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Showing results for "inadequate".

61. Patient outcomes after the introduction of statewide ICU nurse staffing regulations. | PSNet
    psnet.ahrq.gov/issue/patient-outcomes-after-introduction-statewide-icu-nurse-staffing-regulations
    June 19, 2019 - Inadequate nurse staffing in hospitals leads to increased morbidity and mortality . … surveillance and reassessment, which are particularly important for seriously ill patients , and that inadequate

62. Errors in adult trauma resuscitation: a systematic review. | PSNet
    psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review
    December 01, 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;

63. Failure to Latch | PSNet
    psnet.ahrq.gov/web-mm/failure-latch
    November 27, 2012 - 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; … 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

64. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. | PSNet
    psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk
    March 01, 2023 - Six categories of preventable events were identified (peripartum therapy delay; diagnostic error; inadequate … maternal birth position; organizational errors; inadequate fetal monitoring; medication error) and 19

65. Framework for a High Performance Health System for the United States. | PSNet
    psnet.ahrq.gov/issue/framework-high-performance-health-system-united-states
    April 12, 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

66. Reducing delay in diagnosis: multistage recommendation tracking. | PSNet
    psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendation-tracking
    June 19, 2012 - Radiology plays an important role in diagnosis, and inadequate systems for tracking completion of necessary … April 4, 2011 Radiologists' responses to inadequate referrals.

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47441/psn-pdf
    September 26, 2018 - /psnet.ahrq.gov/issue/patient-outcomes-after-introduction-statewide-icu-nurse-staffing-regulations Inadequate … surveillance and reassessment, which are particularly important for seriously ill patients, and that inadequate

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42472/psn-pdf
    August 07, 2013 - Errors were found to be common and harmful, often due to inadequate monitoring to ensure appropriate … An AHRQ WebM&M commentary discusses a preventable error due to inadequate monitoring of the anticoagulant

69. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33697/psn-pdf
    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

70. Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. | PSNet
    psnet.ahrq.gov/issue/systematic-workup-transfusion-reactions-reveals-passive-co-reporting-handling-errors
    December 21, 2016 - Common logistical errors included elevated hemoglobin, inadequate bedside tests, inadequate patient identification

71. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42510/psn-pdf
    August 21, 2013 - This study from the Veterans Affairs (VA) system reveals the clinical impact of inadequate care processes … to track patients needing urgent evaluation, insufficient follow-up of abnormal test results, and inadequate

72. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. | PSNet
    psnet.ahrq.gov/issue/randomized-trial-warfarin-communication-protocol-nursing-homes-sbar-based-approach
    November 21, 2012 - A past AHRQ WebM&M commentary discusses a case of inadequate warfarin monitoring that resulted in an … August 24, 2011 Error in body weight estimation leads to inadequate parenteral anticoagulation

73. "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. | PSNet
    psnet.ahrq.gov/issue/closing-loop-mixed-methods-study-about-resident-learning-outcome-feedback-after-patient
    November 17, 2016 - In this mixed-methods study, residents identified both a lack of time and inadequate systems for tracking … February 24, 2011 Consequences of inadequate sign-out for patient care.

74. Failures in the respectful care of critically ill patients. | PSNet
    psnet.ahrq.gov/issue/failures-respectful-care-critically-ill-patients
    December 19, 2018 - 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.

75. Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. | PSNet
    psnet.ahrq.gov/issue/strengths-and-weaknesses-diagnostic-process-endometriosis-patients-perspective-focus-group
    March 06, 2019 - 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

76. How a major public hospital is protecting doctors by silencing the patients who accuse them. | PSNet
    psnet.ahrq.gov/issue/how-major-public-hospital-protecting-doctors-silencing-patients-who-accuse-them
    January 24, 2024 - July 17, 2024 Disclosure programmes in the US--an inadequate response to medical error … December 13, 2023 When mistakes multiply: how inadequate responses to medical mishaps

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49660/psn-pdf
    August 01, 2012 - Appreciate that inadequate follow-up of ambulatory test results needs a system-based solution. … Commentary Almost a quarter of all medical errors occurring in ambulatory settings are due to the inadequate … Is the inadequate follow-up of abnormal laboratory results due to a lack of effort on the part of clinicians … "(20) Take-Home Points Inadequate follow-up of laboratory test results is fairly common and can lead … Inadequate laboratory test result follow-up is a system problem requiring a system solution.

78. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. | PSNet
    psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
    October 24, 2018 - This study from the Veterans Affairs (VA) system reveals the clinical impact of inadequate care processes … to track patients needing urgent evaluation, insufficient follow-up of abnormal test results, and inadequate

79. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. | PSNet
    psnet.ahrq.gov/issue/anticoagulant-medication-errors-nursing-homes-characteristics-causes-outcomes-and-association
    December 15, 2011 - Errors were found to be common and harmful, often due to inadequate monitoring to ensure appropriate … An AHRQ WebM&M commentary discusses a preventable error due to inadequate monitoring of the anticoagulant

80. Understanding patient safety and quality outcome data. | PSNet
    psnet.ahrq.gov/issue/understanding-patient-safety-and-quality-outcome-data
    July 19, 2023 - October 19, 2022 Delivery at an inadequate level of maternal care is associated with … 2018 View More Related Resources When mistakes multiply: how inadequate