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Total Results: 1,459 records

Showing results for "inadequate".

41. An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. | PSNet
    psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating-inadequate-recognition
    April 24, 2018 - Study An observational study of direct oral anticoagulant awareness indicating inadequate … An observational study of direct oral anticoagulant awareness indicating inadequate recognition with … An observational study of direct oral anticoagulant awareness indicating inadequate recognition with

42. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38096/psn-pdf
    January 02, 2017 - The majority of residents reported witnessing patient harm due to inadequate signouts, and signout practices … An AHRQ WebM&M commentary discusses a case of an inadequate signout that resulted in an adverse event … https://psnet.ahrq.gov/issue/improving-hand-communication https://psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care

43. Handoffs causing patient harm: a survey of medical and surgical house staff. | PSNet
    psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff
    July 10, 2008 - The majority of residents reported witnessing patient harm due to inadequate signouts, and signout practices … An AHRQ WebM&M commentary discusses a case of an inadequate signout that resulted in an adverse event … December 21, 2014 Consequences of inadequate sign-out for patient care.

44. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73447/psn-pdf
    June 30, 2021 - occurring in trauma resuscitation involving emergency medical services (EMS) handover; airway management; inadequate … assessment and/or management of injuries; inadequate monitoring, transfusion/blood-related errors;

45. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50870/psn-pdf
    February 05, 2020 - diagnostic error was atypical patient presentations (83%), failure to consider other diagnoses (63%) and inadequate … contributors identified were cognitive burden associated with the electronic health record system (68%), inadequate

46. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/855096/psn-pdf
    November 08, 2023 - Common logistical errors included elevated hemoglobin, inadequate bedside tests, inadequate patient

47. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/853059/psn-pdf
    August 30, 2023 - anesthesia-risk-alert-program-proactive-safety-initiative https://psnet.ahrq.gov/issue/technology-education-and-safety-0 https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia … https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73710/psn-pdf
    September 15, 2021 - Findings suggest that the diagnosis of endometriosis is hindered by delayed consultation, inadequate … understanding and appraisal of symptoms by general practitioners, and inadequate communication between

49. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74832/psn-pdf
    February 16, 2022 - Six categories of preventable events were identified (peripartum therapy delay; diagnostic error; inadequate … maternal birth position; organizational errors; inadequate fetal monitoring; medication error) and

50. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/849329/psn-pdf
    May 24, 2023 - The two main kinds of HIE-related incidents were (1) inadequate documentation and inadequate use of

51. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47427/psn-pdf
    June 19, 2019 - About 22% of family members reported inadequate respect toward either themselves or the patient, and … Inadequate respect and lack of control were strongly correlated with overall satisfaction with care.

52. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49568/psn-pdf
    September 01, 2008 - Obstacles to achieving this goal are numerous (1,3): Inadequate prenatal education and postnatal support … ; Inadequate physician and staff education; Disruptive hospital policies and practices; Lack of access … In "breastfeeding" jaundice, the infants may present with weight loss, dehydration, inadequate stool … Recommending that the mother pump and feed her breast milk allowed for the exclusion of inadequate breast … A known cause of breastfeeding difficulties, ankyloglossia can result in painful breastfeeding, inadequate

53. Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. | PSNet
    psnet.ahrq.gov/issue/deficiencies-emergent-and-outpatient-care-patient-alcohol-use-disorder-richard-l-roudebush-va
    July 13, 2022 - November 29, 2023 Inadequate Outpatient Mental Health Triage and Care of a Patient at … April 5, 2023 Inadequate Outpatient Mental Health Triage and Care of a Patient at the … September 30, 2020 Inadequate Emergency Department Care and Physician Misconduct at the

54. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36226/psn-pdf
    August 30, 2006 - problems in the U.S. health care system to system failures, including misaligned payment incentives, inadequate … motivation to challenge the status quo, inadequate information systems, duplicative regulatory systems

55. Clinical clerkship students' perceptions of (un)safe transitions for every patient. | PSNet
    psnet.ahrq.gov/issue/clinical-clerkship-students-perceptions-unsafe-transitions-every-patient
    October 19, 2022 - included unclear discussion about responsibilities, incomplete explanation regarding patients' needs, and inadequate … February 6, 2014 Consequences of inadequate sign-out for patient care.

56. Scoping review of studies evaluating frailty and its association with medication harm. | PSNet
    psnet.ahrq.gov/issue/scoping-review-studies-evaluating-frailty-and-its-association-medication-harm
    May 25, 2022 - studies evaluating medication harm in frail patients are largely limited the methodological quality and inadequate … Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate

57. Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. | PSNet
    psnet.ahrq.gov/issue/interorganizational-health-information-exchange-related-patient-safety-incidents-descriptive
    November 10, 2021 - The two main kinds of HIE-related incidents were (1) inadequate documentation and inadequate use of information

58. Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona. | PSNet
    psnet.ahrq.gov/issue/deficiencies-quality-management-processes-and-delays-communication-test-results-and-follow
    March 01, 2023 - Lack of report submission , uninitiated root cause analysis , and inadequate documentation were process … Copy Citation Related Resources From the Same Author(s) Inadequate Outpatient

59. Inappropriate preinjury warfarin use in trauma patients: a call for a safety initiative. | PSNet
    psnet.ahrq.gov/issue/inappropriate-preinjury-warfarin-use-trauma-patients-call-safety-initiative
    August 04, 2021 - A WebM&M commentary discusses a case involving a near miss due to inadequate warfarin monitoring. … March 23, 2012 Error in body weight estimation leads to inadequate parenteral anticoagulation

60. A survey of outpatient internal medicine clinician perceptions of diagnostic error. | PSNet
    psnet.ahrq.gov/issue/survey-outpatient-internal-medicine-clinician-perceptions-diagnostic-error
    February 12, 2020 - diagnostic error was atypical patient presentations (83%), failure to consider other diagnoses (63%) and inadequate … contributors identified were cognitive burden associated with the electronic health record system (68%), inadequate