-
psnet.ahrq.gov/node/46300/psn-pdf
August 16, 2017 - Clinicians identified limited health literacy and inadequate
information sharing among clinicians as
-
psnet.ahrq.gov/node/47040/psn-pdf
October 18, 2018 - with 58 intensive care unit survivors and caregivers, researchers found that
complex health needs and inadequate
-
psnet.ahrq.gov/node/36947/psn-pdf
September 09, 2011 - A prior AHRQ WebM&M
commentary discusses an example of inadequate warfarin monitoring resulting in adverse
-
psnet.ahrq.gov/node/43040/psn-pdf
March 05, 2014 - The
authors identify a number of factors that contribute to errors, including high workloads, inadequate
-
psnet.ahrq.gov/node/38940/psn-pdf
November 25, 2009 - A case of an inadvertent medication overdose in an infant due to
inadequate parental education is discussed
-
psnet.ahrq.gov/node/46257/psn-pdf
October 11, 2017 - outcomes-concurrent-operations-results-american-college-surgeons-national-
surgical-quality
The practice of scheduling concurrent surgeries has raised concerns about inadequate
-
psnet.ahrq.gov/node/37113/psn-pdf
March 24, 2011 - potentially avoidable" arrests occurred during one calendar year, most of which were
attributable to inadequate
-
www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirement4.html
February 01, 2014 - BMI) assessment for children/adolescents, and measures for which there were validity concerns (e.g., inadequate
-
psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
November 16, 2022 - diagnosis of a dangerous condition in utero, treatment errors , lack of response to concerns raised, and inadequate
-
psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - reported two major concerns with increasing levels of automation: (i) overreliance on automation and (ii)
inadequate … Overreliance on
technology and inadequate training of clinicians on technology are safety threats that … encourages
use of Glucommander during
transition from IV to subcutaneous
insulin
Organization
Inadequate … of shift and
change in level of care
Poor teamwork between nurses,
physicians, and pharmacists
Inadequate
-
psnet.ahrq.gov/node/47666/psn-pdf
January 01, 2020 - partially-structured-postoperative-handoff-protocol-improves-communication-2-
mixed-surgical
Handoffs represent a vulnerable time for patients in which inadequate
-
digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
May 01, 2012 - Inadequate Clinical Content is now grouped
in the Decision Support category. … Inadequate or Confusing Feedback to User is simplified and revised as Inadequate Feedback to
the User … Decision-Engine Logic
Inadequate has therefore been removed from the Hazard Manager 2.0. … software change control
• Inadequate project management
• Inadequate control of user access
• Unpredictable … software change control
Inadequate project management
Inadequate control of user access
Unpredictable
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
March 23, 2008 - to negligencea
Theme of negligence onlyb
(not sustaining an adverse event injury)
Examples with inadequate … to negligencea
Theme of negligence onlyb
(not sustaining an adverse event injury)
Examples with inadequate … to negligencea
Theme of negligence onlyb
(not sustaining an adverse event injury)
Examples with inadequate … negligencea
Theme of negligence onlyb
(not sustaining an adverse event injury)
Examples with
inadequate … negligencea
Theme of negligence onlyb
(not sustaining an adverse event injury)
Examples with
inadequate
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions6.html
June 01, 2023 - communication tools
Lack of structured handoffs
Patient and family involvement
Inadequate
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/827CwGYMVawpVoVg_syJpF
October 01, 2015 - Detection and Recognition of Risk Status
The USPSTF found inadequate evidence that spe-
cifically addressed … Benefits of Early Detection and Treatment
Screening
The USPSTF found inadequate evidence on screen- … The USPSTF also
found inadequate evidence on the treatment of iron
deficiency anemia in pregnant women … The USPSTF found
inadequate evidence on the harms of treatment of iron
deficiency anemia in pregnant … Overall, the USPSTF found inadequate evidence
on the effectiveness of supplementation during
pregnancy
-
psnet.ahrq.gov/issue/surgical-robot-examined-injuries
April 27, 2016 - complications associated with surgical robots, and explains that such errors may have been exacerbated by inadequate
-
psnet.ahrq.gov/issue/disconnected
February 03, 2011 - This narrative illustrates potential dangers and delays that may result from inadequate confirmation
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/NMpqnr58mmNoojLNZShJJJ
with unrecognized symptoms) to
accurately identify who will benefit from further testing for OSA is inadequate
-
psnet.ahrq.gov/node/45613/psn-pdf
September 01, 2018 - The most frequent
contributing cause reported was inadequate staff knowledge or qualification.
-
psnet.ahrq.gov/node/47035/psn-pdf
April 18, 2018 - general-internists-pursuit-diagnostic-excellence-primary-care-proudtobegim-
thread-unites-us
Failure to order an appropriate diagnostic test and inadequate