-
psnet.ahrq.gov/node/40574/psn-pdf
November 28, 2016 - medical-mystery-alcoholism-didnt-cause-mans-diabetes-and-cirrhosis
This newspaper article reveals how biases and lack
-
psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - investigations, ineffectual corrective actions, failure to follow through on implementing actions,
and lack … review of RCAs reveals that many of the hospitals that fail to find and fix serious systematic
problems lack … Rather than pronounce the root cause to be "lack of training" and stop at that point, the team is
encouraged
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm5.jsp
July 01, 2014 - Lack of funding to support the collection of this data Y N DK
e. … Lack of agreement of executive leadership on the need to collect this data
Y N DK … Lack of staff time to collect this data Y N DK
j.
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psnet.ahrq.gov/node/38374/psn-pdf
July 28, 2013 - medication-errors-and-response-bias-tip-iceberg
A very low response rate to a physician survey on medication errors could be attributed to lack
-
psnet.ahrq.gov/node/37002/psn-pdf
September 14, 2011 - author interviewed nurses and identified several factors, such as fear of negative repercussions and
lack
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psnet.ahrq.gov/node/37600/psn-pdf
March 19, 2008 - emergency teams and recommends pursuing rapid
response initiatives for critically ill patients despite the lack
-
psnet.ahrq.gov/node/36239/psn-pdf
October 20, 2010 - delayed-or-missed-diagnosis-cervical-spine-injuries
The authors found that misinterpretations, incomplete information, inadequate radiographs, or lack
-
psnet.ahrq.gov/node/46466/psn-pdf
July 11, 2018 - distinct-newborn-identification-requirement
Neonatal patients are at risk for misidentification due to communication challenges and lack
-
psnet.ahrq.gov/node/35373/psn-pdf
July 20, 2009 - that medical group practices are slowly adopting electronic medical records
(EMR) and that cost and lack
-
psnet.ahrq.gov/node/44632/psn-pdf
March 24, 2016 - overlapping procedures at a leading hospital, potential risks associated with
double-booked cases, lack
-
psnet.ahrq.gov/node/33969/psn-pdf
April 03, 2009 - Areas of concern include broken rules, mistakes, lack of support, incompetence, poor teamwork,
disrespect
-
psnet.ahrq.gov/node/39889/psn-pdf
September 29, 2010 - Due to a lack of data supporting the
effectiveness of RRTs, the authors advocate for addressing these
-
psnet.ahrq.gov/node/43214/psn-pdf
May 28, 2014 - ://psnet.ahrq.gov/issue/what-doctor-may-miss-reaching-mri-first
This newspaper article reports how lack
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psnet.ahrq.gov/node/43900/psn-pdf
February 11, 2015 - once-easily-recognized-signs-measles-now-elude-young-doctors
In light of the recent outbreak of measles in California, this newspaper article reports on how lack
-
psnet.ahrq.gov/node/34716/psn-pdf
February 18, 2011 - He describes the emotional toll
of these mistakes and the difficulty processing them given the lack
-
psnet.ahrq.gov/web-mm/or
August 22, 2013 - Walking through a Series of Mishaps First and foremost in this case, there was a fundamental lack of … of mistakes linked together—to remain intact.( 3 ) This type of miscommunication—or more accurately, lack … Overall, this lack of response and documentation in the face of important clinical changes can likely … This leads to greater challenges in catching the mistake, and the lack of predictability makes it harder … Lack of predictability greatly increases the risk of mistakes.
-
psnet.ahrq.gov/node/49622/psn-pdf
March 01, 2011 - This problem of lack of visibility is common in health information technology (IT). … (7,8) In this case, the lack of feedback was risky and the evidence is that it was
not caught until … A lack of harm in no way indicates a presence of safety. It
might, but it might not. … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
A lack
-
psnet.ahrq.gov/web-mm/no-bp-during-nibp
March 01, 2011 - Human factors such as fatigue and lack of vigilance in a very stable case also contributed to the error … anesthetics.( 1 ) Although the patient in this case did not appear to experience any harm from this lack … Lack of documentation is more prevalent during manual record-keeping than with electronic data capture … of different makes, models, and configurations than those in the core operating room locations.( 7 ) Lack … resonance imaging scanner is especially important, due to the remoteness of the procedure location and lack
-
psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - The main contributors to the error during the prescribing
phase were duplicate orders and lack of a … the pharmacist verification and dispensing phase
were the pharmacy delay in error interception and lack … The main contributors to the error during the administration phase included the lack of a barcode
medication … Understaffing
Medications often being readily available and dispensed without pharmacist review
Lack … of independent double checks of nurse-prepared medications
Lack of barcode medication administration
-
psnet.ahrq.gov/node/45047/psn-pdf
April 13, 2016 - contribute
to the problem, including insufficient clinician familiarity with uncommon conditions, lack