patients quickly under suboptimal conditions, such as in hallways or waiting
rooms with inadequate
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psnet.ahrq.gov/node/46797/psn-pdf
March 14, 2018 - empowering-informal-caregivers-health-information-opennotes-safety-strategy
https://psnet.ahrq.gov/issue/inadequate-health-literacy-among-paid-caregivers-seniors
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psnet.ahrq.gov/issue/pharmacy-student-knowledge-and-communication-medication-errors
June 24, 2009 - Nearly all pharmacy students in this study reported inadequate training in disclosing medication errors
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psnet.ahrq.gov/issue/management-operating-room-critical-events
March 27, 2024 - Related Resources
WebM&M Cases
Missed Connection: A Case of Inadequate
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - care professionals are aware of the problem, and they carefully monitor every patient for signs of inadequate … anesthesia is therefore about two thirds lower when NMBAs are avoided. 5 Most of the clinical signs of inadequate … Excessive frowning, tearing or diaphoresis are signs of inadequate depth of anesthesia. … The anesthesia record should be reviewed for evidence of inadequate depth of anesthesia. … Adverse Outcomes
July 8, 2022
WebM&M Cases
Inadequate
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psnet.ahrq.gov/node/865984/psn-pdf
May 29, 2024 - from two years prior was reported as normal, although it was later
found to be non-diagnostic due to inadequate … Angina is typically described as a pressure-like or squeezing sensation in the chest, associated with
inadequate … testing with continuous electrocardiogram monitoring or treadmill
stress testing with echocardiography.5 Inadequate
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psnet.ahrq.gov/issue/national-patient-safety-board-act-2022
July 20, 2022 - May 10, 2023
Inadequate Outpatient Mental Health Triage and Care of a Patient at the
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psnet.ahrq.gov/issue/diagnostic-overshadowing-among-groups-experiencing-health-disparities
February 10, 2021 - December 23, 2016
Inadequate hand-off communication.
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psnet.ahrq.gov/issue/poetry-and-medicine-mistakes-0
September 25, 2019 - Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate