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Total Results: 1,384 records

Showing results for "fact".

261. Correlates of the third victim phenomenon. | PSNet
     psnet.ahrq.gov/issue/correlates-third-victim-phenomenon
     September 18, 2019 - September 1, 2016 The science of human factors: separating fact from fiction.

262. Critical Deficiencies at the Washington DC VA Medical Center. | PSNet
     psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center
     December 16, 2020 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact

263. An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. | PSNet
     psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system
     June 01, 2019 - September 19, 2018 The science of human factors: separating fact from fiction.

264. Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. | PSNet
     psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications
     March 16, 2022 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact

265. The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. | PSNet
     psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking
     July 22, 2020 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact

266. Medical error and human factors engineering: where are we now? | PSNet
     psnet.ahrq.gov/issue/medical-error-and-human-factors-engineering-where-are-we-now
     August 04, 2021 - September 9, 2010 The science of human factors: separating fact from fiction.

267. Color coded medication safety system reduces community pediatric emergency nursing medication errors. | PSNet
     psnet.ahrq.gov/issue/color-coded-medication-safety-system-reduces-community-pediatric-emergency-nursing-medication
     April 05, 2023 - November 30, 2012 The science of human factors: separating fact from fiction.

268. Medication safety issue brief. Counterfeit drug prevention and identification. | PSNet
     psnet.ahrq.gov/issue/medication-safety-issue-brief-counterfeit-drug-prevention-and-identification
     June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief.

269. FDA Pharmacists Help Consumers Use Medicines Safely. | PSNet
     psnet.ahrq.gov/issue/fda-pharmacists-help-consumers-use-medicines-safely
     September 02, 2016 - Fact Sheet/FAQs FDA Pharmacists Help Consumers Use Medicines Safely.

270. Explicit and Standardized Prescription Medicine Instructions. | PSNet
     psnet.ahrq.gov/issue/explicit-and-standardized-prescription-medicine-instructions
     May 01, 2015 - Fact Sheet/FAQs Explicit and Standardized Prescription Medicine Instructions.

271. Patient Safety Challenge Grants. | PSNet
     psnet.ahrq.gov/issue/patient-safety-challenge-grants
     December 24, 2008 - Fact Sheet/FAQs Patient Safety Challenge Grants.

272. Quick Tips--When Planning for Surgery. | PSNet
     psnet.ahrq.gov/issue/quick-tips-when-planning-surgery-0
     December 18, 2008 - Fact Sheet/FAQs Quick Tips--When Planning for Surgery.

273. In Conversation with...Lucian Leape, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
     August 01, 2006 - He took an interest in the fact that I had some training in health policy work. … And although I've been outspoken about saying "it's not bad people; it's bad systems," the fact is that … LL: On the apology front, I'm very concerned that people put too much emphasis on the fact that this … I've been struck by the fact that openness, transparency, and full disclosure and apology when indicated … In fact, most of the discussions were about all of the other kinds of things that can go wrong.

274. Getting Into Patient Safety: A Personal Story | PSNet
     psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
     August 01, 2006 - In fact, most of the discussions were about all of the other kinds of things that can go wrong. … He took an interest in the fact that I had some training in health policy work. … And although I've been outspoken about saying "it's not bad people; it's bad systems," the fact is that … LL: On the apology front, I'm very concerned that people put too much emphasis on the fact that this … I've been struck by the fact that openness, transparency, and full disclosure and apology when indicated

275. Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings. | PSNet
     psnet.ahrq.gov/issue/safe-practice-recommendations-use-copy-forward-nursing-flow-sheets-hospital-settings
     May 18, 2022 - Efforts to limit copying and pasting will likely continue to be hindered by the fact that most clinicians

276. Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. | PSNet
     psnet.ahrq.gov/issue/challenges-and-remediation-patient-safety-indicators-transition-icd-10-cm
     September 23, 2020 - This method is limited by the fact that the ICD-9 diagnosis coding system does not specifically define

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49719/psn-pdf
     September 01, 2014 - Moreover, the fact that the patient likely had no serious adverse effects was good fortune—had the blood … documented as a new measurement, reflective of the current state of the patient's physiology, when in fact … pressure values or at least show their age, and the device also could have alerted the CRNA to the fact

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49536/psn-pdf
     May 01, 2007 - pressure (BP) in both arms (if there is more arteritis in one of the arm arteries than the other), and in fact … But, in fact, the issues presented by this case have little to do with the patient's medical diagnosis … The fact that critical information needs to be entered in multiple places (i.e., in the medical record

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49713/psn-pdf
     June 01, 2014 - In fact, CVC removal while a patient is in an upright position, as described in this case, has been … The fact that the training "included one slide on proper removal technique" suggests that this education … It is not mentioned whether this physician had experience in removing CVCs, but the fact that he was

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33832/psn-pdf
     April 01, 2017 - 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.