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Showing results for "fact".

121. Preventing patient harms through systems of care. | PSNet
     psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
     February 27, 2014 - Recognizing this fact, this commentary calls for a systems engineering approach to identifying and preventing

122. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33637/psn-pdf
     August 01, 2006 - He took an interest in the fact that I had some training in health policy work. … And although I've been outspoken about saying "it's not bad people; it's bad systems," the fact is that … that it's mostly about systems, but in fact there are some "bad" people. … LL: On the apology front, I'm very concerned that people put too much emphasis on the fact that this … I've been struck by the fact that openness, transparency, and full disclosure and apology when indicated

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34055/psn-pdf
     March 07, 2005 - As a result, Medicare served as an important facilitator of safety efforts due to the fact that hospitals

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39322/psn-pdf
     February 24, 2010 - complications-and-death-start-new-academic-year-there-july-phenomenon Trauma patients admitted in the early weeks of the academic year were in fact

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39192/psn-pdf
     February 02, 2011 - This risk was borne out in the study, as patients who received the contraindicated medications did in fact

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35565/psn-pdf
     June 16, 2011 - discussing errors seems to be a greater challenge in medicine than in aviation, which may derive from the fact

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45537/psn-pdf
     July 27, 2018 - Most patient safety research and initiatives have focused on the hospital environment, despite the fact

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44948/psn-pdf
     February 14, 2017 - In the preface, the authors say the title reflects the fact that most current safety initiatives are

129. For Our Patients and Their Visitors: Help Prevent Infections. | PSNet
     psnet.ahrq.gov/issue/our-patients-and-their-visitors-help-prevent-infections
     May 08, 2013 - Fact Sheet/FAQs For Our Patients and Their Visitors: Help Prevent Infections.

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37701/psn-pdf
     February 22, 2011 - Incident reporting systems are ubiquitous, but are limited by low clinician reporting rates and the fact

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37480/psn-pdf
     January 23, 2008 - The authors conclude that physicians are in fact engaged in discussing errors but that current systems

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38865/psn-pdf
     April 04, 2011 - This need was felt most strongly by parents with limited English skills, and in fact, prior research

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852699/psn-pdf
     August 30, 2023 - ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety https://www.hhs.gov/ https://www.hhs.gov/about/news/2023/05/09/fact-sheet-end-of-the-covid … //psnet.ahrq.gov/primer/telehealth-and-patient-safety https://www.hhs.gov/about/news/2023/05/10/hhs-fact-sheet-telehealth-flexibilities-resources-covid … https://www.medicaid.gov/medicaid/home-community-based-services/index.html https://www.cms.gov/newsroom/fact-sheets … cms-waivers-flexibilities-and-transition-forward-covid-19-public-health-emergency https://www.cms.gov/newsroom/fact-sheets

134. A 60-year-old man with delayed care for a renal mass. | PSNet
     psnet.ahrq.gov/issue/60-year-old-man-delayed-care-renal-mass
     January 31, 2024 - The fact that JAMA chose a clinical scenario focusing on systems failures mirrors past efforts in the

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866055/psn-pdf
     May 29, 2024 - https://www.cms.gov/newsroom/fact-sheets/eliminating- serious-preventable-and-costly-medical-errors-never-events … insights/what-is-a-bundle https://www.ihi.org/insights/what-is-a-bundle https://www.cms.gov/newsroom/fact-sheets … eliminating-serious-preventable-and-costly-medical-errors-never-events https://www.cms.gov/newsroom/fact-sheets … https://www.who.int/news-room/fact-sheets/detail/patient-safety  7. … outpatient-surgery/the-magazine/article/the-high-cost-of-retained-surgical-items https://www.who.int/news-room/fact-sheets

136. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.341_slideshow.ppt
     March 01, 2015 - PowerPoint Presentation Spotlight Two Wrongs Don't Make a Right (Kidney) This presentation is based on the March 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: John G. DeVine, MD, Professor of Orthopaedic Surgery, Medical College of Georgia Ed…

137. Polypharmacy | PSNet
     psnet.ahrq.gov/web-mm/polypharmacy
     March 01, 2007 - The patient accepted the risperidone without disclosing this fact to his caregiver or case manager. … In fact, the community pharmacy had a fully accurate list only 25% of the time (versus only 8% with primary … An additional issue is the fact that some expensive drugs (like the depot injections of risperidone)

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37706/psn-pdf
     December 23, 2016 - the importance of dosing errors (eg, weight-related and calculation-related errors), as well as the fact

139. CPS Annual Reports. | PSNet
     psnet.ahrq.gov/issue/cps-annual-reports
     March 25, 2009 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41119/psn-pdf
     July 03, 2016 - Despite this sobering fact, a recent review found virtually no proven mechanisms for detecting or preventing