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Total Results: 3,425 records

Showing results for "inadequate".

  1. Top 10 medical technology hazards of 2020 announced. | PSNet

    psnet.ahrq.gov/issue/top-10-medical-technology-hazards-2020-announced
    May 01, 2019 - Key concerns highlighted include inadequate surgical stapler use and lack of point-of-care ultrasound

  2. Detecting and treating suicide ideation in all settings. | PSNet

    psnet.ahrq.gov/issue/detecting-and-treating-suicide-ideation-all-settings
    March 25, 2025 - Many of the suicide cases investigated across health care settings had involved inadequate assessments

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35228/psn-pdf
    March 04, 2011 - The authors conclude that inadequate evidence exists to support specific best practices for the proper

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47221/psn-pdf
    August 29, 2018 - Inadequate time and staffing inhibited safe injection practices.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39840/psn-pdf
    September 15, 2010 - wrong-site-craniotomy-analysis-35-cases-and-systems-prevention This study found that communication breakdowns, inadequate

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44736/psn-pdf
    December 16, 2015 - Principal contributing factors included inadequate discharge communication between hospital-based and

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44967/psn-pdf
    March 16, 2016 - This commentary discusses a near miss resulting from human factors and inadequate team communication

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45915/psn-pdf
    July 19, 2017 - to inspection reports that have uncovered factors in long-term care facilities that contribute to inadequate

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43410/psn-pdf
    August 20, 2014 - Several organizational and cultural issues emerged, including inadequate staffing of on-site physicians

  10. Early Mobility in the Intensive Care Unit: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
    February 01, 2017 - Patient-based barriers included dislodgement of devices, worsening gas exchange, unstable hemodynamics, and inadequate … Conclusions—Feasiblity Say: There are significant barriers to overcome with staff, such as insufficient time, inadequate … also patient-based barriers such as oversedation, worsening gas exchange, unstable hemodynamics, and inadequate … Some of these, such as oversedation and inadequate pain control, are addressable through staff education

  11. Final Progress Report: Process Reliability and Organizational Learning in Home Health Care (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
    January 01, 2025 - We hypothesize that inadequate care planning has a negative impact on agency functioning and financial … These factors feed into the “inadequate reimbursement for care provided” model element. … We identified the following as causes of inadequate care planning: • Start of care assessment LTA. … Inadequate reimbursement for care provided – Maladaptive organizational responses to this condition are … Beyond the effects of inadequate care planning, his condition is exacerbated by: • Care/visit documentation

  12. Cer-235-Pharma-Nonpharm-Ptsd-Update-Appendix-G-1 (xls file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-235-pharma-nonpharm-ptsd-update-appendix-g-1.xlsx
    May 29, 2025 - double-dummy technique for drug trials) No: • Open-label • Described as blinded but methods appear inadequate … is objective (e.g., labwork, blood test) No: • Open-label • Described as blinded but methods appear inadequate … double-dummy technique for drug trials) No: • Open-label • Described as blinded but methods appear inadequate

  13. ASC, Report Output, Report: 'Fault Tree Diagram', Data Source File: 'ASC Fault Tree_with_change' (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpraapf.pdf
    June 02, 2025 - Page 37 Gate39 Bug in air Q:0.15 Gate105 Improper ventilation system Q:0.05 Gate106 Inadequate … equip in advance of procedure Gate112 When flash sterilization needed, inapprop use Event224 Inadequate … Tree_with_change.RFP Gate112 When flash sterilization needed, inapprop use Q:0 Event228 Inadequate … time Q:0 Event229 Inadequate temp Q:0 Q:0 Event339 Flash area outside OR suite Q:0 … To Page 52 Event230 Inadequate solution Page #: 68 Print Date: 11/9/2011 Print Time:

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60228/psn-pdf
    April 15, 2020 - Kingdom found that obesity is a contributing factor in medical errors and near misses, often due to inadequate

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60279/psn-pdf
    April 29, 2020 - communication between care systems and tools (such as different EHR systems that do not communicate), and; inadequate

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865309/psn-pdf
    May 29, 2024 - Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024 Gould E, Craddock K, Le … Fatal Airway Occlusion After Inadequate Post- Tracheostomy Care. PSNet [internet]. 2024. … https://psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy … Learning Objectives https://psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care … https://psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46597/psn-pdf
    November 01, 2017 - meta-analyses-effects-standardized-handoff-protocols-patient-provider-and-organizational https://psnet.ahrq.gov/issue/inadequate-hand-communication

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43390/psn-pdf
    July 30, 2014 - Although clinicians want to avoid returning to paper records, they find current electronic systems inadequate

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46354/psn-pdf
    November 21, 2017 - changes-medical-errors-after-implementation-handoff-program https://psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38735/psn-pdf
    June 24, 2009 - pressure to be perfect, learning how processes can contribute to errors and their prevention, and inadequate
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