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psnet.ahrq.gov/issue/5th-anniversary-universal-protocol-pitfalls-and-pearls-revisited
December 21, 2014 - publication of the Universal Protocol , the authors review the policy and assess unintended consequences, limitations
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psnet.ahrq.gov/issue/identifying-high-alert-medications-university-hospital-applying-data-medication-error
August 03, 2017 - Commonly used lists of high-risk medications, such as the Beers criteria, have important limitations
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psnet.ahrq.gov/issue/reevaluation-diagnosis-adults-physician-diagnosed-asthma
March 15, 2017 - may be frequently misdiagnosed in the community setting as a result of inadequate testing for airflow limitations
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psnet.ahrq.gov/issue/espen-guideline-hospital-nutrition
February 17, 2015 - improvement approach to care environment food provision that considers clinical concerns and patient limitations
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psnet.ahrq.gov/issue/concerns-regarding-tablet-splitting-systematic-review
February 10, 2015 - sustained-release tablets and use by older adults who may struggle to split tablets due to physical limitations
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psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality
August 20, 2018 - reported to the University Health Consortium, an alliance of academic medical centers, to highlight the limitations
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psnet.ahrq.gov/issue/navigating-towards-improved-surgical-safety-using-aviation-based-strategies
January 04, 2011 - aviation to improve safety and describes how these methods can be used in surgery, along with their limitations
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psnet.ahrq.gov/issue/electronic-prescribing-systems-pediatrics-rationale-and-functionality-requirements
November 25, 2013 - technical report outlines the evidence supporting these recommendations as well as the benefits and limitations
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psnet.ahrq.gov/issue/patient-safety-genomic-medicine-exploratory-study
November 04, 2015 - Both technology limitations and lack of physician knowledge emerged as significant concerns.
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psnet.ahrq.gov/issue/implementing-national-strategy-patient-safety-lessons-national-health-service-england
March 02, 2011 - supporting the implementation of a national safety initiative and highlight both the strengths and limitations
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psnet.ahrq.gov/issue/advancing-measurement-patient-safety-culture
February 14, 2015 - Analysis of responses to safety culture questionnaires revealed limitations in the survey's ability
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psnet.ahrq.gov/issue/bipartisan-consensus-public-wants-well-rested-medical-residents-help-ensure-safe-patient-care
July 06, 2011 - Duty-hour limitations have been implemented as a strategy to address resident fatigue , but they remain
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psnet.ahrq.gov/issue/confirming-delivery-understanding-role-hospitalized-patient-medication-administration-safety
March 02, 2016 - engaging patients in medication administration including inpatients' mental status and nurses' time limitations
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psnet.ahrq.gov/issue/power-saying-i-dont-know-psychological-safety-and-participatory-strategies-healthcare-leaders
August 31, 2011 - This article encourages leaders to acknowledge their limitations, as this creates a culture of trust
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psnet.ahrq.gov/node/50930/psn-pdf
February 21, 2020 - Use of Pharmacists to Address Limitations of Technology
While some technology has enabled pharmacists … and has improved aspects of
medication safety, pharmacists have also had to learn to work with the limitations … As such, the suitability of CPOE should be assessed, any limitations should be well understood, and
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psnet.ahrq.gov/node/60330/psn-pdf
May 05, 2020 - First, providers
need to understand the limitations of delivering care remotely and the implications … patients are receiving telehealth and in-person care in a consistent way, that the capabilities
and limitations … with the technical aspects of telehealth, and as patients’ understanding
of both the benefits and limitations
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psnet.ahrq.gov/web-mm/glucose-roller-coaster
February 02, 2022 - cross-coverage," the management of patients by physicians other than those primarily responsible, and the limitations … Adding up all the "floating" (particularly since the implementation of the ACGME duty hours limitations … In this case, patient unfamiliarity, inadequate signout, time limitations, and the institutional culture
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psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals-study
January 04, 2017 - As with the second and third annual reports, several methodological limitations exist, and the reports
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psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-study
September 12, 2012 - As with the second annual report , several methodological limitations exist, and the reports themselves
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psnet.ahrq.gov/issue/healthgrades-quality-study-fifth-annual-patient-safety-american-hospitals-study
August 27, 2013 - The limitations of using PSIs as a performance measure have been discussed in a prior study and AHRQ