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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance.pptx
April 01, 2022 - Program for ICUs: Preventing CLABSI and CAUTI
CVC Maintenance ׀ 12
12
Barriers to CVC Maintenance
Lack … of knowledge—both initially and ongoing
Lack of buy-in and understanding of the “why”
Time constraints … , staffing issues
Lack of available supplies
Absence of auditing of compliance
Absence of feedback about
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses.pdf
April 01, 2022 - Leadership & Cultural Barriers
• Lack of clear responsibility results in confusion as to who is responsible … • Insufficient number of bladder scanners or lack of training for staff can hinder the ability to … 2
AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI
Empowering Nurses
• Lack
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/143-cusp-tip-sheet-engaging-staff.docx
April 01, 2025 - prevention and other patient safety initiatives due to various barriers, including insufficient time, lack … Barriers1
· Lack of Background in Quality Improvement: Many staff may not fully grasp the importance
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/142-cusp-tip-sheet-engaging-leaders.docx
April 01, 2025 - Potential Barriers1-4
Lack of Clinical Background: Some senior leaders may not have a clinical background … Lack of Meaningful Recognition: Senior leaders might not immediately recognize the value of your patient
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www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/improvement-data.html
July 01, 2021 - 2018 which may have hampered an increased focus on this population and may have contributed to the lack … changes and shortages, specifically losing a key nursing position, which may have contributed to the lack
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
September 01, 2021 - received 2 units of red blood cells but a massive transfusion protocol was not activated due to the lack … Lack of an organized standardized team approach.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/patfamengagement/patientandfamilyengagement_slides.pptx
September 03, 2014 - as cleansing access sites prior to treatment
6
Patient and Family
SAY:
Patient engagement, or lack … Staff are often frustrated with patients and their families for lack of compliance with recommended behaviors … Staff are often frustrated with patients and their families for lack of compliance with recommended behaviors … They may feign disinterest to hide a lack of knowledge.
… According to the National Assessment of Adult Literacy, nearly 9 out of 10 adults may lack the skills
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
July 01, 2023 - may misunderstand messages or not understand them at all and may be reluctant to acknowledge their lack … Introversion may be perceived as a lack of interest in or desire for additional information. … Lack of verification of information: It is important to verify and acknowledge that information has
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/primary-care-research-conference-proceedings.pdf
January 01, 2023 - • There are payment issues and a lack of incentives to address equity. … • Patients lack an understanding of what “primary care” is and a lack of patient
advocacy. … • Lack of appropriate insurance structures. … of access (minute
clinics), lack of continuity, and lack of trust? … • Lack of primary care-focused measures results in undervaluing primary care.
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www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
January 01, 2024 - other ambulatory locations to be
influenced by multiple factors, such as variable patient acuity, lack … Often, there is a lack of recognition of orders due to difficulty with tracking order statuses. … This step can fail due to a lack of shared awareness between team members. … This step fails when the physicians do not review the results, often as a result of a lack of awareness … Mismatches of mental models were the primary finding, with lack of awareness of entered and available
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-11.html
July 01, 2022 - Observations
Proposed Action
Next Steps/Primary Responsibility
Example: Reliance on memory; lack
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-11.html
July 01, 2022 - Observations
Proposed Action
Next Steps/Primary Responsibility
Example: Reliance on memory; lack
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - Barriers included patient factors (lack of understanding about medications and how to manage them, retaining … conditions, substance abuse, and delay and/or failure to seek care; the top three system factors were lack … of case coordination and management, poor patient–provider communication, and lack of continuity of … care; and the top three clinical factors were delay or lack of diagnosis or treatment, risk screening
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www.ahrq.gov/research/findings/final-reports/ptflow/executive-summary.html
July 01, 2018 - Staff resistance, culture change, and lack of staffing resources
Use of Lean quality improvement methods … Lack of staffing resources
Staff resistance
Robust data collection.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide76.html
October 01, 2014 - to be reported by former smokers and potential responses follow:
Problems
Responses
Lack
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamwork.pptx
January 01, 2007 - occurring.
8
Barriers to Team Effectiveness1
9
Team Composition
Inconsistency in team membership
Lack … thinking
Conflict
Fatigue
Complacency
Varying communication styles
Personality
Working Conditions
Lack … follow up
Distractions
Misinterpretation of cues
Hierarchy
Physical proximity
Shift changes
Resources
Lack
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-facilitator-guide-maternal-equity.pdf
June 02, 2025 - Assumptions about lack of prenatal care, fatigue, family history.
3.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/142-who-should-take-task-evc-monitoring-one-pager.docx
October 01, 2024 - Clarifies cleaning responsibilities
· Shared sense of accountability
· Two-way feedback
· Can lead to lack
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/112-who-task-evc-monitoring-one-pager.docx
April 01, 2025 - Clarifies cleaning responsibilities
· Shared sense of accountability
· Two-way feedback
· Can lead to lack
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - There was an initial lack of compliance with this
mandate (Table 2). … RCA teams identified a lack of
evidence-based information as a barrier to establishing protocols for … pressures—due to limited CT scanner availability; the critical
nature of the patient’s condition; lack … Lack of ready access to the
patient’s full medical history prevents the pharmacy from being able to … The RCAs
reflected a lack of assessment of the risks to the patient and infrequent use of
proactive