-
psnet.ahrq.gov/node/50710/psn-pdf
December 04, 2019 - The authors identify that lack of consistent
regulations and incomplete protocol standardization is
-
psnet.ahrq.gov/node/72486/psn-pdf
November 18, 2020 - Safety issues documented include time pressures, lack of staff training, and
unreliable adherence to
-
psnet.ahrq.gov/node/60227/psn-pdf
April 15, 2020 - hospitals use different approaches to analyze events, rarely use external experts in the
process, and lack
-
psnet.ahrq.gov/node/50590/psn-pdf
January 01, 2020 - safety activities, but barriers such as
limited patient/family knowledge, poor communication, and lack
-
psnet.ahrq.gov/node/33733/psn-pdf
July 01, 2012 - found that the barriers to health IT adoption were:
technophobic physicians, funding to buy health IT, lack … of incentives to use health IT, lack of
certification programs, lack of evaluation data, and lack of … real problems of health IT, i.e., there were no questions or answer options about
poor usability, lack
-
psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Lack of familiarity with new technology is an increasingly
important patient safety problem. … to Adverse Event
Systems Redesign
Recommendations
People
Physician fatigue
Physician and nurse lack … to transition
from IV to subcutaneous insulin
Tasks
High workload and time pressure
situation
Lack … nurses,
physicians, and pharmacists
Inadequate supervision of plan and
orders by attending physician
Lack … of physician and nurse training
on Glucommander use
Lack of an institutional standard of
care for
-
psnet.ahrq.gov/node/865595/psn-pdf
January 01, 2024 - their concerns, preference for racial concordance with their provider, mental health concerns, and lack
-
psnet.ahrq.gov/node/49719/psn-pdf
September 01, 2014 - Human factors such as fatigue and lack of vigilance in a
very stable case also contributed to the error … anesthetics.(1) Although the patient in this case did not appear
to experience any harm from this lack … Lack of
documentation is more prevalent during manual record-keeping than with electronic data capture … of different makes, models, and configurations than those in the core operating room locations.(7) Lack … resonance imaging scanner is especially important, due to the
remoteness of the procedure location and lack
-
psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
November 25, 2020 - Her lack of prenatal care represented a missed opportunity to get an early ultrasound for pregnancy dating … to ensure availability of appropriate expertise also are likely to reduce diagnostic errors, since lack … errors in the use obstetrical ultrasound can result from inadequate training and experience, and the lack … Related Resources From the Same Author(s)
WebM&M Cases
Lack
-
psnet.ahrq.gov/node/73630/psn-pdf
August 25, 2021 - suggest that the primary barriers to active learning stem from social issues post-reporting – e.g.,
lack
-
psnet.ahrq.gov/node/73247/psn-pdf
May 12, 2021 - perceived
usability strength was visual display of the EHR system, and the most common shortcoming was lack
-
psnet.ahrq.gov/node/73213/psn-pdf
May 05, 2021 - Analysis showed the main root cause was lack of adherence to safety protocols, followed by identification
-
psnet.ahrq.gov/node/836965/psn-pdf
April 20, 2022 - identified obstacles to effective RRS execution, including
inconsistent education and documentation, lack
-
psnet.ahrq.gov/node/47848/psn-pdf
May 08, 2019 - Investigators found that there was a lack of understanding about both the
technical process of using
-
psnet.ahrq.gov/node/72633/psn-pdf
January 13, 2021 - notes reported it, but identified several barriers to
reporting (e.g. no clear reporting mechanism, lack
-
psnet.ahrq.gov/node/72677/psn-pdf
January 27, 2021 - implementation-science-approach-promote-optimal-implementation-adoption-
use-and-spread
Failure to rescue – the lack
-
psnet.ahrq.gov/node/37461/psn-pdf
May 11, 2014 - ismp-medication-error-report-analysis-20
This monthly selection of medication error reports discusses problems related to a lack
-
psnet.ahrq.gov/node/38756/psn-pdf
January 20, 2010 - https://psnet.ahrq.gov/issue/va-hospital-rogue-cancer-unit
Flawed safety standards, including a lack
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
December 01, 2009 - plans
Uninsured status is an additional
societal concern with 45,000 deaths
annually attributed to lack … and Decision-Making
Homeless patients reject services because of:
A desire to be independent
A lack … of active participation in services
Poor therapeutic relationships
Lack of provider cultural competence
-
psnet.ahrq.gov/node/40135/psn-pdf
October 03, 2017 - pinpoint-beam-strays-invisibly-harming-instead-healing
This article explores inaccuracy of dosage, lack