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Showing results for "lack".

121. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36184/psn-pdf
     June 13, 2011 - Major barriers to implementation included lack of dedicated staff time and lack of support from hospital

122. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41884/psn-pdf
     December 21, 2014 - outpatient setting, unintentional acetaminophen overdose has been linked to poor health literacy and lack … provider order entry systems, and the authors note that existing clinical decision support systems lack

123. Individual Clinician Performance Issues | PSNet
     psnet.ahrq.gov/primer/individual-clinician-performance-issues
     March 15, 2025 - in 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 … 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

124. Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital. | PSNet
     psnet.ahrq.gov/issue/accidents-and-incidents-related-intravenous-drug-administration-pre-post-study-following
     September 24, 2016 - This lack of benefit from smart pumps indicates the need for human factors approaches to characterize … May 5, 2018 Lack of standard dosing methods contributes to IV errors.

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41066/psn-pdf
     October 16, 2012 - 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

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41935/psn-pdf
     December 19, 2012 - results-effort-integrate-quality-and-safety-medical-and-nursing-school- curricula-and-foster A seminal 2009 report describes the lack … Although the institutions encountered many challenges—including a lack of faculty expertise in patient

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38674/psn-pdf
     February 17, 2011 - However, due to a lack of clear evidence on the safety effects of duty-hour reduction, the authors were … The accompanying editorial notes the relative lack of evidence supporting additional duty-hour reductions

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39031/psn-pdf
     March 23, 2011 - factors: polypharmacy, overworked staff, poor communication between nursing home staff and physicians, lack … of a culture of safety, and lack of reliable systems for medication ordering and administration.

129. Let us to the TWISST; Plan, Simulate, Study and Act. | PSNet
     psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
     October 12, 2018 - Seventeen percent of these were considered ‘high’ or ‘very high’ priority conditions, such as lack of … standardized preparation for intubation, lack of available respiratory supplies in the trauma bay, and … lack of space for medication preparation.

130. Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. | PSNet
     psnet.ahrq.gov/issue/care-homes-use-medicines-study-prevalence-causes-and-potential-harm-medication-errors-care
     April 22, 2011 - : polypharmacy , overworked staff, poor communication between nursing home staff and physicians, lack … of a culture of safety , and lack of reliable systems for medication ordering and administration.

131. Cost implications of reduced work hours and workloads for resident physicians. | PSNet
     psnet.ahrq.gov/issue/cost-implications-reduced-work-hours-and-workloads-resident-physicians
     August 05, 2015 - However, due to a lack of clear evidence on the safety effects of duty-hour reduction, the authors … The accompanying editorial notes the relative lack of evidence supporting additional duty-hour reductions

132. Supratherapeutic dosing of acetaminophen among hospitalized patients. | PSNet
     psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospitalized-patients
     February 14, 2017 - outpatient setting, unintentional acetaminophen overdose has been linked to poor health literacy and lack … provider order entry systems, and the authors note that existing clinical decision support systems lack

133. Discharge Planning and Transitions of Care | PSNet
     psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
     June 15, 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

134. Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. | PSNet
     psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient
     September 26, 2012 - The examples cited revealed many root causes, ranging from lack of a standardized signout process to … September 26, 2016 Safety in numbers: lack of evidence to indicate the number of physicians

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39654/psn-pdf
     September 20, 2011 - accountability-measures-using-measurement-promote-quality-improvement The quest to improve the quality and safety of health care has been hampered at times by lack … strong evidence base, be measurable at the point of care, be closely linked to clinical outcomes, and lack

136. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837658/psn-pdf
     July 08, 2022 - however, these discussions were challenging due to multiple factors: the patient was considered to lack … SNF and documented appropriateness for hospice, but they recommended an ethics consultation due to lack … communication, such as frequent rotation of care teams, long wait times during the transfer process, and lack … what is documented and shared is at their individual discretion, which may be impacted further by lack … Additionally, the lack of standardized workflow across care facilities contributes to suboptimal communication

137. Improving general practice computer systems for patient safety: qualitative study of key stakeholders. | PSNet
     psnet.ahrq.gov/issue/improving-general-practice-computer-systems-patient-safety-qualitative-study-key-stakeholders
     October 16, 2012 - Interviewees voiced a strong interest in using IT for decision support but were frustrated with a perceived lack … June 28, 2017 Safety risks associated with the lack of integration and interfacing of

138. Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. | PSNet
     psnet.ahrq.gov/issue/barriers-and-facilitators-healthcare-workers-adherence-infection-prevention-and-control-ipc
     March 02, 2011 - lengthy, ambiguous or not reflective of national or international continuously changing guidelines, lack … of support from management to adhere to guidelines, and lack of high-quality personal protective equipment

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33697/psn-pdf
     June 01, 2010 - disrupts sleep, causes fatigue, and creates problems with thinking, memory, and decision making.8 Lack … health care system.12 The ED often acts as the health care entry point for uninsured patients who lack … services, telephone translation, and interconnected electronic medical records provide some support, the lack … creates a huge burden on ED nurses because of the resources needed for newly admitted patients and lack … disease Inadequate staffing Inadequate teamwork Inadequate consultation Noise, interruptions Lack

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49767/psn-pdf
     August 21, 2016 - The lack of interoperability between the office-based medical record platform and the inpatient system … systems or products without special effort on the part of the user.(1) In the case described, the lack … Why might the health system described still lack interoperability between its inpatient and outpatient … While this reasoning may explain why a lack of interoperability resulted in this particular adverse drug … We lack interoperability across EHRs today because of myriad technical, policy, and cultural barriers