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Total Results: 2,984 records

Showing results for "lack".

81. Not just "getting by": factors influencing providers' choice of interpreters. | PSNet
    psnet.ahrq.gov/issue/not-just-getting-factors-influencing-providers-choice-interpreters
    August 23, 2023 - to interpreters, difficulty developing a patient–provider relationship through interpretation, and lack … A past AHRQ WebM&M case and commentary discusses an adverse event associated with lack of professional

82. Barriers to incident reporting among nurses: a qualitative systematic review. | PSNet
    psnet.ahrq.gov/issue/barriers-incident-reporting-among-nurses-qualitative-systematic-review
    September 21, 2022 - negative consequences was the most common barrier; other barriers included inadequate reporting systems, lack … of interdisciplinary and interdepartmental cooperation, lack of necessary training, and blame culture

83. Application of human factors methods to understand missed follow-up of abnormal test results. | PSNet
    psnet.ahrq.gov/issue/application-human-factors-methods-understand-missed-follow-abnormal-test-results
    December 16, 2020 - Lack of timely follow-up of test results is a recognized patient safety problem in primary care and … This study used human factors methods to understand lack of timely follow-up of abnormal test results

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60279/psn-pdf
    April 29, 2020 - Focus groups with managers and employees reported several challenges, including: lack of care continuity … ; difficulties balancing budgetary and care needs; lack of communication between care systems and tools

85. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
    May 01, 2013 - oncologists have been replaced by teams of general internal medicine–trained hospitalist services The lack … to the error (see next slide) * Wrong regimen ordered Handoffs Knowledge Care location Fellow lack … of knowledge about penile Ca regimens Rare cancer: inpatient attending lack of content expertise … Resident and team attending lack of oncology knowledge Outpatient oncologist to inpatient fellow … This chemotherapy error occurred due to the lack of a high reliability framework and an over-reliance

86. Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital. | PSNet
    psnet.ahrq.gov/issue/severe-illness-getting-noticed-sooner-signs-kids-developing-illness-recognition-tool-connect
    September 23, 2020 - parents and healthcare experts, identified five cues: (1) behavior, such as reduced interaction or lack … breaths, (3) skin, such as jaundice or blueish skin/tongue, (4) fluids, such as persistent vomiting or lack

87. Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. | PSNet
    psnet.ahrq.gov/issue/results-effort-integrate-quality-and-safety-medical-and-nursing-school-curricula-and-foster
    September 08, 2021 - A seminal 2009 report describes the lack of formal curricula in patient safety and quality improvement … Although the institutions encountered many challenges—including a lack of faculty expertise in patient

88. Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. | PSNet
    psnet.ahrq.gov/issue/exploring-challenges-quality-and-safety-work-nursing-homes-and-home-care-case-study-basis
    August 14, 2019 - Focus groups with managers and employees reported several challenges, including: lack of care continuity … ; difficulties balancing budgetary and care needs; lack of communication between care systems and tools

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37159/psn-pdf
    February 03, 2011 - The authors attribute this to two factors: pediatricians' lack of knowledge of the normal blood pressure … range for different ages and lack of awareness of patients' previous blood pressure measurements.

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37877/psn-pdf
    July 02, 2008 - patient-safety-and-job-related-stress-focus-group-study Increased job stress among nurses was associated with lack … of control over their job environment and lack of support from colleagues. 

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60320/psn-pdf
    May 13, 2020 - lengthy, ambiguous or not reflective of national or international continuously changing guidelines, lack … of support from management to adhere to guidelines, and lack of high-quality personal protective equipment

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50794/psn-pdf
    January 15, 2020 - parents and healthcare experts, identified five cues: (1) behavior, such as reduced interaction or lack … breaths, (3) skin, such as jaundice or blueish skin/tongue, (4) fluids, such as persistent vomiting or lack

93. 20 years later: to err is a leadership failure. | PSNet
    psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
    November 30, 2016 - This special segment shares commentaries and online content that summarize growth and lack of progress … Topics covered include the ineffectiveness of current measures and lack of leadership commitment to

94. Medicare's Oversight of Ambulatory Surgery Centers Report. | PSNet
    psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
    February 11, 2015 - The lack of review and follow-up exposed patients to  health-care  associated infections, lack of medication

95. Underdiagnosis of hypertension in children and adolescents. | PSNet
    psnet.ahrq.gov/issue/underdiagnosis-hypertension-children-and-adolescents
    January 04, 2012 - The authors attribute this to two factors: pediatricians' lack of knowledge of the normal blood pressure … range for different ages and lack of awareness of patients' previous blood pressure measurements.

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43668/psn-pdf
    April 22, 2015 - to interpreters, difficulty developing a patient–provider relationship through interpretation, and lack … A past AHRQ WebM&M case and commentary discusses an adverse event associated with lack of professional

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49842/psn-pdf
    September 01, 2018 - The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment September 1, 2018 Katznelson … The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. … https://psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment The Case As … case reviews, it was noted that many of the teams had difficulty with the resuscitation because of a lack … This delay is concerning but unsurprising given the low frequency of such events and lack of training

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50643/psn-pdf
    November 06, 2019 - same-day-surgery-us-findings-two-inaugural-leapfrog-surveys-2019 Ambulatory surgery centers (ASC) are established venues for surgical care despite lack

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/846935/psn-pdf
    March 29, 2023 - Perinatal mental health issues may be underreported due to stigma, lack of awareness, availability of … The lack of reporting by new mothers can result in inaccurate prevalence estimates and hinder efforts … risk for perinatal mental health conditions but may also face barriers to accessing care, including a lack … of insurance coverage, a lack of access to transportation, and difficulty taking time off work.7 Other … sexual orientation may lead to struggles to access appropriate perinatal mental healthcare due to a lack

100. Patient safety and job-related stress: a focus group study. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-job-related-stress-focus-group-study
     December 05, 2012 - Increased job stress among nurses was associated with lack of control over their job environment and … lack of support from colleagues.