-
psnet.ahrq.gov/node/37011/psn-pdf
September 24, 2010 - Though lack of documentation does not always indicate lack of
knowledge or inappropriate management,
-
psnet.ahrq.gov/node/60167/psn-pdf
April 12, 2024 - Hospital discharges are complicated and often lack standardization. … hospitalizations) than those who did not.9 Challenges to understanding
discharge instructions include patients’ lack … factors associated with nonadherence should be
addressed throughout the hospitalization, including lack … understanding
or confusion about needed care, transportation, and how to schedule appointments.12 Lack … knowing who and
when to follow up with when there are multiple providers.3 In addition, there can be a lack
-
psnet.ahrq.gov/node/38157/psn-pdf
October 22, 2008 - contributing-factors-identified-hospital-incident-report-narratives
The utility of routine incident reporting data is limited by the voluntary nature of these data, lack … of reporting
by physicians, and the lack of a standardized framework for interpreting the reports.
-
psnet.ahrq.gov/node/74699/psn-pdf
January 26, 2022 - indication-alerts-improve-problem-list-documentation
Problem lists, while an important part of high-quality care, are frequently incomplete or lack
-
psnet.ahrq.gov/node/33602/psn-pdf
March 15, 2025 - certain circumstances (such as
when clinicians are fatigued or placed in situations in which they lack … outstanding—but provide unsafe care for a variety of other reasons, including poor
communication skills, lack … Health
care is a team endeavor, and clinicians who lack the ability to work productively within a team … As
discussed in a PSNet perspective, it remains unclear what proportion of physicians with problems lack … time-limited, potentially reversible
events (such as an episode of burnout or depression) versus general lack
-
psnet.ahrq.gov/issue/developing-and-implementing-new-safe-practices-voluntary-adoption-through-statewide
June 13, 2011 - Major barriers to implementation included lack of dedicated staff time and lack of support from hospital
-
psnet.ahrq.gov/issue/reasons-drug-administration-problems-and-perceived-needs-assistance-patients-family
November 02, 2010 - were generally unaware of errors and primarily attributed administration problems to dosage form (eg, lack … Participants identified lack of training or education about proper administration as contributing to
-
psnet.ahrq.gov/issue/what-do-medical-records-tell-us-about-potentially-harmful-co-prescribing
December 19, 2011 - Though lack of documentation does not always indicate lack of knowledge or inappropriate management,
-
psnet.ahrq.gov/issue/emergency-physician-perceptions-patient-safety-risks
September 15, 2011 - Investigators discovered that overcrowding, lack of nursing staff, and unavailability of consultants … Rural providers were most concerned about consultant availability and lack of follow-up after ED care
-
psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
September 20, 2011 - The reasons for this lack of reporting likely include confusion about which types of errors needed to … be reported, as well as other issues documented in prior studies such as lack of reporting by physicians
-
psnet.ahrq.gov/issue/factors-contributing-medication-errors-made-when-using-computerized-order-entry-pediatrics
May 08, 2017 - Lack of drug dosing alerts, inappropriate alerting, dropdown menu option errors, and overarching problems … such as the lack of appropriate dosing choices for specific medications contributed to errors across
-
psnet.ahrq.gov/issue/accountability-measures-using-measurement-promote-quality-improvement
January 23, 2012 - The quest to improve the quality and safety of health care has been hampered at times by lack of definitive … strong evidence base, be measurable at the point of care, be closely linked to clinical outcomes, and lack
-
psnet.ahrq.gov/issue/failures-respectful-care-critically-ill-patients
December 19, 2018 - inadequate respect toward either themselves or the patient, and more than half of respondents perceived a lack … Inadequate respect and lack of control were strongly correlated with overall satisfaction with care.
-
psnet.ahrq.gov/issue/same-day-surgery-us-findings-two-inaugural-leapfrog-surveys-2019
November 06, 2019 - Ambulatory surgery centers (ASC) are established venues for surgical care despite lack of engagement
-
psnet.ahrq.gov/node/50756/psn-pdf
December 18, 2019 - systematic review indicated that common barriers to prescribing naloxone in
primary care settings include lack … though it is the legal duty of a
pharmacist to provide patient counseling, limitations, including lack … of knowledge or clinical skills, lack of
access to training programs, and lack of personnel or resources … their caregivers in some circumstances.8
Moreover, BPAs may cause alert fatigue, leading to errors or lack … as the requirement of co-prescribing naloxone are intended to improve public safety,
policies that lack
-
psnet.ahrq.gov/node/39083/psn-pdf
April 01, 2010 - Investigators
discovered that overcrowding, lack of nursing staff, and unavailability of consultants … Rural providers were most concerned about consultant availability and lack of
follow-up after ED care
-
psnet.ahrq.gov/node/73358/psn-pdf
June 02, 2021 - Curriculum weaknesses discussed include punitive orientation to nursing
student medication errors, lack
-
psnet.ahrq.gov/issue/workarounds-hospital-electronic-prescribing-systems-qualitative-study-english-hospitals
December 21, 2022 - Some of this lack of effect may be due to users engaging in workarounds that bypass safety features in … December 21, 2022
Safety risks associated with the lack of integration and interfacing
-
psnet.ahrq.gov/issue/doctors-can-change-opioid-prescribing-habits-progress-comes-small-doses
July 10, 2019 - October 12, 2016
Lack of patient knowledge regarding hospital medications. … Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack
-
psnet.ahrq.gov/issue/surgeons-opioid-prescribing-habits-are-hard-kick
August 28, 2019 - October 12, 2016
Lack of patient knowledge regarding hospital medications. … Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack