-
psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
March 03, 2011 - The most frequently noted incident was decision to operate, followed by diagnostic error and insufficient
-
psnet.ahrq.gov/issue/visual-acuity-literacy-and-unintentional-misuse-nonprescription-medications
November 26, 2014 - reduced visual acuity and lower health literacy were independent risk factors for dosing errors and for insufficient
-
psnet.ahrq.gov/issue/anesthesia-safety-model-or-myth-review-published-literature-and-analysis-current-original
July 13, 2010 - Lagasse, while crediting the field of anesthesiology with many safety advances, concludes that insufficient
-
psnet.ahrq.gov/issue/patient-monitoring-alarms-icu-and-operating-room
May 26, 2021 - March 25, 2017
Changes in default alarm settings and standard in-service are insufficient
-
psnet.ahrq.gov/issue/alarm-system-management-evidence-based-guidance-encouraging-direct-measurement
August 11, 2021 - June 27, 2018
Changes in default alarm settings and standard in-service are insufficient
-
psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care
March 03, 2021 - June 26, 2019
Impact of fatigue and insufficient sleep on physician and patient outcomes
-
psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
August 31, 2022 - March 28, 2011
Insufficient communication about medication use at the interface between
-
psnet.ahrq.gov/issue/qualitative-analysis-physician-perspectives-missed-and-delayed-outpatient-diagnosis-focus
October 19, 2012 - internal and family medicine—identified multiple potential sources of diagnostic errors, including insufficient
-
psnet.ahrq.gov/issue/pediatric-airway-management-and-prehospital-patient-safety-results-national-delphi-survey
March 22, 2017 - Investigators found that insufficient experience with pediatric airway management and difficulty deciding
-
psnet.ahrq.gov/issue/patient-reported-safety-incidents-older-patients-long-term-conditions-large-cross-sectional
October 14, 2015 - patients aged 65 and older with a chronic condition reported experience with a safety concern, including insufficient
-
psnet.ahrq.gov/issue/identification-priorities-improvement-medication-safety-primary-care-prioritize-study
October 05, 2016 - problems identified included incomplete medication reconciliation during a transition in care, insufficient
-
psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
March 18, 2016 - investigators identified several unique themes related to safety, including difficulties in accessing care, insufficient
-
psnet.ahrq.gov/issue/impact-multidisciplinary-team-huddles-patient-safety-systematic-review-and-proposed-taxonomy
November 10, 2015 - limited number of studies evaluating hospital-wide huddle programs, the authors conclude that there is insufficient
-
psnet.ahrq.gov/issue/self-reported-uptake-recommendations-after-dissemination-medication-incident-alerts
January 07, 2015 - The authors conclude that passive dissemination of medication safety information is likely an insufficient
-
psnet.ahrq.gov/issue/preventability-and-causes-readmissions-national-cohort-general-medicine-patients
January 25, 2017 - Factors associated with potential preventability were premature hospital discharge, insufficient communication
-
psnet.ahrq.gov/issue/hospital-better-responses-those-beeping-alarms
August 17, 2016 - September 21, 2016
Changes in default alarm settings and standard in-service are insufficient
-
psnet.ahrq.gov/issue/computerized-triggers-big-data-detect-delays-follow-chest-imaging-results
March 19, 2018 - Insufficient follow-up of test results is a known contributor to missed and delayed diagnosis .
-
psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice
April 24, 2018 - Insufficient trainee supervision may lead to adverse events, but lack of autonomy may leave trainee
-
psnet.ahrq.gov/issue/impact-commercial-order-entry-system-prescribing-errors-amenable-computerised-decision
December 21, 2022 - System complexity, insufficient emphasis on human factors engineering , and alert fatigue limit utility
-
psnet.ahrq.gov/issue/effectiveness-artificial-intelligence-ai-clinical-decision-support-systems-and-care-delivery
March 20, 2024 - February 22, 2017
Changes in default alarm settings and standard in-service are insufficient