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Total Results: 8,458 records

Showing results for "lack".

141. 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

142. 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

143. 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

144. Special Considerations for Measurement of Diagnostic Safety (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
     June 01, 2020 - One limitation of current patient reporting systems is the lack of validated patient-reported questions … Barriers to patient engagement in safety initiatives, including low health literacy, lack of wider acceptance … Moreover, administrative data lack relevant clinical details about diagnostic processes that can be improved … and interpretation of diagnostic tests Amended imaging report Missed findings on initial read or lack … Urgent specialty referral followed by discontinued referral within 7 days Delay in diagnosis from lack

145. Improving Population Health Through Enhanced Targeted Regional Decision Support - 2011 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-population-health-through-enhanced-targeted-regional-decision-support/annual-summary/2011
     January 01, 2011 - A variety of reasons cause this, including: 1) a lack of knowledge on reporting requirements and process … ; 2) a lack of resources to facilitate the reporting process; and 3) a perceived lack of value for reporting

146. The Impact of an Adaptive Patient-Centered Web Application on Medication Optimization in HFrEF Patients | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/impact-adaptive-patient-centered-web-application-medication-optimization-hfref
     January 01, 2023 - Reasons behind readmissions include lack of awareness that a patient is having worsening HF, lack of … records (EHRs) to reduce errors, improve clinical decision support, and promote GDMT, healthcare systems lack

147. Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-technicalspecs.pdf
     June 02, 2025 - imaging on the day of or within the 365 days before the simple febrile seizure (Tables IMG4-IMG9) o Lack … o Afebrile seizure o Medical conditions that would warrant imaging o Developmental delay, lack

148. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
     January 01, 2024 - at follow-up appointments using a conceptual approach that implies that the root of the problem is lack … physicians, and other healthcare providers) in the NICU tend to act in isolation, which results in a lack … of consistent and early communication between parents and NICU staff and a lack of a coordinated educational … We identified risks related to lack of communication between care providers in the hospital, between … Additional identified risks included potential lack of knowledge and skills among community-based care

149. 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

150. 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

151. Unique Challenges in Approaching Diagnostic Safety in Older Adults | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
     September 01, 2024 - the Centers for Disease Control and Prevention suggests that about 10 percent of adults over age 50 lack … reliable transportation to meet their needs. 56 Lack of access to public transport can harm older people … Furthermore, older adults often see multiple providers using different EHRs that lack interoperability … Lack of knowledge. … Major drivers of the persistently low recruitment into geriatrics care include: Compensation and a lack

152. Central Venous Catheter Removal Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal-notes.docx
     April 01, 2022 - Other challenges include a lack of staff support for consistent use of indications and removal checklists … , lack of leadership support for prompt removal, lack of general awareness of guidelines for removal, … and lack of awareness of impact of central venous catheter removal on infection rates. … , lack of leadership support for prompt removal, lack of general awareness of guidelines for removal, … and lack of awareness of impact of central venous catheter removal on infection rates.

153. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-121013.pptx
     January 01, 2006 - Skillful at conflict resolution 15 Barriers to Team Performance Inconsistency in team membership Lack … of time Lack of information sharing Hierarchy Defensiveness Conventional thinking Varying communication … styles Conflict Lack of coordination and follow-up Distractions Fatigue Workload Misinterpretation … of cues Lack of role clarity 16 16 High performing teams… 17 Hold shared mental models Have clear

154. Assemble the Team | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/assemble/team-slides.html
     December 01, 2012 - Lack of time. Lack of information sharing. Hierarchy. Varying communication styles. … Lack of coordination and follow up. Misinterpretation of cues. Lack of role clarity.

155. Approaches to Address Health Risks for Older Adults
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/ncepcr-older-adults-presentation.pptx
     March 15, 2025 - other Patient-facing educational intervention about fragmentation Providers (physicians and others) Lack … With financial incentives from payers, improve communication across all providers Practice settings Lack … and private payers to hold them accountable for addressing fragmentation Populations (communities) Lack … other Patient-facing educational intervention about fragmentation Providers (physicians and others) Lack … and private payers to hold them accountable for addressing fragmentation Populations (communities) Lack

156. 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

157. 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

158. 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

159. 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.

160. 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.