Results

Total Results: 3,425 records

Showing results for "inadequate".

41. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37185/psn-pdf
    February 17, 2011 - Sidelining safety — the FDA's inadequate response to the IOM. February 17, 2011 Smith SW. … Sidelining safety--the FDA's inadequate response to the IOM. N Engl J Med. 2007;357(10):960- 3. … https://psnet.ahrq.gov/issue/sidelining-safety-fdas-inadequate-response-iom In this perspective, the … https://psnet.ahrq.gov/issue/sidelining-safety-fdas-inadequate-response-iom https://psnet.ahrq.gov//#

42. 4. Discussion | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state4.html
    January 01, 2024 - Research is inadequate on cross-cutting systems and processes of care issues related to diagnostic safety … We also found inadequate use of electronic data (such as data available in EHR repositories) to both … The domains of intervention and implementation are still emerging, with inadequate ways to close the

43. Health IT Hazard Manager Beta-Test Appendix E. Inter-Rater Cognitive Testing Results (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
    June 16, 2021 - Causation Items selected: • Mismatch between HIT function and clinical reality (1) • Inadequate or … system alerts • Inadequate software change control (6) • Inadequate project management (1) • Implementation … Other entries: Lack of adequate usability testing (1) 5 • Unforced user error (2) • Inadequate … (1) • Decision logic inadequate (1) • Inappropriate level of automation (1) • CDS other: “inadequate … software change control (2) 11 • Inadequate project management (3) • Implementation other: “inadequate

44. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/841484/psn-pdf
    December 14, 2022 - Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate … Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate … three PIM/PPO criteria sets and found that all three performed poorly as diagnostic tools to identify inadequate

45. Cer-276-Ocd-Appendix-H (xls file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-276-ocd-appendix-h.xlsx
    January 01, 2023 - 1 post-treatment 269 12.8 (2.7) 24.6 (5.1) Behavioral ERP/Exposure exposure-based CBT Yes No 3 90 Inadequate … 1 post-treatment 269 12.8 (2.7) 24.6 (5.1) Behavioral ERP/Exposure exposure-based CBT No No 6 45 Inadequate … 1 post-treatment 269 12.8 (2.7) 24.6 (5.1) Behavioral ERP/Exposure exposure-based CBT No No 6 45 Inadequate … 1 post-treatment 269 12.8 (2.7) 24.6 (5.1) Behavioral ERP/Exposure exposure-based CBT No No 6 45 Inadequate … 1 post-treatment 269 12.8 (2.7) 24.6 (5.1) Behavioral ERP/Exposure exposure-based CBT No No 6 45 Inadequate

46. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46361/psn-pdf
    May 23, 2018 - Inadequate hand-off communication. May 23, 2018 Inadequate hand-off communication. … https://psnet.ahrq.gov/issue/inadequate-hand-communication The Joint Commission publishes sentinel event … https://psnet.ahrq.gov/issue/inadequate-hand-communication https://psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare

47. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38076/psn-pdf
    February 15, 2011 - Consequences of inadequate sign-out for patient care. … Consequences of inadequate sign-out for patient care. … https://psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care With reductions in resident … https://psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care https://psnet.ahrq.gov/issue

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73456/psn-pdf
    June 30, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia June 30, 2021 … Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. … https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe … When it is associated with impaired ventilation and inadequate brain oxygenation, it can lead to brain … Inadequate preanestheetic evaluation, airway trouble. PSNet: Patient Safety Network.

49. An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. | PSNet
    psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating-inadequate-recognition
    April 24, 2018 - Study An observational study of direct oral anticoagulant awareness indicating inadequate … An observational study of direct oral anticoagulant awareness indicating inadequate recognition with … An observational study of direct oral anticoagulant awareness indicating inadequate recognition with

50. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38096/psn-pdf
    January 02, 2017 - The majority of residents reported witnessing patient harm due to inadequate signouts, and signout practices … An AHRQ WebM&M commentary discusses a case of an inadequate signout that resulted in an adverse event … https://psnet.ahrq.gov/issue/improving-hand-communication https://psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care

51. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
    January 01, 2004 - In adjusted models, being a Cantonese speaker and having inadequate health literacy were associated … While not all discordance is directly attributable to poor clinician-patient communication, inadequate … Among English and Spanish speakers (n = 178), 86 (48 percent) had inadequate health literacy, 23 (13 … Verbal concordance was lower for patients with inadequate versus adequate health literacy (42 percent … Inadequate functional health literacy among patients at two public hospitals.

52. Chicago-Area DEcIDE Center (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/off-label-use-research-priorities_research.pdf
    May 01, 2009 - This placed the volume of drug use with inadequate evidence (see below) as our central focus. … number of off-label uses with inadequate evidence. … An alternative is to code those as uses with inadequate evidence. … When we included “not found” uses coded as inadequate evidence uses, the main effect was to increase … Inadequate evidence, but is based on the sum of uses with inadequate evidence and uses with uncertain

53. Handoffs causing patient harm: a survey of medical and surgical house staff. | PSNet
    psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff
    July 10, 2008 - The majority of residents reported witnessing patient harm due to inadequate signouts, and signout practices … An AHRQ WebM&M commentary discusses a case of an inadequate signout that resulted in an adverse event … December 21, 2014 Consequences of inadequate sign-out for patient care.

54. Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
    January 01, 2019 - resulting in sending to an acute-care hospital for treatment • Aspiration pneumonitis/pneumonia with inadequate … Venous thromboembolisms, deep vein thrombosis, or pulmonary embolisms • Acute pulmonary embolus with inadequate … prevention contributing to death • Deep vein thrombosis of bilateral lower extremities with inadequate … and aspiration pneumonia Fall with injury • Fall with recurrent right hip fracture associated with inadequate … of 9 • Constipation with distended abdomen while on prn (as needed) hydromorphone associated with inadequate

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73447/psn-pdf
    June 30, 2021 - occurring in trauma resuscitation involving emergency medical services (EMS) handover; airway management; inadequate … assessment and/or management of injuries; inadequate monitoring, transfusion/blood-related errors;

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50870/psn-pdf
    February 05, 2020 - diagnostic error was atypical patient presentations (83%), failure to consider other diagnoses (63%) and inadequate … contributors identified were cognitive burden associated with the electronic health record system (68%), inadequate

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/855096/psn-pdf
    November 08, 2023 - Common logistical errors included elevated hemoglobin, inadequate bedside tests, inadequate patient

58. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/853059/psn-pdf
    August 30, 2023 - anesthesia-risk-alert-program-proactive-safety-initiative https://psnet.ahrq.gov/issue/technology-education-and-safety-0 https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia … https://psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia

59. Prevention of Dental Caries in Children from Birth Through Age 5 Years: Clinical Summary of USPSTF Recommendtion (pdf file)
    www.uspreventiveservicestaskforce.org/home/getfilebytoken/CW5D3p7B-oRYDVKrhH5REv
    history of previous caries (in the child, a sibling, or mother), lack of access to dental care, and inadequate … Preventive Medications Oral fluoride supplementation prevents dental caries in children with inadequate … supplementation at recommended doses in children older than age 6 months who reside in communities with inadequate

60. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73710/psn-pdf
    September 15, 2021 - Findings suggest that the diagnosis of endometriosis is hindered by delayed consultation, inadequate … understanding and appraisal of symptoms by general practitioners, and inadequate communication between