-
psnet.ahrq.gov/node/38151/psn-pdf
March 18, 2010 - medication-errors-associated-documented-allergies
This article analyzed reports of medication errors due to patient allergies and found that lack
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psnet.ahrq.gov/node/41351/psn-pdf
June 27, 2018 - https://psnet.ahrq.gov/issue/noahs-story-please-listen
This article details how miscommunication and lack
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psnet.ahrq.gov/node/36805/psn-pdf
August 05, 2008 - save-their-patients
This article reports on physician-owned, mostly surgical specialty, hospitals that lack
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psnet.ahrq.gov/node/35841/psn-pdf
March 28, 2011 - measuring-safety-climate-health-care
The authors reviewed 12 studies that measured safety climate using questionnaires and found a lack
-
psnet.ahrq.gov/node/38629/psn-pdf
May 20, 2009 - https://psnet.ahrq.gov/issue/medication-errors-intensive-care-unit
Pharmacy problems, including lack
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psnet.ahrq.gov/node/36103/psn-pdf
March 04, 2011 - organizational-silence-and-hidden-threats-patient-safety
The authors discuss individual, societal, and organizational factors that contribute to a lack
-
psnet.ahrq.gov/node/35607/psn-pdf
January 23, 2012 - The research revealed problems related to information transfer, overwork, and lack of
patient involvement
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psnet.ahrq.gov/node/36355/psn-pdf
October 27, 2010 - made medication errors in the past year and that
unfamiliarity with the drug, dosage mistakes, and a lack
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psnet.ahrq.gov/node/40972/psn-pdf
October 03, 2017 - hospital-mistakes-kept-secret
Discussing a case of patient suicide, this news article explores the lack
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psnet.ahrq.gov/node/40574/psn-pdf
November 28, 2016 - medical-mystery-alcoholism-didnt-cause-mans-diabetes-and-cirrhosis
This newspaper article reveals how biases and lack
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psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - investigations, ineffectual corrective actions, failure to follow through on implementing actions,
and lack … review of RCAs reveals that many of the hospitals that fail to find and fix serious systematic
problems lack … Rather than pronounce the root cause to be "lack of training" and stop at that point, the team is
encouraged
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psnet.ahrq.gov/node/38374/psn-pdf
July 28, 2013 - medication-errors-and-response-bias-tip-iceberg
A very low response rate to a physician survey on medication errors could be attributed to lack
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psnet.ahrq.gov/node/37002/psn-pdf
September 14, 2011 - author interviewed nurses and identified several factors, such as fear of negative repercussions and
lack
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psnet.ahrq.gov/node/37600/psn-pdf
March 19, 2008 - emergency teams and recommends pursuing rapid
response initiatives for critically ill patients despite the lack
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psnet.ahrq.gov/node/36239/psn-pdf
October 20, 2010 - delayed-or-missed-diagnosis-cervical-spine-injuries
The authors found that misinterpretations, incomplete information, inadequate radiographs, or lack
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psnet.ahrq.gov/node/46466/psn-pdf
July 11, 2018 - distinct-newborn-identification-requirement
Neonatal patients are at risk for misidentification due to communication challenges and lack
-
psnet.ahrq.gov/node/35373/psn-pdf
July 20, 2009 - that medical group practices are slowly adopting electronic medical records
(EMR) and that cost and lack
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psnet.ahrq.gov/node/44632/psn-pdf
March 24, 2016 - overlapping procedures at a leading hospital, potential risks associated with
double-booked cases, lack
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psnet.ahrq.gov/node/33969/psn-pdf
April 03, 2009 - Areas of concern include broken rules, mistakes, lack of support, incompetence, poor teamwork,
disrespect
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psnet.ahrq.gov/node/39889/psn-pdf
September 29, 2010 - Due to a lack of data supporting the
effectiveness of RRTs, the authors advocate for addressing these