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psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-care-coordination-veterans
July 27, 2022 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact
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psnet.ahrq.gov/issue/crossing-academic-boundaries-diagnostic-safety-10-complex-challenges-and-potential-solutions
November 30, 2022 - December 6, 2013
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/adapting-cognitive-task-analysis-investigate-clinical-decision-making-and-medication-safety
March 10, 2021 - September 1, 2016
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/web-mm/danger-disruption
July 29, 2020 - The fact that the 23-month-old child eventually received intravenous fluids and had no sequelae from
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psnet.ahrq.gov/issue/medication-safety-issue-brief-bar-code-implementation-strategies
June 17, 2014 - Fact Sheet/FAQs
Medication safety issue brief.
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psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-knowledge-analytic
September 07, 2011 - December 6, 2013
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/node/841468/psn-pdf
December 14, 2022 - This finding was attributed to the fact that the inexperienced anesthesia care
provider was unaware … of the fact that motor evoked potentials can cause an anesthetized patient’s jaw to
clench quite strongly
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psnet.ahrq.gov/node/49867/psn-pdf
July 02, 2019 - Loop diuretics therefore
do not cause hyponatremia, and in fact may cause hypernatremia when water losses … In fact, patients treated with thiazides generally don't experience
meaningfully altered serum sodium
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psnet.ahrq.gov/issue/patient-specific-electronic-decision-support-reduces-prescription-excessive-doses
November 02, 2010 - Clinicians accepted one in four of the CDSS warnings—a seemingly low proportion that is, in fact, much
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psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
January 07, 2015 - provides interesting, though common, examples of how seemingly benign decisions or designs can, in fact … Third, if users are successful in overcoming the system, this may hide the fact that the system is flawed … January 7, 2015
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - In fact, the usual hierarchy in
the medical workplace, with physicians at the top of the heap, is set … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
In fact … In fact,
he has been known to throw things in the OR, and let’s say he has good aim.
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psnet.ahrq.gov/node/49613/psn-pdf
November 01, 2010 - 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/node/33642/psn-pdf
November 01, 2006 - In fact, rather than getting in the way, we come to count on it. … But on the other
hand, that's a fact of life—people cannot pay attention all the time, and not everybody … we may be able to take advantage of what we've learned
from errors in other industries and also the fact
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psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care
September 19, 2013 - Related Resources From the Same Author(s)
The science of human factors: separating fact
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psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take
February 10, 2010 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact
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psnet.ahrq.gov/issue/exploring-barriers-and-facilitators-use-computerized-clinical-reminders
November 05, 2015 - November 5, 2015
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/pursuit-better-diagnostic-performance-human-factors-perspective
September 24, 2017 - December 6, 2013
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/emergency-department-communication-links-and-patterns
October 23, 2013 - Resilience Engineering
June 1, 2019
The science of human factors: separating fact
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psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverse
August 15, 2012 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact
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psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals
December 09, 2009 - Fact Sheet/FAQs
Classic
10 Patient Safety Tips for Hospitals