-
psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical-device-safety-fails
May 18, 2011 - Insufficient sterilization of duodenoscopes and other medical equipment has been linked to health
-
psnet.ahrq.gov/issue/human-factor-improve-patients-safety-hospitals-urged-adjust-how-staff-use-new-technology
April 22, 2016 - Highlighting how insufficient training for staff and failure to conduct testing before implementation
-
psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap
April 05, 2017 - presence of volatile substances in the operating room, use of highly-specialized technologies, and insufficient
-
psnet.ahrq.gov/issue/you-cant-blame-wreck-train
March 03, 2011 - Insufficient supervision can limit resident education , which may increase risks to patient safety
-
psnet.ahrq.gov/issue/outcomes-classroom-based-team-training-interventions-multiprofessional-hospital-staff
April 24, 2018 - programs were associated with improved knowledge and behaviors among participants, but this review found insufficient
-
psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture
November 23, 2016 - Challenges to establishing and sustaining a safety culture in a nursing home include insufficient staffing
-
psnet.ahrq.gov/node/47008/psn-pdf
October 13, 2018 - System complexity, insufficient emphasis on human
factors engineering, and alert fatigue limit utility
-
psnet.ahrq.gov/node/45310/psn-pdf
January 03, 2017 - increasingly using electronic referrals, or eConsults, to obtain clinical input from
specialists because of insufficient
-
psnet.ahrq.gov/node/42612/psn-pdf
July 05, 2016 - The report highlights numerous deficiencies in the current system,
such as insufficient compliance with
-
psnet.ahrq.gov/node/42510/psn-pdf
August 21, 2013 - poorly coordinated care—arising from a lack of systems to track
patients needing urgent evaluation, insufficient
-
psnet.ahrq.gov/issue/etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning
July 02, 2014 - These results suggest diagnostic errors are not simply related to insufficient attention or time.
-
psnet.ahrq.gov/issue/making-healthcare-safer-understanding-designing-and-buying-better-it
February 20, 2019 - Design weaknesses for medical devices can remain unrecognized due to insufficient reporting and the
-
psnet.ahrq.gov/issue/multiple-interacting-factors-influence-adherence-and-outcomes-associated-surgical-safety
June 21, 2016 - including modifications to enable integration into existing practices, lack of staff engagement, and insufficient
-
psnet.ahrq.gov/issue/medicines-management-medication-errors-and-adverse-medication-events-older-people-referred
January 06, 2016 - This study of older patients receiving home care services found polypharmacy , insufficient medication
-
psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating-inadequate-recognition
April 24, 2018 - These results raise concern for patient harm due to insufficient knowledge about these medications.
-
psnet.ahrq.gov/issue/design-endoscopic-retrograde-cholangiopancreatography-ercp-duodenoscopes-may-impede-effective
March 11, 2015 - Design limitations and production pressure may contribute to insufficient sterilization of complicated
-
psnet.ahrq.gov/issue/measuring-adverse-events-hospitalized-patients-administrative-method-measuring-harm
December 17, 2014 - detect adverse events accurately enough for internal quality improvement purposes, but the tool is insufficient
-
psnet.ahrq.gov/issue/hospitals-often-ignore-policies-using-qualified-medical-interpreters
April 22, 2016 - and other nonprofessionals as translators in medical settings and discusses how lack of standards and insufficient
-
psnet.ahrq.gov/issue/creating-distraction-simulation-safe-medication-administration
May 27, 2011 - nurses are more likely to make mistakes during medication administration due to lack of experience and insufficient
-
psnet.ahrq.gov/issue/executive-leadership-and-physician-well-being-nine-organizational-strategies-promote
September 26, 2018 - This review suggests that focusing solely on individual behaviors is insufficient to reduce burnout in