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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - You can envision that many hospitals may figure out ways to document care well, but may in fact not be … That in fact, hospitals should be paying for things that shouldn't happen, and that this type of policy … But if, in fact, the Medicare payment system remains a DRG-like system where we will pay for a given … Many of the things that people talk about as safety issues in fact are. … Well, in fact, it is. What we don't really know is how to fix that.
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psnet.ahrq.gov/primer/duty-hours-and-patient-safety
June 15, 2024 - In fact, the term "resident" is a relic of times when physicians in postgraduate training literally lived … Despite this fact, available data seems to indicate that physician sleep deficits do not affect the safety
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psnet.ahrq.gov/issue/oncology-nurses-beliefs-and-attitudes-towards-double-check-chemotherapy-medications-cross
September 07, 2016 - Most nurses endorsed double-checking as an effective safety tool, despite the fact that double-checking
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psnet.ahrq.gov/issue/use-handheld-computer-application-voluntary-medication-event-reporting-inpatient-nurses-and
February 16, 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/association-between-hospital-performance-patient-safety-and-30-day-mortality-and-unplanned
June 22, 2022 - inaccurate measures of the quality of care, the authors conclude that readmission and mortality rates do in fact
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psnet.ahrq.gov/issue/maximizing-student-potential-lessons-pharmacy-programs-patient-safety-movement
October 23, 2024 - May 22, 2019
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/health-economic-evaluation-infection-prevention-and-control-program-are-quality-and-patient
June 02, 2021 - individual hospitals —who often shoulder most of the implementation costs of prevention efforts—may in fact
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psnet.ahrq.gov/issue/biases-detection-apparent-weekend-effect-outcome-administrative-coding-data-population-based
September 23, 2020 - The weekend effect refers to the fact that mortality for several common conditions is higher in patients
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psnet.ahrq.gov/node/33839/psn-pdf
August 01, 2017 - 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
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psnet.ahrq.gov/node/49872/psn-pdf
August 08, 2019 - Low Back Pain Fact Sheet. … www.betsylehmancenterma.gov/initiatives/diagnostic-errors
https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets … /Low-Back-Pain-Fact-Sheet
2.
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psnet.ahrq.gov/perspective/conversation-kathleen-sutcliffe-mn-phd
April 26, 2023 - In fact, knowing that we've been on this good run sometimes contributes to less vigilance rather than … In fact, somebody came up to me at the break and said "I fell over something the other day." … In fact, I think about high reliability organizing as a means for rescuing.
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psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
December 18, 2019 - 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/node/45759/psn-pdf
July 11, 2017 - The accompanying editorial
notes that some of the mortality increase may be accounted for by the fact
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psnet.ahrq.gov/submit-your-toolkit-landing
Examples of types of resources in our current toolkits section include Fact Sheets, Measurement Tools
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psnet.ahrq.gov/issue/effect-hospital-electronic-health-record-adoption-nurse-assessed-quality-care-and-patient
March 28, 2012 - relatively simple EHRs (including clinical documentation and computerized provider order entry ) did in fact
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psnet.ahrq.gov/issue/your-medicine-be-smart-be-safe
March 22, 2017 - Fact Sheet/FAQs
Your Medicine, Be Smart, Be Safe.
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psnet.ahrq.gov/issue/ahrq-projects-prevent-healthcare-associated-infections-fiscal-year-2011
May 07, 2014 - Fact Sheet/FAQs
AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal
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psnet.ahrq.gov/issue/safety-you-go-hospital-home
November 23, 2016 - Fact Sheet/FAQs
Safety as You Go from Hospital to Home.
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psnet.ahrq.gov/issue/medication-safety-issue-brief-medication-reconciliation
June 17, 2014 - Fact Sheet/FAQs
Medication safety issue brief.
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psnet.ahrq.gov/issue/preventing-medication-errors-21-billion-opportunity
December 03, 2008 - Fact Sheet/FAQs
Preventing Medication Errors: A $21 Billion Opportunity.