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Showing results for "inadequate".

101. 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

102. 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

103. 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

104. Recommendation: Bladder Cancer in Adults: Screening | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/recommendation/bladder-cancer-in-adults-screening
     August 15, 2011 - Balance of Harms and Benefits There is inadequate evidence that treatment of screen-detected bladder … There is inadequate evidence on harms of screening for bladder cancer. … Detection The evidence is inadequate regarding the diagnostic accuracy of potential tests (urinalysis … Benefits of Detection and Early Intervention The USPSTF found inadequate evidence that screening for … The USPSTF found inadequate evidence on the harms of screening for bladder cancer.

105. Health IT Hazard Manager Beta-Test Appendix C - Descriptive Analysis (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/AppendixC_HIT_Hazard_Manager_Beta_Test.pdf
     June 16, 2021 - Information Display 28% (n=69) Mismatch between HIT function and clinical reality 28% (n=69) Inadequate … 8.8% (n=7) Decision-Engine Logic Inadequate 7.5% (n=6) Inappropriate level or automation 16.3% … selections possible Faulty vendor implementation/configuration recommendation 16.7% (n=43) Inadequate … software change control 40% (n=18) Inadequate project management 24.4% (n=11) Inadequate control … training infrastructure 32.1% (n=42) Excessive workload (including cognitive) 15.3% (n=20) Inadequate

106. Behavioral and Pharmacotherapy Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Women: Clinical Summary (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/r2LUvvSSCL_VgAQYyU9_-X
     There is inadequate or no evidence on the benefits of NRT, bupropion SR, or varenicline to achieve … There is inadequate evidence on the benefit of ENDS to achieve tobacco cessation in adults or improve

107. Spotlight Case (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
     August 01, 2012 - Describe the frequency with which ambulatory test results are not followed up by providers Appreciate that inadequate … : Ambulatory Testing (1) Almost one quarter of all medical errors in ambulatory settings are due to inadequate … 70 minutes per day on test result management, reviewing more than 1000 results per week on average Inadequate … patients' engagement in health care to ask about results of tests taken 20 20 21 Take-Home Points (1) Inadequate … effective management of laboratory test results are time pressures and cognitive overload on clinicians Inadequate

108. Health IT Hazard Manager Beta-Test Appendix D: Relational Analysis Results (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/AppendixD_HIT_Hazard_Manager_Beta_Test.pdf
     June 16, 2021 - Inconsistent Information Display 19.9% Mismatch between HIT function and clinical reality 22.7% Inadequate … (13) Confusing Information Display (32) Mismatch between HIT function & Clinical Reality (32) Inadequate … Organizational Factors Usability Other (12) Mismatch between HIT Function and Clinical Reality (8) Inadequate

109. Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. | PSNet
     psnet.ahrq.gov/issue/healthcare-inspection-emergency-department-patient-deaths-memphis-vamc-memphis-tennessee
     November 29, 2023 - December 16, 2020 Inadequate Outpatient Mental Health Triage and Care of a Patient at … September 16, 2020 Inadequate Emergency Department Care and Physician Misconduct at the

110. Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. | PSNet
     psnet.ahrq.gov/issue/deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical
     November 29, 2023 - November 13, 2013 Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who … April 10, 2024 Inadequate Outpatient Mental Health Triage and Care of a Patient at the

111. Procedure Manual Section 6. Methods for Arriving at a Recommendation | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-6-methods-arriving-recommendation
     July 06, 2017 - Direct evidence linking clinical preventive services to outcomes is often inadequate either because of … Evidence for a key question may be deemed as "inadequate" when evidence is insufficient to answer a key … Inadequate evidence (for either benefits or harms) may create a critical gap in the evidence chain. 6.3 … direct evidence (Key Question 1) and inadequate evidence linking earlier treatment to health outcomes … Therefore, the overall benefit linkage can be determined to be inadequate by the Task Force even though

112. Final Progress Report: Automated Lab Test Followup To Reduce Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
     January 01, 2025 - (3) Once ALARMS wass implemented, rates of medical errors, in the form of inadequate follow-up for … Nonetheless, we found a substantial rate of medical errors in the form of inadequate follow-up for the … Six EDs (30%) reported that there was “frequently” inadequate follow-up for late-arriving lab results … The problem of medical errors attributable to inadequate follow-up of late- arriving laboratory data … Any patient who had not been contacted was considered to have inadequate follow-up.

113. Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. | PSNet
     psnet.ahrq.gov/issue/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va-medical-center
     March 16, 2022 - November 29, 2023 Inadequate Outpatient Mental Health Triage and Care of a Patient at … May 31, 2023 Inadequate Outpatient Mental Health Triage and Care of a Patient at the

114. Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. | PSNet
     psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-care-coordination-veterans
     July 27, 2022 - November 29, 2023 Inadequate Outpatient Mental Health Triage and Care of a Patient at … : Improving Patient Care and Meeting Workforce Challenges August 30, 2023 Inadequate

115. Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. | PSNet
     psnet.ahrq.gov/issue/deficiencies-care-coordination-and-facility-response-patient-suicide-minneapolis-va-health
     September 30, 2020 - July 14, 2021 Inadequate Emergency Department Care and Physician Misconduct at the Washington … September 30, 2020 Inadequate Emergency Department Care and Physician Misconduct at the

116. Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. | PSNet
     psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died
     September 30, 2020 - July 14, 2021 Inadequate Emergency Department Care and Physician Misconduct at the Washington … April 19, 2023 Inadequate Outpatient Mental Health Triage and Care of a Patient at the

117. The role of pediatric nurses during preventable adverse event disclosure: a scoping review. | PSNet
     psnet.ahrq.gov/issue/role-pediatric-nurses-during-preventable-adverse-event-disclosure-scoping-review
     October 19, 2022 - 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

118. STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress. | PSNet
     psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-medications-potential-prescribing-omissions
     January 19, 2022 - Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate … Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate

119. Comparative Effectiveness Review No. 241_Physical Activity and the Health of Wheelchair Users: A Systematic Review in Multiple Sclerosis, Cerebral Palsy, and Spinal Cord Injury (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/cer-241-physical-activity-wheelchair-evidence-summary-updated.pdf
     October 01, 2021 - All studies focused on benefits of physical activity, with inadequate reporting of adverse events in … palsy, and spinal cord injury are limited by small sample sizes; few trials (in spinal cord injury); inadequate … characteristics, control group activities, and intensity of physical activity; incomplete data analysis; inadequate

120. Computer Assisted Medication and Patient Information Interface - 2012 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/computer-assisted-medication-and-patient-information-interface-campii/annual-summary/2012
     January 01, 2012 - Inadequate information from patients, particularly in the areas of medication adherence and associated … adverse events, can lead providers to make poorly informed clinical decisions and provide inadequate