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Total Results: 3,425 records

Showing results for "inadequate".

61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74832/psn-pdf
    February 16, 2022 - Six categories of preventable events were identified (peripartum therapy delay; diagnostic error; inadequate … maternal birth position; organizational errors; inadequate fetal monitoring; medication error) and

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/849329/psn-pdf
    May 24, 2023 - The two main kinds of HIE-related incidents were (1) inadequate documentation and inadequate use of

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47427/psn-pdf
    June 19, 2019 - About 22% of family members reported inadequate respect toward either themselves or the patient, and … Inadequate respect and lack of control were strongly correlated with overall satisfaction with care.

64. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49568/psn-pdf
    September 01, 2008 - Obstacles to achieving this goal are numerous (1,3): Inadequate prenatal education and postnatal support … ; Inadequate physician and staff education; Disruptive hospital policies and practices; Lack of access … In "breastfeeding" jaundice, the infants may present with weight loss, dehydration, inadequate stool … Recommending that the mother pump and feed her breast milk allowed for the exclusion of inadequate breast … A known cause of breastfeeding difficulties, ankyloglossia can result in painful breastfeeding, inadequate

65. Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. | PSNet
    psnet.ahrq.gov/issue/deficiencies-emergent-and-outpatient-care-patient-alcohol-use-disorder-richard-l-roudebush-va
    July 13, 2022 - November 29, 2023 Inadequate Outpatient Mental Health Triage and Care of a Patient at … April 5, 2023 Inadequate Outpatient Mental Health Triage and Care of a Patient at the … September 30, 2020 Inadequate Emergency Department Care and Physician Misconduct at the

66. Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable or Likely Preventable by Clinical Category (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
    July 01, 2016 - Dehydration and related electrolyte disorders associated with patient care • Acute renal injury due to inadequate … resulting in dehydration and transfer to an acute-care hospital • Significant dehydration due to inadequate … coccyx Constipation or obstipation from patient care • Symptomatic constipation and ileus secondary to inadequate … bowel care • Prolonged constipation secondary to inadequate bowel care • Obstipation with impaction … associated with inadequate bowel care Skin tear, abrasion, or breakdown (other than pressure ulcer)

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36226/psn-pdf
    August 30, 2006 - problems in the U.S. health care system to system failures, including misaligned payment incentives, inadequate … motivation to challenge the status quo, inadequate information systems, duplicative regulatory systems

68. Clinical clerkship students' perceptions of (un)safe transitions for every patient. | PSNet
    psnet.ahrq.gov/issue/clinical-clerkship-students-perceptions-unsafe-transitions-every-patient
    October 19, 2022 - included unclear discussion about responsibilities, incomplete explanation regarding patients' needs, and inadequate … February 6, 2014 Consequences of inadequate sign-out for patient care.

69. Scoping review of studies evaluating frailty and its association with medication harm. | PSNet
    psnet.ahrq.gov/issue/scoping-review-studies-evaluating-frailty-and-its-association-medication-harm
    May 25, 2022 - studies evaluating medication harm in frail patients are largely limited the methodological quality and inadequate … Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate

70. The Contribution of Diagnostic Error to Maternal Mortality and Severe Maternal Morbidity | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
    September 01, 2021 - events after a patient has accessed care in the hospital system for childbirth are related to: Inadequate … diagnosis or delay in recognition of acuity, Inappropriate or inadequate treatment, and Inadequate

71. Diagnostic Error in the Testing Process | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship4.html
    August 01, 2024 - of special concern given high rates of use and high rates of specimen collection errors, including inadequate … These errors can occur through inappropriate or inadequate quality control procedures, atypical characteristics

72. Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. | PSNet
    psnet.ahrq.gov/issue/interorganizational-health-information-exchange-related-patient-safety-incidents-descriptive
    November 10, 2021 - The two main kinds of HIE-related incidents were (1) inadequate documentation and inadequate use of information

73. Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona. | PSNet
    psnet.ahrq.gov/issue/deficiencies-quality-management-processes-and-delays-communication-test-results-and-follow
    March 01, 2023 - Lack of report submission , uninitiated root cause analysis , and inadequate documentation were process … Copy Citation Related Resources From the Same Author(s) Inadequate Outpatient

74. Inappropriate preinjury warfarin use in trauma patients: a call for a safety initiative. | PSNet
    psnet.ahrq.gov/issue/inappropriate-preinjury-warfarin-use-trauma-patients-call-safety-initiative
    August 04, 2021 - A WebM&M commentary discusses a case involving a near miss due to inadequate warfarin monitoring. … March 23, 2012 Error in body weight estimation leads to inadequate parenteral anticoagulation

75. A survey of outpatient internal medicine clinician perceptions of diagnostic error. | PSNet
    psnet.ahrq.gov/issue/survey-outpatient-internal-medicine-clinician-perceptions-diagnostic-error
    February 12, 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

76. Patient outcomes after the introduction of statewide ICU nurse staffing regulations. | PSNet
    psnet.ahrq.gov/issue/patient-outcomes-after-introduction-statewide-icu-nurse-staffing-regulations
    June 19, 2019 - Inadequate nurse staffing in hospitals leads to increased morbidity and mortality . … surveillance and reassessment, which are particularly important for seriously ill patients , and that inadequate

77. Errors in adult trauma resuscitation: a systematic review. | PSNet
    psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review
    December 01, 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;

78. Failure to Latch | PSNet
    psnet.ahrq.gov/web-mm/failure-latch
    November 27, 2012 - Obstacles to achieving this goal are numerous ( 1,3 ): Inadequate prenatal education and postnatal … support; Inadequate physician and staff education; Disruptive hospital policies and practices; … In " breastfeeding " jaundice, the infants may present with weight loss, dehydration, inadequate stool … Recommending that the mother pump and feed her breast milk allowed for the exclusion of inadequate breast … A known cause of breastfeeding difficulties, ankyloglossia can result in painful breastfeeding, inadequate

79. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. | PSNet
    psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk
    March 01, 2023 - Six categories of preventable events were identified (peripartum therapy delay; diagnostic error; inadequate … maternal birth position; organizational errors; inadequate fetal monitoring; medication error) and 19

80. Framework for a High Performance Health System for the United States. | PSNet
    psnet.ahrq.gov/issue/framework-high-performance-health-system-united-states
    April 12, 2006 - problems in the U.S. health care system to system failures, including misaligned payment incentives, inadequate … motivation to challenge the status quo, inadequate information systems, duplicative regulatory systems