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psnet.ahrq.gov/issue/why-test-results-are-still-getting-lost-follow-qualitative-study-implementation-gaps
June 22, 2022 - (VA) facilities across the United States, this qualitative study identified factors contributing to lack … included trainee/resident involvement, absence of a process to address incidental findings on imaging, lack … of standardized electronic health records (EHR) and related tracking systems, and lack of updated
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psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
August 04, 2021 - stay was a key theme in found-on-floor incidents and signaled underlying system-level issues, such as lack … of informational continuity across the continuum of care (e.g., lack of standard documentation across … home care needs), reliance on home healthcare workers instead of rehabilitation professionals, and lack
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psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-suicide-deaths
October 19, 2022 - contributing to suicide deaths were identified: (1) inappropriate or incomplete risk assessment ; (2) lack … family involvement; (3) inadequate transitions and communication between different care teams; (4) lack … procedures; (5) treatment not in line with current guidelines; (6) access to means and observation and; (7) lack
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psnet.ahrq.gov/node/41209/psn-pdf
March 24, 2012 - Assessment of adverse events in medical care: lack of
consistency between experienced teams using the … Assessment of adverse events in medical care: lack of
consistency between experienced teams using the … https://psnet.ahrq.gov/issue/assessment-adverse-events-medical-care-lack-consistency-between-
experienced-teams-using … https://psnet.ahrq.gov/issue/assessment-adverse-events-medical-care-lack-consistency-between-experienced-teams-using … https://psnet.ahrq.gov/issue/assessment-adverse-events-medical-care-lack-consistency-between-experienced-teams-using
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psnet.ahrq.gov/node/44419/psn-pdf
September 02, 2015 - Lack of standardisation between specialties for human
factors content in postgraduate training: an analysis … Lack of standardisation between specialties for human factors content in
postgraduate training: an analysis … https://psnet.ahrq.gov/issue/lack-standardisation-between-specialties-human-factors-content-postgraduate … https://psnet.ahrq.gov/issue/lack-standardisation-between-specialties-human-factors-content-postgraduate-training-analysis … https://psnet.ahrq.gov/issue/lack-standardisation-between-specialties-human-factors-content-postgraduate-training-analysis
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psnet.ahrq.gov/node/43634/psn-pdf
November 05, 2014 - Safety in numbers: lack of evidence to indicate the
number of physicians needed to provide safe acute … Safety in numbers: lack of evidence to indicate the number of
physicians needed to provide safe acute … https://psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide- … https://psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide-safe-acute-medical … https://psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide-safe-acute-medical
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psnet.ahrq.gov/node/860733/psn-pdf
January 17, 2024 - Staff warned about the lack of psychiatric care at a VA
clinic. They couldn’t prevent tragedy. … https://psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy … https://psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
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psnet.ahrq.gov/node/852461/psn-pdf
August 16, 2023 - Amid lack of accountability for bias in maternity care, a
California family seeks justice. … August 8, 2023
https://psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice … https://psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
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psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
December 12, 2018 - Newspaper/Magazine Article
Staff warned about the lack of psychiatric care at a VA … Citation Text:
Staff warned about the lack of psychiatric care at a VA clinic. … Cite
Citation
Citation Text:
Staff warned about the lack
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www.ahrq.gov/funding/process/grant-app-basics/apptips.html
February 01, 2025 - Lack of a theoretical framework. … Lack of original ideas. Proposed methods not appropriate to answer research questions. … Lack of focus in study hypotheses, aims and/or research plan. … Lack of study controls. Lack of adequate preliminary data. … Lack of complete literature review.
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psnet.ahrq.gov/issue/national-assessment-patient-safety-curricula-undergraduate-medical-education-results-2012
June 07, 2023 - Barriers to curriculum implementation included lack of time (both faculty time and overall curriculum … time), lack of financial support for faculty, and lack of trained faculty.
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psnet.ahrq.gov/issue/lack-standardisation-between-specialties-human-factors-content-postgraduate-training-analysis
July 19, 2019 - Study
Lack of standardisation between specialties for human factors content in postgraduate … Lack of standardisation between specialties for human factors content in postgraduate training: an analysis … Lack of standardisation between specialties for human factors content in postgraduate training: an analysis
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psnet.ahrq.gov/node/74059/psn-pdf
January 01, 2022 - These errors occurred due to lack of proper safeguards to
intercept prescribing errors, stress, and … medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/web-mm/weighty-mistake
https://psnet.ahrq.gov/issue/lack-standard-dosing-methods-contributes-iv-errors … https://psnet.ahrq.gov/issue/lack-standard-dosing-methods-contributes-iv-errors
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-3.html
March 01, 2022 - barriers cited in why this content was lacking included inadequate time in the curriculum (81%) and lack … This lack of curricular focus on diagnosis is present in nursing and pharmacy education programs as well
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psnet.ahrq.gov/node/60645/psn-pdf
July 01, 2020 - contributing to suicide deaths were identified: (1) inappropriate or incomplete risk
assessment; (2) lack … family involvement; (3) inadequate transitions and communication between
different care teams; (4) lack … procedures; (5) treatment not in line with current
guidelines; (6) access to means and observation and; (7) lack
-
psnet.ahrq.gov/node/72670/psn-pdf
January 27, 2021 - stay was a key theme in found-on-floor
incidents and signaled underlying system-level issues, such as lack … of informational continuity across the
continuum of care (e.g., lack of standard documentation across … home care needs), reliance on home healthcare workers instead of rehabilitation professionals, and
lack
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psnet.ahrq.gov/node/60207/psn-pdf
April 08, 2020 - Barriers to curriculum implementation included lack of time (both faculty time and overall
curriculum … time), lack of financial support for faculty, and lack of trained faculty.
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www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
January 01, 2024 - Improve training (probability of lack of training reduced by 50%)
c. … Patient Lack of Confirmation of Understanding (probability reduced by 75%)
h. … Lack of Confirmation of Understanding (probability reduced to 0%)
d. … Patient’s Lack of Confidence in Medicine (probability reduced by 25%)
9
i. … Lack of Instructional Materials (probability reduced to 0 %)
n.
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - included data entry errors created by the use of copy-forward, copy-and-paste, and
electronic signatures, lack … of functionality to
support clinical workflow
Development of potentially unsafe workarounds
Lack … of data coding,
standardization, and
structure
Lack of appropriate alerts
Lack of duplicate record … in clinical
decision making and contribute to errors or delays in treatment
Error-prone interfaces Lack … Efficiency
Processing time, processing capacity, and resource consumption
Delays in system response Lack
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psnet.ahrq.gov/node/865532/psn-pdf
April 10, 2024 - Seventeen percent of these were considered ‘high’ or ‘very high’
priority conditions, such as lack of … standardized preparation for intubation, lack of available respiratory
supplies in the trauma bay, … and lack of space for medication preparation.