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psnet.ahrq.gov/issue/serious-adverse-events-reports
November 10, 2011 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact
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psnet.ahrq.gov/issue/impact-comprehensive-unit-based-safety-program-cusp-safety-culture-surgical-inpatient-unit
January 03, 2017 - Efforts to improve safety culture within an institution may be limited by the fact that hospital units
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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/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/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/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/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/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
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psnet.ahrq.gov/issue/intervention-reduce-transmission-resistant-bacteria-intensive-care
February 29, 2012 - No reduction in colonization or infection was found, in part attributable to the fact that use of barrier
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psnet.ahrq.gov/issue/complications-and-death-start-new-academic-year-there-july-phenomenon
February 13, 2008 - Trauma patients admitted in the early weeks of the academic year were in fact more likely to experience
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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/association-between-mobile-telephone-interruptions-and-medication-administration-errors
June 29, 2009 - associated with medication administration errors; the authors speculate that this may be attributable to 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/perspective/conversation-paul-mcgann-md
July 10, 2024 - Thousands of hospitals, in fact in some states it's mandated, use that for things like central line–associated … with 5000 hospitals, if you look at how people do quality improvement and work on patient safety, the fact … The fact that you were involved in making this work happen and facilitated it, that it provides an information … And in fact, with TCPI [Transforming Clinical Practice Initiative] we made that a priority.
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psnet.ahrq.gov/node/33612/psn-pdf
May 01, 2005 - The margin of cure and of harm is often razor thin; this is a fact of life for patients
and clinicians … "(2) In fact, we reported to the Globe 8 years of data from our confidential incident reporting
system
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psnet.ahrq.gov/node/866265/psn-pdf
July 31, 2024 - psnet.ahrq.gov//#3
https://psnet.ahrq.gov//#4
https://psnet.ahrq.gov/issue/science-human-factors-separating-fact-fiction … The science of human factors: separating fact from fiction.
BMJ Qual Saf. 2013;22(10):802-808.
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psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah
October 12, 2022 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact
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psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient-harm
October 12, 2022 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact