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psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
May 01, 2015 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact
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psnet.ahrq.gov/web-mm/check-bags
January 03, 2017 - The fact that the patient-to-nurse ratio in the ICU is usually less than or equal to 2:1, while a single … Critical Care Nursing Fact Sheet.
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psnet.ahrq.gov/web-mm/citrate-mix
February 01, 2010 - citra ) caused the pharmacist to interpret these agents as generic equivalents of one another, when in fact … In fact, Micromedex identifies at least five citric acid/citrate products in various combinations and
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psnet.ahrq.gov/node/49757/psn-pdf
April 01, 2016 - first critical to
understand what it is about a situation that the physician must be aware of.(6) In fact … In fact, many of the issues
that threaten the safety of hospitalized patients, including catheter–associated
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psnet.ahrq.gov/node/49649/psn-pdf
March 01, 2012 - In
fact, most Vietnamese patients with mental disorders present with somatic complaints.(3) A related … fact is
that many Vietnamese have experienced significant trauma; therefore, posttraumatic stress disorder
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psnet.ahrq.gov/node/33621/psn-pdf
November 01, 2005 - In fact, hospitals that have implemented
RRTs have anecdotally reported an increase in nurse satisfaction … This is, in fact, two questions. The first is—how can we afford an RRT program?
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psnet.ahrq.gov/node/33653/psn-pdf
June 01, 2007 - In fact, when we looked at the graphic of the vials that accompanied the commentary, we felt that
https
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psnet.ahrq.gov/node/49587/psn-pdf
May 01, 2009 - In fact, survival rates in modern urban trauma centers for patients with
stab wounds to the heart who … In fact, the opposite scenario is more common: a patient who has
suffered a primary cardiac or neurologic
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psnet.ahrq.gov/node/33876/psn-pdf
August 01, 2018 - The fact that a given practice—whether it's a change in workflow or
a computerized reminder—worked in … The fact that most safety is local is an important truth to appreciate, but it is no excuse for the central
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psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - The fact that those measures were so
powerfully associated with outcomes only speaks to how important … The fact that the bottom quartile of surgeons ranked on skill had rates of complications,
reoperations … But whether our
instrument and our approach to assessing skill is in fact the optimal one is unclear
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - This latter example may lead hospitals to believe that they have improved
care when in fact they have … limited number of clinical areas for which public reporting has been implemented
and in light of the fact … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
benefited from immunization, there was in fact
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - The fact that 70% of change initiatives are estimated to fail supports this theory.( 6 ) How, then, can … Systems need to be able to cope with the fact that there will be some people, even if a very small number … And that literature, in fact, predicted the Enron disaster a couple of years before it happened. … see with patient safety or other quality improvement interventions a rush to implementation, when in fact … MDW : That is, in fact, where my current research program is going.
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psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - 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/node/49751/psn-pdf
January 01, 2016 - One study demonstrated that wrong-patient errors are most common in outpatient
practices; in fact, the … In fact, one of
these SAFER Guides is dedicated to the subject of patient identification and offers
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psnet.ahrq.gov/web-mm/medication-overdose
September 01, 2011 - In fact, one of the most publicized medical errors in recent years involved a very similar fatal misinterpretation … The potential for this potentially disastrous medication substitution is accentuated by the fact that
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psnet.ahrq.gov/node/49424/psn-pdf
November 01, 2003 - In
fact, the American College of Obstetrics and Gynecology (ACOG) and JCAHO now mandate "immediate … Regretfully, local anesthesia techniques for cesarean section
are rarely taught to obstetrical residents; in fact
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psnet.ahrq.gov/node/33745/psn-pdf
February 01, 2013 - In fact, consumers may be confused by the
number and variety of recommendations, finding many to be … Five Steps to Safer HealthCare: Patient Fact Sheet.
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psnet.ahrq.gov/node/49622/psn-pdf
March 01, 2011 - provides interesting, though common, examples of how seemingly benign decisions or designs
can, in fact … Third, if users are successful in overcoming the system, this may hide the
fact that the system is flawed
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psnet.ahrq.gov/node/49836/psn-pdf
July 01, 2018 - "(3) Not all workarounds are bad; in fact, they may improve patient
outcomes by promoting timely care … In fact, studies of multiple industries show that workarounds are inevitable, which means that
rather
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psnet.ahrq.gov/node/49797/psn-pdf
June 01, 2017 - Despite the fact that a significant proportion of ED patients have
underlying behavioral health disorders … Interventions to Reduce Diagnostic Errors
The case above highlights the fact that diagnostic errors