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psnet.ahrq.gov/node/33781/psn-pdf
March 01, 2015 - Are the sources of the case mix adjustment adequate given that it's
difficult to glean clinical data … But change is very difficult.
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psnet.ahrq.gov/node/49787/psn-pdf
March 01, 2017 - Cognitive errors are usually multifactorial, highly subjective, imprecise, and difficult to analyze without … time, both cognitive and system
factors contribute to a given diagnostic error.(9) They are also very difficult … Diagnostic errors are highly prevalent, complex, costly, and difficult to prevent.
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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - It would be important to try to learn—from the patient's
perspective—what makes it difficult to stay … Patients whom staff find difficult to like, or care for, are vulnerable to safety risks created by reduced … Ethics consultation, psychiatric consultation, or both can be useful for patients with whom it is difficult
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - This kind of error can be difficult to identify because it can be confused with other error types, such … of a fixed percentage of cases, ad hoc consultation with other pathologists, and presentation of "difficult … Interpretation errors are important and often difficult to understand and classify.
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - as readily achieve some of the goals listed above for training crews to work in teams, and it can be difficult … in these arenas, where individual and team performance are assessed on a regular basis, it has been difficult … It will be yet more difficult to develop such evidence in health care.
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psnet.ahrq.gov/web-mm/discharge-against-medical-advice
July 01, 2017 - service at a Canadian hospital, the mortality rate was 3% within 90 days.( 5 ) Although a causal link is difficult … Obviously, the prevention of AMA discharges would be ideal, although difficult to achieve in practice … However, patients who leave AMA are often difficult to locate after discharge, as this case vividly demonstrates
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psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
August 22, 2018 - November 27, 2009
Management of the difficult airway: a closed claims analysis.
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psnet.ahrq.gov/issue/implicit-bias-stroke-care-recurring-old-problem-rising-incidence-young-stroke
June 08, 2010 - April 24, 2024
Difficult diagnosis in the ICU: making the right call but beware
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psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-labels-simulation-study
January 14, 2009 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
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psnet.ahrq.gov/issue/litigation-related-drug-errors-anaesthesia-analysis-claims-against-nhs-england-1995-2007
November 12, 2014 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
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psnet.ahrq.gov/issue/automation-failures-and-patient-safety
November 21, 2012 - WebM&M Cases
Inadequate Anesthesia Preparation Leading to Difficult
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psnet.ahrq.gov/issue/patient-safety-challenges-low-income-and-middle-income-countries
May 23, 2018 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
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psnet.ahrq.gov/issue/nurses-perceptions-simulation-based-interprofessional-training-program-rapid-response-and
January 04, 2012 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
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psnet.ahrq.gov/issue/revisiting-duty-hour-limits-iom-recommendations-patient-safety-and-resident-education
February 17, 2011 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
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psnet.ahrq.gov/issue/should-patients-have-role-patient-safety-safety-engineering-view
June 10, 2009 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
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psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
July 13, 2010 - July 13, 2010
Management of the difficult airway: a closed claims analysis.
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psnet.ahrq.gov/issue/improving-communication-patients-limited-english-proficiency
January 06, 2018 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
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psnet.ahrq.gov/issue/quality-and-safety-orthopaedics-learning-and-teaching-same-time-aoa-critical-issues
July 16, 2015 - October 7, 2009
WebM&M Cases
Difficult Encounters: A
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psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety
December 18, 2017 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult
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psnet.ahrq.gov/issue/documentation-drug-allergy-drug-chart-patients-presenting-surgery
August 20, 2018 - human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult