Results

Total Results: 613 records

Showing results for "inadequate".

181. Final Progress Report: Quality of bag mask ventilation in critically ill children (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/nishisaki-report.pdf
     January 01, 2024 - Poor BMV with excessive pressure and inadequate relief of upper airway obstruction is also associated

182. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
     January 01, 2003 - opposed to written) orders, failure to document medications given or omitted, and unclear MARs.7–16 Inadequate … • Unit staffing levels are inadequate. … Inadequate medical order writing. West J Med 1983 Jul;139(1):50–4. 18. Andersen RD.

183. Barriers Associated with Medication Information Handoffs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
     January 01, 2004 - associated with medication information transfer are (1) wrong or incomplete admitting orders; (2) inadequate … Most failures are attributed to inadequate understanding of the patient’s previous medication history … Discharge education was described as inadequate and frustrating.

184. Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
     January 01, 2025 - develop durable preventive or mitigating strategies, has been hampered by a somewhat outdated and inadequate … develop durable preventive or mitigating strategies, has been hampered by a somewhat outdated and inadequate

185. New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - Zebrak (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/new-sops-workplace-safety-zebrak.pdf
     July 22, 2022 - I 48 Work Stress/Burnout “In this unit [we] are left with inadequate staffing to meet the high

186. Central Venous Catheter Indications Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications-notes.docx
     April 01, 2022 - patients (with labile blood pressures); · Venous access for placement of a device, such as a pacemaker; · Inadequate

187. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
     July 01, 2023 - Team factors Team factors may involve issues with teamwork, communication, inadequate supervision, and

188. Understand-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
     May 01, 2017 - Team factors Team factors may involve issues with teamwork, communication, inadequate supervision, and

189. Step 2: Determine Whom To Engage | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step2.html
     March 01, 2019 - Has the size of the group proved to be unwieldy or inadequate?

190. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
     May 01, 2017 - 34% of the cases of perinatal death or permanent disability reported to The Joint Commission included inadequate

191. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-action-planning-tool.pdf
     November 01, 2022 - goals, • Experience with previous failed attempts at change or with failure to sustain change, • Inadequate … plans for training or inadequate preparation of staff for the change, • Competing priorities, and

192. Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
     June 02, 2025 - – If inadequate, may be due to insufficient caloric intake or hypoxemia. … ■ If supplementation is required at discharge due to prematurity, poor growth, inadequate volume … Troubleshooting Complication Causes How to avoid/prevent/cure Displaced tube ■ Inadequate seal ■

193. Strategy 4: IDEA Discharge Planning (Tool 4) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
     June 02, 2025 - attributed to problems with discharge planning: – Changes in medicines before and after discharge – Inadequate

194. Final Progress Report: Improving quality of postoperative pain care through innovative use of electronic health records (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/hernandez-boussard-report.pdf
     January 01, 2024 - patient's episode of care instead of focusing on the "average" patient outcomes. (8) Predicting inadequate … Predicting inadequate postoperative pain management in depressed patients: A machine learning approach

195. Final Progress Report: Interactive HIT to promote ambulatory safety among vulnerable diabetes patients (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/sarkar-report.pdf
     January 01, 2024 - and Cantonese, as these were the three languages available for the intervention), health literacy (inadequate … Brief questions to identify patients with inadequate health literacy.

196. Making a Case for Organizational Change in Patient Safety Initiatives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
     January 01, 2003 - Although each tactic alone may be inadequate to produce the required change, with many “bullets” directed … organizational members Institutionalization Premature withdrawal of resources and support; inadequate

197. Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
     April 06, 2008 - developed by Van der Schaaf19 has four components: (1) initial failure, (2) dangerous situation, (3) inadequate … relevant for patient safety: weaknesses of the health care organization processes (errors, failures, and inadequate

198. Final Progress Report: Four Safety Strategies: A Symposium on Implementation (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
     January 01, 2024 - Perception that errors are not occuring in the organization • Lack of organizational focus on safety • Inadequate

199. 130-Ss-Swiss-Cheese-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
     April 01, 2025 - The nurse-orientee received inadequate supervision.

200. System Redesign for Value in Safety-Net Hospitals and Systems: Challenges and Implications | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemredesignsafetynet/systemredesign-slides.html
     December 01, 2017 - Inadequate HIT capacity for supporting clinical, organizational, and financial operations Potential