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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
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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
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psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure
September 07, 2022 - Audiovisual Presentation
First, Do No Harm Part 1: A Case Study of Systems Failure.
Citation Text:
First, Do No Harm Part 1: A Case Study of Systems Failure. Chicago: Partnership for Patient Safety, Harvard Risk Management Foundation; 2000.
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psnet.ahrq.gov/perspective/conversation-charles-ornstein
October 01, 2009 - It had to do with the fact that the ACGME [Accreditation Council for Graduate Medical Education], which … The hospital was fairly forthcoming about the fact that they had made pretty terrible mistakes in the … That has to do with the fact that Joint Commission reviewers went in and found that the hospital didn't … CO: It's a great feeling, but it's tempered by the fact that when you do investigative reporting you … In fact, many of them show up on various "top hospitals" lists, which may be why celebrities frequent
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - In fact, many of them show up on various "top hospitals" lists, which may be why celebrities frequent … It had to do with the fact that the ACGME [Accreditation Council for Graduate Medical Education], which … The hospital was fairly forthcoming about the fact that they had made pretty terrible mistakes in the … That has to do with the fact that Joint Commission reviewers went in and found that the hospital didn't … CO: It's a great feeling, but it's tempered by the fact that when you do investigative reporting you
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psnet.ahrq.gov/node/865467/psn-pdf
March 27, 2024 - palliative care consultant carefully assessed the patient’s decisional capacity and
determined that in fact … with appropriate treatments, he would recover from this treatable acute medical
condition—which in fact … In this case, the fact that the patient did not get to speak with his family directly about the purported
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psnet.ahrq.gov/issue/mrsa-infections
September 26, 2018 - This fact sheet defines the methicillin-resistant Staphylococcus aureus (MRSA) bacterium, identifies
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psnet.ahrq.gov/issue/healthgrades-quality-study-second-annual-patient-safety-american-hospitals-study
October 25, 2013 - reviewing the report’s findings should bear in mind these potential methodologic shortcomings and the fact
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psnet.ahrq.gov/issue/losing-laura
June 06, 2018 - Written by the patient's husband, the article outlines the failures that led to her death despite the fact
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psnet.ahrq.gov/node/46783/psn-pdf
January 24, 2018 - Although the composite accountability score
decreased slightly, this result is thought to be due to the fact
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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
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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
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psnet.ahrq.gov/perspective/conversation-christine-cassel-md
February 26, 2025 - How does NQF deal with the fact that new science can come along and sometimes change the suitability … Yet, we know that medicine is turning digital very quickly and the fact that it becomes an NQF measure … where we were mostly doctors around the table, I was wowed by the power of the consensus model and the fact … It isn't the fact that people are being overly polite, but that at the end of the day having everyone
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psnet.ahrq.gov/node/39358/psn-pdf
October 13, 2010 - the dimensions that affect staff behavior
most directly (e.g., fear of blame and punishment) were in fact
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psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods-analysis
October 21, 2020 - breakdowns in communication and patient education contributing to medication adverse events, and (3) the fact
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psnet.ahrq.gov/issue/should-all-duty-hours-be-same-results-national-survey-surgical-trainees
October 19, 2022 - In fact, the same respondents expressed a desire to work more hours.
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psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
November 01, 2012 - One of the truisms about such crafts is that if they are not taught or valued, they will in fact die … In fact, I'm looking to the American Board of Internal Medicine to turn the ship around—to make it the … In fact, the Stanford Medicine 25 has been taken over by a generation of young hospitalists here who … The fact that you can now have it all in one screen is just amazing. It's just wonderful. … In fact, we take a history from the patient. The word history has the word story embedded in it.
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psnet.ahrq.gov/node/38986/psn-pdf
February 10, 2015 - policy
has catalyzed efforts to realign payment incentives and patient safety efforts, despite the fact
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psnet.ahrq.gov/node/38206/psn-pdf
January 15, 2009 - This analysis of data from a previous randomized trial of RRS found that
such teams did in fact result
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psnet.ahrq.gov/node/40422/psn-pdf
December 21, 2014 - of sleep prior to performing surgery has also been associated with
surgical complications, and in fact