-
psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-suicide-deaths
October 19, 2022 - contributing to suicide deaths were identified: (1) inappropriate or incomplete risk assessment ; (2) lack … family involvement; (3) inadequate transitions and communication between different care teams; (4) lack … procedures; (5) treatment not in line with current guidelines; (6) access to means and observation and; (7) lack
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psnet.ahrq.gov/node/41209/psn-pdf
March 24, 2012 - Assessment of adverse events in medical care: lack of
consistency between experienced teams using the … Assessment of adverse events in medical care: lack of
consistency between experienced teams using the … https://psnet.ahrq.gov/issue/assessment-adverse-events-medical-care-lack-consistency-between-
experienced-teams-using … https://psnet.ahrq.gov/issue/assessment-adverse-events-medical-care-lack-consistency-between-experienced-teams-using … https://psnet.ahrq.gov/issue/assessment-adverse-events-medical-care-lack-consistency-between-experienced-teams-using
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psnet.ahrq.gov/node/44419/psn-pdf
September 02, 2015 - Lack of standardisation between specialties for human
factors content in postgraduate training: an analysis … Lack of standardisation between specialties for human factors content in
postgraduate training: an analysis … https://psnet.ahrq.gov/issue/lack-standardisation-between-specialties-human-factors-content-postgraduate … https://psnet.ahrq.gov/issue/lack-standardisation-between-specialties-human-factors-content-postgraduate-training-analysis … https://psnet.ahrq.gov/issue/lack-standardisation-between-specialties-human-factors-content-postgraduate-training-analysis
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psnet.ahrq.gov/node/43634/psn-pdf
November 05, 2014 - Safety in numbers: lack of evidence to indicate the
number of physicians needed to provide safe acute … Safety in numbers: lack of evidence to indicate the number of
physicians needed to provide safe acute … https://psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide- … https://psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide-safe-acute-medical … https://psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide-safe-acute-medical
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psnet.ahrq.gov/node/860733/psn-pdf
January 17, 2024 - Staff warned about the lack of psychiatric care at a VA
clinic. They couldn’t prevent tragedy. … https://psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy … https://psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
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psnet.ahrq.gov/node/852461/psn-pdf
August 16, 2023 - Amid lack of accountability for bias in maternity care, a
California family seeks justice. … August 8, 2023
https://psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice … https://psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
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psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
December 12, 2018 - Newspaper/Magazine Article
Staff warned about the lack of psychiatric care at a VA … Citation Text:
Staff warned about the lack of psychiatric care at a VA clinic. … Cite
Citation
Citation Text:
Staff warned about the lack
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psnet.ahrq.gov/issue/national-assessment-patient-safety-curricula-undergraduate-medical-education-results-2012
June 07, 2023 - Barriers to curriculum implementation included lack of time (both faculty time and overall curriculum … time), lack of financial support for faculty, and lack of trained faculty.
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psnet.ahrq.gov/issue/lack-standardisation-between-specialties-human-factors-content-postgraduate-training-analysis
July 19, 2019 - Study
Lack of standardisation between specialties for human factors content in postgraduate … Lack of standardisation between specialties for human factors content in postgraduate training: an analysis … Lack of standardisation between specialties for human factors content in postgraduate training: an analysis
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psnet.ahrq.gov/node/74059/psn-pdf
January 01, 2022 - These errors occurred due to lack of proper safeguards to
intercept prescribing errors, stress, and … medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/web-mm/weighty-mistake
https://psnet.ahrq.gov/issue/lack-standard-dosing-methods-contributes-iv-errors … https://psnet.ahrq.gov/issue/lack-standard-dosing-methods-contributes-iv-errors
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psnet.ahrq.gov/node/60645/psn-pdf
July 01, 2020 - contributing to suicide deaths were identified: (1) inappropriate or incomplete risk
assessment; (2) lack … family involvement; (3) inadequate transitions and communication between
different care teams; (4) lack … procedures; (5) treatment not in line with current
guidelines; (6) access to means and observation and; (7) lack
-
psnet.ahrq.gov/node/72670/psn-pdf
January 27, 2021 - stay was a key theme in found-on-floor
incidents and signaled underlying system-level issues, such as lack … of informational continuity across the
continuum of care (e.g., lack of standard documentation across … home care needs), reliance on home healthcare workers instead of rehabilitation professionals, and
lack
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psnet.ahrq.gov/node/60207/psn-pdf
April 08, 2020 - Barriers to curriculum implementation included lack of time (both faculty time and overall
curriculum … time), lack of financial support for faculty, and lack of trained faculty.
-
psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - included data entry errors created by the use of copy-forward, copy-and-paste, and
electronic signatures, lack … of functionality to
support clinical workflow
Development of potentially unsafe workarounds
Lack … of data coding,
standardization, and
structure
Lack of appropriate alerts
Lack of duplicate record … in clinical
decision making and contribute to errors or delays in treatment
Error-prone interfaces Lack … Efficiency
Processing time, processing capacity, and resource consumption
Delays in system response Lack
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psnet.ahrq.gov/node/865532/psn-pdf
April 10, 2024 - 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.
-
psnet.ahrq.gov/node/39195/psn-pdf
January 28, 2010 - Lack of patient knowledge regarding hospital
medications. … January 28, 2010
Lack of patient knowledge regarding hospital medications. … https://psnet.ahrq.gov/issue/lack-patient-knowledge-regarding-hospital-medications
The Joint Commission … https://psnet.ahrq.gov/issue/lack-patient-knowledge-regarding-hospital-medications
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/37165/psn-pdf
May 02, 2018 - Lack of standard dosing methods contributes to IV errors. … August 23, 2007,
https://psnet.ahrq.gov/issue/lack-standard-dosing-methods-contributes-iv-errors
This … https://psnet.ahrq.gov/issue/lack-standard-dosing-methods-contributes-iv-errors
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psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
January 02, 2017 - 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. … March 12, 2014
Assessment of adverse events in medical care: lack of consistency between
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psnet.ahrq.gov/issue/lack-awareness-community-acquired-adverse-drug-reactions-upon-hospital-admission-dimensions
October 16, 2013 - Study
Lack of awareness of community-acquired adverse drug reactions upon hospital … Lack of awareness of community-acquired adverse drug reactions upon hospital admission : dimensions and … Lack of awareness of community-acquired adverse drug reactions upon hospital admission : dimensions and
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psnet.ahrq.gov/primer/electronic-health-records
March 15, 2025 - data entry errors created by the use of copy-forward, copy-and-paste , and electronic signatures, lack … of functionality to support clinical workflow Development of potentially unsafe workarounds Lack of … data coding, standardization, and structure Lack of appropriate alerts Lack of duplicate record detection … in clinical decision making and contribute to errors or delays in treatment Error-prone interfaces Lack … Efficiency Processing time, processing capacity, and resource consumption Delays in system response Lack