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psnet.ahrq.gov/issue/hamilton-father-misdiagnosed-lung-cancer-demands-answers
September 13, 2017 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact
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psnet.ahrq.gov/issue/bar-code-label-requirements-blood-and-blood-components
May 04, 2015 - Fact Sheet/FAQs
Bar Code Label Requirements for Blood and Blood Components.
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psnet.ahrq.gov/issue/situational-awareness-and-patient-safety-learning-package
September 13, 2017 - October 23, 2013
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/uneven-burden-maternal-mortality-us
November 15, 2011 - Fact Sheet/FAQs
The Uneven Burden of Maternal Mortality in the U.S.
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psnet.ahrq.gov/issue/learning-mistakes
March 28, 2018 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact
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psnet.ahrq.gov/issue/learning-investigations
July 28, 2013 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact
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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/safety-problems-your-childs-medical-device
January 09, 2013 - Fact Sheet/FAQs
Safety Problems With Your Child's Medical Device?
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psnet.ahrq.gov/issue/making-medical-devices-safer-home
July 31, 2013 - Fact Sheet/FAQs
Making Medical Devices Safer at Home.
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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
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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
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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.
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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.
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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.
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psnet.ahrq.gov/issue/correlates-third-victim-phenomenon
September 18, 2019 - September 1, 2016
The science of human factors: separating fact from fiction.
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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
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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.
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psnet.ahrq.gov/primer/duty-hours-and-patient-safety
September 07, 2019 - In fact, the term "resident" is a relic of times when physicians in postgraduate training literally lived … Despite this fact, available data seems to indicate that physician sleep deficits do not affect the safety
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psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
October 01, 2018 - In fact, CVC removal while a patient is in an upright position, as described in this case, has been identified … 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
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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.