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Total Results: 2,984 records

Showing results for "lack".

341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43214/psn-pdf
     May 28, 2014 - ://psnet.ahrq.gov/issue/what-doctor-may-miss-reaching-mri-first This newspaper article reports how lack

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43900/psn-pdf
     February 11, 2015 - once-easily-recognized-signs-measles-now-elude-young-doctors In light of the recent outbreak of measles in California, this newspaper article reports on how lack

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34716/psn-pdf
     February 18, 2011 - He describes the emotional toll of these mistakes and the difficulty processing them given the lack

344. On O.R. Off? | PSNet
     psnet.ahrq.gov/web-mm/or
     August 22, 2013 - Walking through a Series of Mishaps First and foremost in this case, there was a fundamental lack of … of mistakes linked together—to remain intact.( 3 ) This type of miscommunication—or more accurately, lack … Overall, this lack of response and documentation in the face of important clinical changes can likely … This leads to greater challenges in catching the mistake, and the lack of predictability makes it harder … Lack of predictability greatly increases the risk of mistakes.

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49622/psn-pdf
     March 01, 2011 - This problem of lack of visibility is common in health information technology (IT). … (7,8) In this case, the lack of feedback was risky and the evidence is that it was not caught until … A lack of harm in no way indicates a presence of safety. It might, but it might not. … psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references A lack

346. No BP During NIBP | PSNet
     psnet.ahrq.gov/web-mm/no-bp-during-nibp
     March 01, 2011 - 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

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49857/psn-pdf
     March 01, 2019 - The main contributors to the error during the prescribing phase were duplicate orders and lack of a … the pharmacist verification and dispensing phase were the pharmacy delay in error interception and lack … The main contributors to the error during the administration phase included the lack of a barcode medication … Understaffing Medications often being readily available and dispensed without pharmacist review Lack … of independent double checks of nurse-prepared medications Lack of barcode medication administration

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45047/psn-pdf
     April 13, 2016 - contribute to the problem, including insufficient clinician familiarity with uncommon conditions, lack

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41114/psn-pdf
     February 01, 2012 - review discusses how rapid response systems are seen as a logical improvement approach despite the lack

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40582/psn-pdf
     July 06, 2011 - psnet.ahrq.gov/issue/patient-safety-climate-among-orthopaedic-surgery-residents This study revealed a lack

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43338/psn-pdf
     July 09, 2014 - highlights how systemic problems, such as inadequate review of incidents, poor communication, and lack

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46834/psn-pdf
     April 11, 2018 - Systemic problems are highlighted, such as lack of respect for patient concerns and insufficient biomedical

353. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43434/psn-pdf
     August 06, 2014 - Maryland reporting program, including poor understanding about which errors should be reported and lack

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42703/psn-pdf
     December 06, 2013 - psnet.ahrq.gov/issue/administrative-issues-ensure-safe-anesthesia-care-office-based-setting Highlighting the lack

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38461/psn-pdf
     March 04, 2009 - nomenclature-nomenclature-sources-terminologic-uncertainty-and-confusion- and-value This commentary discusses the lack

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43897/psn-pdf
     August 21, 2015 - https://psnet.ahrq.gov/issue/guidelines-adult-iv-push-medications To address the lack of standards on

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38513/psn-pdf
     April 01, 2009 - The investigation revealed test result errors and failure to notify patients, as well as a lack of oversight

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37071/psn-pdf
     September 30, 2011 - improving-patient-safety-radiotherapy-learning-near-misses-incidents-and- errors The author discusses the lack

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42998/psn-pdf
     March 05, 2014 - handoff process was not standardized, pharmacists reported encountering both information overload and a lack

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37337/psn-pdf
     January 02, 2017 - attitudes-toward-medical-device-use-errors-and-prevention-adverse-events This qualitative study reported the user, pump design problems, and lack