-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/telehealth_research-protocol.pdf
August 11, 2015 - telehealth interventions identified by experts as currently relevant have
no research evidence, or inadequate
-
psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - These domains included lack of information about the patient, drug stocking and delivery problems, and inadequate
-
psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
January 01, 2022 - errors, which include technological or organizational
barriers
– Cognitive errors, which include inadequate
-
psnet.ahrq.gov/node/857258/psn-pdf
November 30, 2023 - psnet.ahrq.gov//#1
https://psnet.ahrq.gov//#3
Persistent neuromuscular blockade in the recovery room from inadequate
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015302-mullen-final-report-2008.pdf
January 01, 2008 - This was due to inadequate codifiable choices for the
physician to select from in the AEMR.
-
digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
August 18, 2011 - Preventable ADEs
Types of Errors Leading to Serious
ADEs
0 20 40 60 80 100 120
Drug interactions
Inadequate
-
psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - This denial, often driven by inadequate estimation of actual blood lost, can lead to delays in care that
-
psnet.ahrq.gov/node/49721/psn-pdf
December 01, 2014 - Checklists and procedures create the foundation or infrastructure for safe processes, but are
completely inadequate
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
April 01, 2022 - in critically ill patient
☐ Providing venous access for placement of a device, such as a pacemaker
☐ Inadequate
-
www.ahrq.gov/hai/tools/mvp/modules/technical/daily-care-processes-tool.html
January 01, 2017 - Inadequate oxygenation [SpO 2 < 88% on an FiO 2 of ≥ 50% and a PEEP of >8 cm H 2 O].
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-tool.docx
January 01, 2017 - Inadequate oxygenation [SpO2 < 88% on an FiO2 of ≥ 50% and a PEEP of >8 cm H2O]
2.
-
psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - Organizational culture and inadequate communication were common underlying causes in many reports. 2
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review11/asymptomatic-bacteriuria-in-adults-screening-2008
July 15, 2008 - , published between 1960 and 1987
Most trials rated poor quality because of unclear or inadequate
-
psnet.ahrq.gov/web-mm/time-death
January 03, 2017 - code—and managed through better ACLS education and protocols, it is clear that it is also reflects inadequate
-
psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - to facilitate other types of errors that may lead to patient harm, mediated by many factors, such as inadequate
-
psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
March 01, 2005 - clindamycin, to which the organism was not susceptible, led to progression of this patient's disease (versus inadequate
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/physical-activity-behavioral-counseling-primary-care-2002
July 01, 2002 - counseling can promote increases in physical activity, the sum of studies conducted and reported to date are inadequate
-
psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - Because of the interrupted signout and the inadequate handoff from the paramedics, the ED physician had
-
psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
January 29, 2021 - March 25, 2020
WebM&M Cases
Inadequate Anesthesia
-
psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - A third bias is the inadequate adjustment of probabilities as new disconfirming information becomes available