-
psnet.ahrq.gov/issue/problem-root-cause-analysis
August 28, 2024 - that challenges such as inappropriate focus on single-point causation, poor analysis quality, and insufficient
-
psnet.ahrq.gov/node/41732/psn-pdf
October 03, 2012 - The authors found insufficient evidence to either support or refute the
practice of double-checking.
-
psnet.ahrq.gov/node/43436/psn-pdf
August 13, 2014 - Handoff-
related care failures were defined as insufficient information transfer that affected the patient
-
psnet.ahrq.gov/node/46459/psn-pdf
August 20, 2018 - https://psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice
Insufficient
-
psnet.ahrq.gov/issue/patient-safety-near-misses-still-missing-opportunities-learn
July 10, 2024 - Participants noted the limited processes available for reporting near-miss events and insufficient
-
psnet.ahrq.gov/issue/bring-back-autopsy
September 06, 2016 - previously considered an essential learning tool for clinicians, has decreased in recent years due to insufficient
-
psnet.ahrq.gov/issue/malnutrition-hospital-pharmacists-role-prevention-and-treatment
November 21, 2018 - Reporting on how insufficient understanding of malnutrition contributes to its presence in health care
-
psnet.ahrq.gov/issue/ehrs-er-doctors-adapt-concerns-emerge-about-medical-errors
September 01, 2016 - challenges associated with the growing use of electronic health records in emergency care , including insufficient
-
psnet.ahrq.gov/issue/still-failing-frail
March 29, 2010 - Nursing home patients are vulnerable to preventable harm due to poor safety culture , insufficient
-
psnet.ahrq.gov/issue/no-one-coming-hospice-patients-abandoned-deaths-door
June 29, 2016 - Reporting on safety concerns associated with hospice care , including poor coordination and insufficient
-
psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help
July 20, 2016 - This newspaper article raises concerns about how common treatments are recommended despite insufficient
-
psnet.ahrq.gov/node/44847/psn-pdf
May 09, 2017 - Factors associated with potential preventability were premature hospital discharge, insufficient
communication
-
psnet.ahrq.gov/node/47457/psn-pdf
January 17, 2019 - Barriers to reporting include health care provider fear of repercussions, insufficient
integration of
-
psnet.ahrq.gov/node/45509/psn-pdf
September 28, 2016 - https://psnet.ahrq.gov/issue/computerized-triggers-big-data-detect-delays-follow-chest-imaging-results
Insufficient
-
psnet.ahrq.gov/node/43514/psn-pdf
April 25, 2016 - internal and family medicine—identified multiple potential sources
of diagnostic errors, including insufficient
-
psnet.ahrq.gov/issue/clinical-learning-environment-review-cler-program
November 18, 2020 - instituted patient safety didactics or online courses to meet accreditation standards, but these are likely insufficient
-
psnet.ahrq.gov/node/40656/psn-pdf
October 16, 2012 - errors, which the authors characterize as malfunctions during use,
incorrect use by individuals, and insufficient
-
psnet.ahrq.gov/node/43262/psn-pdf
April 06, 2015 - hazardous failures, with multiple
underlying root causes, including outdated communication technology, insufficient
-
psnet.ahrq.gov/node/43475/psn-pdf
July 18, 2016 - researchers found that pharmacists who
believed error prevention procedures and error feedback to be insufficient
-
psnet.ahrq.gov/node/45057/psn-pdf
June 22, 2017 - standalone
and multimodular systems, such as increased workloads due to lack of timely information and insufficient