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Total Results: 2,984 records

Showing results for "lack".

2721. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet
      psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
      April 18, 2018 - Review of contributing factors to UMMC’s operation found courier workspace, staffing, lack of interfaced

2722. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49618/psn-pdf
      February 01, 2011 - Impeding this change in culture is the lack of robust, systematic assessment approaches, fear of retribution

2723. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49735/psn-pdf
      June 01, 2015 - Unfortunately, due to ischemia (lack of blood flow from the arterial disease) of his leg, he developed

2724. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49834/psn-pdf
      July 01, 2018 - Moreover, the physical examination findings confirmed a lack of valvular click.

2725. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49861/psn-pdf
      May 01, 2019 - In this case, the lack of communication regarding the need to restart heparin after CDT might have been

2726. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49810/psn-pdf
      November 01, 2017 - Ethically and legally, foregoing life-sustaining measures can be justified by the lack of beneficial

2727. ABCDEF Bundle Data Literacy Training, Performance Measurement Tracking, and Performance Feedback | PSNet
      psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
      September 23, 2024 - Targeted gaps included the quantity of data collected, missing data, lack of clinical decision support

2728. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. | PSNet
      psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
      October 28, 2020 - process ;  premature closure on a more common pediatric diagnosis; availability bias due to providers’ lack

2729. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet
      psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
      March 19, 2019 - perceive, think, or behave. 5 Human error may occur under conditions involving emotional stress, lack

2730. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49527/psn-pdf
      December 01, 2006 - We are not told if the phlebotomist's mislabeling error is due to lack of knowledge, or if it is noncognitive

2731. Errors in Sepsis Management | PSNet
      psnet.ahrq.gov/web-mm/errors-sepsis-management
      November 03, 2015 - which the guideline provides a 3-hour window for antibiotic administration), the initial choice, or lack

2732. Delayed Sepsis Management Due to Ambiguous Allergy | PSNet
      psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
      January 13, 2021 - Moreover, the lack of familiarity with the limited efficacy of aztreonam in anaerobic coverage led to

2733. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. | PSNet
      psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
      June 28, 2023 - is Not Enough April 28, 2021 WebM&M Cases Lack

2734. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
      psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
      January 29, 2021 - WebM&M Cases Distraction of the Anesthesiologist and Lack

2735. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
      January 01, 2020 - compounding errors, look alike/sound alike errors) – Administration (pump mis-programming) – Monitoring (lack

2736. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49752/psn-pdf
      January 01, 2016 - However, it is difficult to evaluate due to the lack of appropriate animal and other models. … decontamination have found that there are no well-controlled comparative studies on the topic.(4,5) This lack

2737. Right Patient, Wrong Sample | PSNet
      psnet.ahrq.gov/web-mm/right-patient-wrong-sample
      June 01, 2004 - We are not told if the phlebotomist's mislabeling error is due to lack of knowledge, or if it is noncognitive

2738. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866055/psn-pdf
      May 29, 2024 - Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle May 29, 2024 https://psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle Summary Retained surgical items (RSIs) cause severe yet preventable patient harm. RSIs are the most common catego…

2739. Abdominal Pain in Early Pregnancy | PSNet
      psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
      November 13, 2024 - If the ultrasound is nondiagnostic, MRI can be considered as its lack of ionizing radiation also makes

2740. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866343/psn-pdf
      December 31, 2024 - Was there implicit bias related to the patient’s obesity, lack of prior treatment for hypertension,