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Total Results: 613 records

Showing results for "inadequate".

121. Clinical Inertia and Outpatient Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
     January 01, 2003 - Clinical inertia is a major factor that contributes to inadequate chronic disease care in patients with … and often lead to serious adverse events.3 Clinical inertia is a major factor that contributes to inadequate … pharmacotherapy.6–8 Failure to appropriately intensify pharmacologic therapy is also a fundamental cause of inadequate … that support chronic disease care.30 Several studies suggest that about one-third of the problem of inadequate … potentially preventable adverse events, deaths, and excess long-term health care costs caused by inadequate

122. NICU Family Information Packet, Appendix B, Short Bowel Syndrome (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-sbs.pdf
     June 02, 2025 - NICU Family Information Packet, Appendix B, Short Bowel Syndrome Short Bowel Syndrome Pathophysiology ■ Functional disorder caused by alterations of normal intestinal anatomy and physiology. ■ Shortened bowel combined with malabsorption; dependent on parenteral nutrition >3 months. ■ May result from: necrotizin…

123. 155-Performing-Premortem-Project-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/155-performing-premortem-project-assessment.docx
     October 01, 2024 - Some examples include inadequate education for staff, a lack of buy-in for the program, insufficient

124. Impact of Staff-Led Safety Walk Rounds (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
     March 05, 2008 - • Inadequate hand-off tool between staff of the cardiac catheterization laboratory, the post- anesthesia … Intrahospital transport • Inadequate communication between RN, transporter, and radiology department

125. Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
     January 01, 2024 - Causes of contamination included inadequate surgical prep and drape, lack of universal precautions, … the thoracic cavity or were placed too superiorly to drain fluid, had to be replaced secondary to inadequate … Inadequate draping remained a problem in three CTIs. … cause contamination Patient Arm not restrained n=6 Simultaneous procedures increase chance of Inadequate

126. Racial and Ethnic Disparities Widened in Well-Child Visits During COVID-19 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/915.html
     June 01, 2024 - disadvantaged individuals and communities that have a higher burden of illness, less access to care and inadequate

127. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/overview/background/appendix-b1.html
     December 01, 2009 - 19 End Stage Renal Disease CC-33 Pediatric End-Stage Renal Disease—Plan of care for inadequate

128. Measure: Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p012-ef.pdf
     January 01, 2015 - Health care provider reports demonstrate inconsistent delivery of health care transition services, inadequate

129. Program Performance Measures and Gaps | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep5.html
     June 01, 2010 - GAO cited this finding as evidence of inadequate program oversight. 19 Gap Analysis Table A.V.3b

130. 109-Performing-Premortem-Project-Assessment-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/109-performing-premortem-project-assessment-fg.docx
     April 01, 2025 - Some examples include inadequate education for staff, a lack of buy-in for the program, insufficient

131. Central Venous Catheter Indications and Alternatives: Avoiding Placement and Determining Appropriateness
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications.pptx
     April 01, 2022 - Support of high-volume flow for therapy Hemodynamic monitoring Venous access for placement of device Inadequate

132. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
     September 01, 2021 - events after a patient has accessed care in the hospital system for childbirth are related to: ■ Inadequate … diagnosis or delay in recognition of acuity, ■ Inappropriate or inadequate treatment, and ■ Inadequate

133. AHRQ Releases New MRSA Prevention Toolkit for Intensive and Non-Intensive Care Units | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/934.html
     October 01, 2024 - Conditions The nation’s healthcare system faces considerable challenges—including time constraints, inadequate

134. Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/re-engineering-postnatal-unit-care-long-desc.html
     April 01, 2025 - The research revealed modifiable barriers to quality perinatal care, including inadequate communication

135. Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
     June 04, 2008 - designer, its most damaging effect may be the perpetuation of design processes that are inappropriate or inadequate … might add significant heat load, lighting that was appropriate for working with paper could be totally inadequate … interrelationship of systems and have a sufficient voice in design decisions to forestall poor choices or inadequate

136. AHRQ Views: Continuing a 35-Year History, AHRQ Pursues Vital Pathways To Improve Patient Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/914.html
     May 01, 2024 - Delivery at an inadequate level of maternal care is associated with severe maternal morbidity .

137. Recommendations to Improve Children's Health Care Quality Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrndapb.html
     December 01, 2012 - /A 7,2.5 Pass Improved Core Set   Availability of Services 0023 Children who have inadequate

138. Information to Help Hospitals Get Started
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
     July 23, 2010 - can be attributed to problems with discharge planning Changes in medicines before and after discharge Inadequate … attributed to discharge planning problems, including medication changes before and after discharge; inadequate

139. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide7.html
     May 01, 2016 - perioperative order sets. 2 Order sets/prompts that reference VTE prevention are in place but provide inadequate … Concern about falling, inadequate staffing, and attitudes about the priority of mobility during hospitalization

140. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
     May 01, 2016 - perioperative order sets. 2 Order sets/prompts that reference VTE prevention are in place but provide inadequate … Concern about falling, inadequate staffing, and attitudes about the priority of mobility during hospitalization