-
psnet.ahrq.gov/node/73256/psn-pdf
May 12, 2021 - addiction-treatment-providers-pa-face-little-state-scrutiny-despite-harm-clients
Systemic oversight weaknesses and lack
-
psnet.ahrq.gov/node/838327/psn-pdf
October 12, 2022 - book
examines the presence of uncertainty in the process of diagnostic decision making, including the lack
-
psnet.ahrq.gov/node/46804/psn-pdf
January 01, 2021 - Common causes included inexperience, lack of checklists, and insufficient standardization.
-
psnet.ahrq.gov/node/851462/psn-pdf
July 19, 2023 - https://psnet.ahrq.gov/issue/broken-trust-making-patient-safety-more-just-promise
Lack of accountability
-
psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - Staff workload, staff shortages, and lack
of time and resources are all considered major barriers for … barrier were identified:
Hierarchy: higher ranking physicians were valued more (organizational level)
Lack … of knowledge: lack of awareness of cases being discussed (team level)
Authoritarian leadership: leaders … Some common barriers were hierarchy and lack of knowledge. … existing literature” was a high (i.e., unmanageable) workload that is
possibly related to burnout or lack
-
psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - Lack of familiarity with new technology is an increasingly important patient safety problem. … Factor to Adverse Event Systems Redesign Recommendations People Physician fatigue Physician and nurse lack … protocols to transition from IV to subcutaneous insulin Tasks High workload and time pressure situation Lack … nurses, physicians, and pharmacists Inadequate supervision of plan and orders by attending physician Lack … of physician and nurse training on Glucommander use Lack of an institutional standard of care for inpatient
-
psnet.ahrq.gov/node/845473/psn-pdf
March 15, 2023 - difficult to obtain, its implementation is limited by
technological infrastructure barriers, including lack … Digital literacy and lack of knowledge, skills, or
https://psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid … The lack of coverage of services and
lower reimbursement rates disincentivize organizations from expanding … Physicians interviewed shared that cost-reimbursement challenges,
like the lack of payment parity with
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/use-telehealth-during-COVID-19-executive-summary.pdf
January 01, 2023 - difficult to
reach and engage via telehealth, and may result in missed or delayed diagnoses owing to
the lack … There is a lack of
evidence about telehealth implementation cost and sustainability of services, as
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/cimino-jj-et-al-2001
January 01, 2001 - In 14 cases, we attributed the failure to problems with the user interface, including the lack of phonetic … appeared to be generally familiar with these restricted terminologies, and most problems were due to lack
-
meps.ahrq.gov/data_files/publications/st437/stat437.shtml
May 01, 2014 - likely than black non-Hispanics, white non-Hispanics, Asian non-Hispanics, or other non-Hispanics to lack … Young adult males were more likely than their female counterparts to lack health insurance for all of … likely than black non-Hispanics, white non-Hispanics, Asian non-Hispanics, or other non-Hispanics to lack … Young adult males were more likely than their female counterparts to lack health insurance for all of
-
meps.ahrq.gov/data_files/publications/st437/stat437.pdf
May 01, 2014 - likely than black
non-Hispanics, white non-Hispanics, Asian non-Hispanics, or other non-Hispanics
to lack … likely
than black non-Hispanics,
white non-Hispanics, Asian
non-Hispanics, or other
non-Hispanics to lack … Young adult males were
more likely than their
female counterparts to
lack health insurance for
all of … Young adult males were more likely than their female counterparts to lack health insurance for all of
-
psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - interpreting displays;
Vulnerability to wrong-patient errors when multiple records were open;
A lack … of standardized alerts, an abundance of irrelevant alerts, and a lack of reasons documented for alert … Most importantly, a lack of efficient two-way communication between physician offices and pharmacies … shortcomings of the technologies, as discussed above, as well as local implementation factors such as lack
-
psnet.ahrq.gov/web-mm/empty-bag
June 01, 2018 - There is a lack of standardization to support data aggregation. 2. … There is a lack of coordination between pump requirements and hospital capabilities. … There is a lack of standardization of terminology used in infusion systems (upstream and downstream devices … There is a lack of knowledge/familiarity with infusion devices and a lack of effective training in their … Injuries are caused by a lack of differentiation between the use of infusion devices in hospitals and
-
psnet.ahrq.gov/node/49460/psn-pdf
September 01, 2004 - months later, during the course of one of the student's clinical clerkships, he again mentioned the
lack … though, it is more complex,
involving fears of punishment, uncertainty of the hospital system, and a lack … Students may also hesitate to report errors because they feel they lack the medical knowledge to question … Lack of knowledge of the hospital system complicates the decision to report, and students are often on
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/progestogens-preterm-birth_executive.pdf
September 01, 2012 - Moderately strong evidence based on trials and consistent
findings indicates lack of effectiveness for … Obstacles reported by those who prescribe progestogens
include lack of availability, lack of insurance … coverage,
lack of FDA approval, and need for greater information
about long-term effects. … Moderately strong
7
evidence indicates a lack of effectiveness for multiple
gestations. … Moderate strength of evidence suggests a
lack of effectiveness for multiple gestations.
-
psnet.ahrq.gov/web-mm/its-sarah-not-stephen
January 01, 2015 - patients report lower satisfaction and are less likely to continue to seek care at that setting.( 2,3 ) We lack … Transgender health raises a number of patient safety issues: lack of access to health care, increased … Lack of access to health care Transgender populations experience specific challenges with the health … , driver's license or health insurance card) that indicate assigned rather than preferred gender, a lack … Lack of awareness about gender identity exacerbates family and societal rejection and stigmatization.
-
psnet.ahrq.gov/node/33733/psn-pdf
July 01, 2012 - found that the barriers to health IT adoption were:
technophobic physicians, funding to buy health IT, lack … of incentives to use health IT, lack of
certification programs, lack of evaluation data, and lack of … real problems of health IT, i.e., there were no questions or answer options about
poor usability, lack
-
psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Lack of familiarity with new technology is an increasingly
important patient safety problem. … to Adverse Event
Systems Redesign
Recommendations
People
Physician fatigue
Physician and nurse lack … to transition
from IV to subcutaneous insulin
Tasks
High workload and time pressure
situation
Lack … nurses,
physicians, and pharmacists
Inadequate supervision of plan and
orders by attending physician
Lack … of physician and nurse training
on Glucommander use
Lack of an institutional standard of
care for
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0095_04-10-2009.pdf
January 01, 2009 - The nominator
states that there is a lack of studies done on women. … The literature suggests
that compared to men, women present with more advanced disease due to the lack
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/hemorrhage-postpartum_executive.pdf
April 01, 2015 - Given the lack of data from randomized
or controlled studies of PPH management, we present data
from … Strength
of evidence is moderate for a lack of benefit for systems-
level interventions in reducing … Methylergonovine
maleate
Acute coronary
syndrome and
myocardial
infarction
Low SOE for lack
of … There is a significant
lack of truly comparative studies. … The literature about systems-
level interventions is limited by lack of analyses that seek
to adjust