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Total Results: 3,425 records

Showing results for "inadequate".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866055/psn-pdf
    May 29, 2024 - Organizational culture and inadequate communication were common underlying causes in many reports.2

  2. AHRQ Evidence-based Practice Center Program Research Gaps Summary: Telehealth (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/ehc-research-gaps-telehealth.pdf
    April 01, 2023 - • Inadequate provider time, technology, and other resources, as well as limited understanding of

  3. Medication Reconciliation: Whose Job Is It? | PSNet

    psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
    May 01, 2018 - multiple changes to medication regimens ( 1 ), discontinuity of care ( 2 ), short hospitalizations, and inadequate

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49870/psn-pdf
    August 10, 2019 - circulatory function) is to attempt to discern the etiology—is it an iron deficiency anemia possibly due to inadequate

  5. Dangerous Shift | PSNet

    psnet.ahrq.gov/web-mm/dangerous-shift
    July 24, 2013 - Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168:1755-1760.

  6. Signout Fallout | PSNet

    psnet.ahrq.gov/web-mm/signout-fallout
    November 16, 2022 - Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024

  7. Health IT for Improved Chronic Disease Management | Digital Healthcare Research

    digital.ahrq.gov/health-it-improved-chronic-disease-management
    January 01, 2023 - created in a research environment or larger integrated delivery network could run the risk of being inadequate

  8. Peripheral IV in Too Long | PSNet

    psnet.ahrq.gov/web-mm/peripheral-iv-too-long
    September 15, 2011 - In addition, there was inadequate and delayed recognition of the catheter infection; by the time it was

  9. A Painful Medication Reconciliation Mishap | PSNet

    psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
    May 01, 2008 - Predictably, the naltrexone blocked the opioid analgesic effects, resulting in inadequate pain control

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854849/psn-pdf
    October 31, 2023 - facilitate other types of errors that may lead to patient harm, mediated by many factors, such as inadequate

  11. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
    January 01, 2024 - These barriers include professional hierarchy, time pressure, challenging workloads, and inadequate structures

  12. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet

    psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
    April 18, 2018 - as mislabeling of specimens, delayed transportation, collection into the wrong specimen container, inadequate

  13. A National Web Conference on Transitions in Care (pdf file)

    digital.ahrq.gov/sites/default/files/docs/2010-02-24%20Transitions%20In%20Care%20(4).pdf
    January 01, 2010 - about medication  changes • No recognition of possible drug interactions,  need for monitoring  • Inadequate

  14. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
    January 01, 2020 - transplant surgery • Prolonged surgery (> 2 hours) • Patient-controlled analgesia (with basal rate) • Inadequate

  15. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
    January 01, 2023 - Safety (1) • Tracheostomy tube air leaks are problematic for patient management because they may cause inadequate

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49735/psn-pdf
    June 01, 2015 - A third bias is the inadequate adjustment of probabilities as new disconfirming information becomes

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846915/psn-pdf
    March 29, 2023 - suicide risk assessment remains frustratingly imprecise.13 As illustrated in this case, the risks of inadequate

  18. Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-slides.html
    February 01, 2017 - Maintain inadequate staff to undertake protocols.

  19. Presentation: Program Overview

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
    January 01, 2017 - central venous catheter, endotracheal tube, feeding tubes) Worsening gas exchange Unstable hemodynamics Inadequate

  20. Section 3: Selecting and Targeting Populations for a Care Management Program | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3.html
    October 01, 2014 - Disease-specific ("siloed") self-management techniques and interventions are inadequate to address the
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