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psnet.ahrq.gov/web-mm/production-pressures
November 16, 2022 - systemic factors can contribute to production pressures, such as poorly designed workload policies, inadequate
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psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - Recognizing and overcoming inadequate health literacy, a barrier to care.
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psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - Related Resources
WebM&M Cases
Missed Connection: A Case of Inadequate
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psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - The time honored "see one, do one, teach one" method is inadequate in today's environment—in fact, the
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/transparency-mental-health_research-protocol.pdf
September 01, 2016 - However, the published data on these trials have been woefully inadequate and do
always not permit an
-
digital.ahrq.gov/sites/default/files/docs/publication/r21hs021581-goodney-final-report-2015.pdf
January 01, 2015 - the effectiveness of carotid revascularization in patients with asymptomatic
carotid stenosis are inadequate
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psnet.ahrq.gov/node/49570/psn-pdf
October 01, 2008 - These are inadequate solutions because they present information to, and about, patients at discrete points
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psnet.ahrq.gov/node/49816/psn-pdf
January 01, 2018 - Predictably, the naltrexone
blocked the opioid analgesic effects, resulting in inadequate pain control
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psnet.ahrq.gov/node/853773/psn-pdf
September 27, 2023 - root cause analysis of “never events” occurring in the VA system between 2010 and 2017 found that
inadequate
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psnet.ahrq.gov/node/841139/psn-pdf
December 14, 2022 - airway registry and a MedicAlert bracelet can
https://psnet.ahrq.gov//#13
https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
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psnet.ahrq.gov/node/61078/psn-pdf
October 28, 2020 - resistance coupled with provider knowledge deficits, lack of
home and hospital technology integration, and inadequate
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psnet.ahrq.gov/node/49408/psn-pdf
July 01, 2003 - Recognizing and overcoming inadequate health literacy, a barrier to care.
-
psnet.ahrq.gov/node/49543/psn-pdf
September 01, 2007 - multiple changes to medication regimens (1), discontinuity of care (2), short hospitalizations, and
inadequate
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psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
January 01, 2023 - suicide risk assessment remains frustratingly imprecise.13
– As illustrated in this case, the risks of inadequate
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - In patients with inadequate cardiac reserve, these acute changes
can cause fatal cardio-respiratory
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psnet.ahrq.gov/node/49573/psn-pdf
January 01, 2009 - Consequences of inadequate sign-out for
patient care. Arch Intern Med. 2008;168:1755-1760.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/diagnostic-error-executive-summary.pdf
August 01, 2023 - Most often these were attributed to inadequate clinical knowledge, skills,
or reasoning, particularly
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide5.html
October 01, 2022 - Order sets and prompts that reference VTE prevention are in place, but they provide inadequate guidance
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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care
May 29, 2024
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psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
November 13, 2024 - well-intentioned clinicians surrounded by complex clinical conditions, poorly designed processes, and inadequate