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psnet.ahrq.gov/issue/crossing-communication-chasm-challenges-and-opportunities-transitions-care-hospital-primary
October 23, 2024 - October 19, 2022
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
September 11, 2023 - In fact, often it was considered a badge of honor that we have IV poles and that we do whatever we have … shown if those same workers take a little bit of time off and address their problems or symptoms, in fact … In fact, I think a lot of the fatigue probably comes from illness. … Those same people that are rating all of us need to help us account for the fact that at times our productivity
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psnet.ahrq.gov/node/33731/psn-pdf
June 01, 2012 - I came away highly impressed with many aspects of the British health care system, particularly
the fact … the Department of Health.(4,5) As British safety expert Professor Charles
Vincent points out, the fact … Although both felt mounting pressures to address safety problems, the
fact that these pressures came
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psnet.ahrq.gov/node/33675/psn-pdf
October 01, 2008 - https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-
MLN/MLNProducts/Downloads/wPOA-Fact-Sheet.pdf … https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/wPOA-Fact-Sheet.pdf … https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/wPOA-Fact-Sheet.pdf
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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - In fact, one of the most
sophisticated studies found that undesirable events were committed as frequently … The killing season—fact or fiction? BMJ. 1994;309:1690. [go to PubMed]
6. Blumberg MS. … The "July phenomenon" and the
care of the severely injured patient: fact or fiction?
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psnet.ahrq.gov/node/33754/psn-pdf
September 01, 2013 - 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 … 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/node/46730/psn-pdf
May 03, 2018 - Physician gender and apologies in clinical interactions.
May 3, 2018
Hill KM, Blanch-Hartigan D. Physician gender and apologies in clinical interactions. Patient Educ Couns.
2018;101(5):836-842. doi:10.1016/j.pec.2017.12.005.
https://psnet.ahrq.gov/issue/physician-gender-and-apologies-clinical-interactions
This si…
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psnet.ahrq.gov/node/34737/psn-pdf
November 19, 2015 - First, Do No Harm Part 1: A Case Study of Systems
Failure.
November 19, 2015
Chicago: Partnership for Patient Safety, Harvard Risk Management Foundation; 2000.
https://psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure
This video, produced by the Partnership for Patient Safety and the Harvard …
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psnet.ahrq.gov/node/33843/psn-pdf
October 01, 2017 - In fact, often it was considered a badge of honor that we
have IV poles and that we do whatever we have … shown if those same workers take a little bit of time off and address their problems or symptoms, in
fact … In fact, I think a lot of the fatigue probably comes from illness. … Those same people that are rating all of us need to help us account for the fact that at times
our productivity
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - and nurse's aide reviewed the events and suggested to the mother that the administered milk might, in fact … , be hers—despite the fact that the initials on the bottle were not those of her child. … Misappropriated human milk: fantasy, fear, and fact regarding infectious risk.
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psnet.ahrq.gov/issue/hand-hygiene-among-physicians-performance-beliefs-and-perceptions
January 14, 2011 - The U.S Centers for Disease Control and Prevention provides guidelines, fact sheets, a press kit, and
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psnet.ahrq.gov/issue/effect-illness-severity-and-comorbidity-patient-safety-and-adverse-events
December 01, 2011 - These findings are supported by the fact that intensive care unit patients have consistently been shown
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psnet.ahrq.gov/issue/anticoagulant-medication-errors-nursing-homes-characteristics-causes-outcomes-and-association
December 15, 2011 - authors recommend several potential solutions, but any interventions will likely also have to address the fact
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psnet.ahrq.gov/issue/beating-weekend-trend-increased-mortality-older-adult-traumatic-brain-injury-tbi-patients
December 21, 2014 - traumatic brain injury did find increased mortality for those patients admitted on the weekend, despite the fact
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psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial
November 30, 2016 - Readmissions and adverse events after discharge are a continued patient safety problem, as evidenced by the fact
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psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome
May 15, 2013 - Investigators analyzed data from twelve studies and discovered that medication prescription errors are in fact
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psnet.ahrq.gov/issue/adverse-drug-events-among-hospitalized-medicare-patients-epidemiology-and-national-estimates
April 05, 2016 - common among patients receiving high-risk medications such as warfarin , insulin, and heparin —in fact
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psnet.ahrq.gov/issue/multimodal-system-designed-reduce-errors-recording-and-administration-drugs-anaesthesia
September 26, 2012 - The anesthesia field has long been a leader in patient safety, and in fact, some of the earliest studies
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psnet.ahrq.gov/issue/attitudes-and-barriers-medical-emergency-team-system-tertiary-paediatric-hospital
April 11, 2011 - The impact of these teams is limited by the fact that they may be underutilized .
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psnet.ahrq.gov/issue/assessing-relationship-between-patient-safety-culture-and-ehr-strategy
December 21, 2018 - In fact, fewer patient safety events were reported following EHR adoption, which may reflect safer care