Refers to the failure to provide a healthcare service when it would have produced a favorable outcome for a patient. Standard examples include failures to provide appropriate preventive services to eligible patients (e.g., Pap smears, flu shots for elderly patients, screening for hypertension) and proven medications for chronic illnesses (e.g., steroid inhalers for asthmatics, aspirin, beta-blockers, and lipid-lowering agents for patients who have suffered a recent myocardial infarction).