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Total Results: 1,384 records

Showing results for "fact".

181. Swiss Cheese Model | PSNet
     psnet.ahrq.gov/glossary/swiss-cheese-model
     September 13, 2021 - In fact, many of the systems problems discussed by Reason and others—poorly designed work schedules,

182. Medicare's policy not to pay for treating hospital-acquired conditions: the impact. | PSNet
     psnet.ahrq.gov/issue/medicares-policy-not-pay-treating-hospital-acquired-conditions-impact
     December 04, 2024 - policy has catalyzed efforts to realign payment incentives and patient safety efforts, despite the fact

183. Accidental exposures to fentanyl patches continue to be deadly to children. | PSNet
     psnet.ahrq.gov/issue/fentanyl-patch-can-be-deadly-children
     January 13, 2021 - Fact Sheet/FAQs Accidental exposures to fentanyl patches continue to be deadly to

184. Oral Dosage Forms that Should Not Be Crushed. | PSNet
     psnet.ahrq.gov/issue/oral-dosage-forms-should-not-be-crushed
     January 26, 2023 - Fact Sheet/FAQs Oral Dosage Forms that Should Not Be Crushed.

185. 10 Medication Safety Tips for Hospitalized Patients. | PSNet
     psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
     February 06, 2019 - Fact Sheet/FAQs 10 Medication Safety Tips for Hospitalized Patients.

186. Choosing a Patient Safety Organization | PSNet
     psnet.ahrq.gov/issue/choosing-patient-safety-organization
     April 01, 2020 - Fact Sheet/FAQs Choosing a Patient Safety Organization Citation Text:

187. Questions and Answers on FDA's Adverse Event Reporting System (FAERS). | PSNet
     psnet.ahrq.gov/issue/questions-and-answers-fdas-adverse-event-reporting-system-faers
     January 13, 2021 - Fact Sheet/FAQs Questions and Answers on FDA's Adverse Event Reporting System (FAERS

188. Right tech dose helps medicine go down. | PSNet
     psnet.ahrq.gov/issue/right-tech-dose-helps-medicine-go-down
     October 28, 2020 - July 16, 2014 The science of human factors: separating fact from fiction.

189. Diagnostic Errors | PSNet
     psnet.ahrq.gov/primer/diagnostic-errors
     June 15, 2024 - Diagnostic error has received comparatively less attention, despite the fact that landmark patient safety … In fact, current quality measurements do not take diagnostic accuracy into account at all, meaning that

190. Nurse–patient ratios as a patient safety strategy: a systematic review. | PSNet
     psnet.ahrq.gov/issue/nurse-patient-ratios-patient-safety-strategy-systematic-review
     March 20, 2013 - However, implementation of this strategy is limited by the fact that no study yet has prospectively evaluated

191. The occurrence of potential patient safety events among trauma patients: are they random? | PSNet
     psnet.ahrq.gov/issue/occurrence-potential-patient-safety-events-among-trauma-patients-are-they-random
     July 19, 2018 - AHRQ's Patient Safety Indicators , this study discovered that events expected to be random in nature in fact

192. Interns overestimate the effectiveness of their hand-off communication. | PSNet
     psnet.ahrq.gov/issue/interns-overestimate-effectiveness-their-hand-communication
     March 02, 2011 - Signouts by pediatric interns failed to communicate essential information 40% of the time, despite the fact

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33788/psn-pdf
     June 01, 2015 - How does NQF deal with the fact that new science can come along and sometimes change the suitability … psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba http://dx.doi.org/10.1056/NEJMoa1401602 fact … 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

194. Don’t Bite Your Tongue. | PSNet
     psnet.ahrq.gov/web-mm/dont-bite-your-tongue
     September 18, 2024 - This finding was attributed to the fact that the inexperienced anesthesia care provider was unaware of … the fact that motor evoked potentials can cause an anesthetized patient’s jaw to clench quite strongly

195. In Conversation With… Karl Bilimoria, MD, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms
     April 19, 2023 - Not everybody will in fact use all of the flexibility. … In fact, for any of the other patient outcomes, there were no differences. … And the fact that we were able to cut that in half. … Once the trial came out, the evidence was clear there was no harm to patients, and in fact the residents

196. What is Correct-Site Surgery? | PSNet
     psnet.ahrq.gov/issue/what-correct-site-surgery
     October 15, 2018 - Fact Sheet/FAQs What is Correct-Site Surgery?

197. Eliminating Dangerous Abbreviations, Acronyms and Symbols. | PSNet
     psnet.ahrq.gov/issue/eliminating-dangerous-abbreviations-acronyms-and-symbols
     June 17, 2014 - Fact Sheet/FAQs Eliminating Dangerous Abbreviations, Acronyms and Symbols.

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45330/psn-pdf
     August 03, 2016 - inaccurate measures of the quality of care, the authors conclude that readmission and mortality rates do in fact

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45183/psn-pdf
     July 20, 2016 - In fact, fewer patient safety events were reported following EHR adoption, which may reflect safer care

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43539/psn-pdf
     March 26, 2015 - This method is limited by the fact that the ICD-9 diagnosis coding system does not specifically define