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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
May 01, 2011 - In fact, they were instructed not to comment on the care provided by the initial hospital in any way.
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psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
February 26, 2025 - The patient dies; in fact it later becomes very difficult to connect Kimberly's actions to the patient's … In fact, I would like to make a claim (and I do in my latest book) that there is a very strong link between … field to help, to heal, to care, to cure—they feel personally responsible for not doing it well and in fact … Nothing punitive, in fact inquiring, what will the hospital do for this doctor so that he or she is taken
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psnet.ahrq.gov/issue/error-stress-and-teamwork-medicine-and-aviation-cross-sectional-surveys
June 16, 2011 - discussing errors seems to be a greater challenge in medicine than in aviation, which may derive from the fact
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psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care
July 29, 2015 - Patient safety in ambulatory care is garnering more attention, in recognition of the fact that most
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psnet.ahrq.gov/issue/lost-opportunities-how-physicians-communicate-about-medical-errors
July 10, 2008 - The authors conclude that physicians are in fact engaged in discussing errors but that current systems
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psnet.ahrq.gov/issue/medical-emergency-team-system-and-not-resuscitation-orders-results-merit-study
June 02, 2010 - 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/issue/adverse-events-hospitalized-pediatric-patients
July 11, 2017 - conditions at children's hospitals and speculates that these discordant findings could be due to the fact
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psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-counts
May 08, 2013 - Given that manual counting is questionably effective at best, the fact that it is associated with worsened
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psnet.ahrq.gov/issue/measuring-patient-safety-climate-review-surveys
June 14, 2011 - In fact, at this point, only the Safety Attitudes Questionnaire (SAQ) has been subjected to studies
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psnet.ahrq.gov/issue/persistent-next-day-effects-excessive-alcohol-consumption-laparoscopic-surgical-performance
August 25, 2011 - of sleep prior to performing surgery has also been associated with surgical complications, and in fact
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psnet.ahrq.gov/issue/frequency-and-significance-discrepancies-surgical-count
March 02, 2011 - observation to address these questions, and revealed some limitations of the counting process, including the fact
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psnet.ahrq.gov/issue/leadership-safety-climate-and-continuous-quality-improvement-impact-process-quality-and
May 24, 2006 - be sufficient to prevent adverse safety outcomes; for example, hospital-acquired conditions may in fact
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psnet.ahrq.gov/issue/are-patient-safety-indicators-related-widely-used-measures-hospital-quality
December 01, 2010 - Prior research has also questioned the validity of using PSIs to compare hospital performance, and in fact
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psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
February 10, 2015 - As a result, Medicare served as an important facilitator of safety efforts due to the fact that hospitals
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psnet.ahrq.gov/issue/patient-safety-ambulatory-settings
June 08, 2011 - Most patient safety research and initiatives have focused on the hospital environment, despite the fact
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psnet.ahrq.gov/issue/refocusing-lens-patient-safety-ambulatory-chronic-disease-care
December 19, 2018 - within ambulatory safety, few studies address safety issues in chronic disease management , despite the fact
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psnet.ahrq.gov/issue/how-do-hospitalized-patients-feel-about-resident-work-hours-fatigue-and-discontinuity-care
July 02, 2008 - Investigators were surprised to learn that the majority of patients were in fact not concerned about
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psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va
October 14, 2009 - 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/contraindicated-medication-use-dialysis-patients-undergoing-percutaneous-coronary
February 03, 2011 - This risk was borne out in the study, as patients who received the contraindicated medications did in fact
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psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
September 30, 2010 - The American College of Surgeons offers a fact sheet on correct-site surgery geared toward patient