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psnet.ahrq.gov/node/49612/psn-pdf
November 01, 2010 - This need for transitional care is evidenced by the fact that
timely follow-up with a nurse or primary … In
fact, failure to follow up on TPADs is the source of 25% of all diagnosis-related malpractice lawsuits … In fact, Poon and colleagues (10) found that neither hospitalists nor primary care physicians are
satisfied
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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/web-mm/no-bp-during-nibp
March 01, 2011 - 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
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psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
December 01, 2005 - 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/33757/psn-pdf
October 01, 2013 - In fact, multidetector row CT technology and advanced protocols have
revolutionized the diagnosis and … Radiation risks of medical imaging: separating fact from fantasy. Radiology.
2012;264:312-321.
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psnet.ahrq.gov/issue/partnering-va-stakeholders-develop-comprehensive-patient-safety-data-display-lessons-learned
September 25, 2019 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact
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psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
August 18, 2021 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact
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psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - In fact, they were instructed not to comment on the care provided by the initial
hospital in any way … Of course, the fact that the patient has died does not mean that the information
disclosed is no longer … This case is complicated by the fact that the disclosing physicians are not the physicians who made the
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psnet.ahrq.gov/node/33679/psn-pdf
January 01, 2009 - In fact, programs that tie offers of compensation
to disclosure often promote an initial conversation
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psnet.ahrq.gov/issue/measures-patient-safety-developing-and-emerging-countries-review-literature
April 05, 2017 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact
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psnet.ahrq.gov/issue/medication-safety-issue-brief-small-and-rural-hospitals-unique-challenges-unique-solutions
June 17, 2014 - Fact Sheet/FAQs
Medication safety issue brief.
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psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care
December 21, 2017 - September 9, 2010
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/self-reported-violations-during-medication-administration-two-paediatric-hospitals
December 01, 2010 - January 7, 2015
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/effects-mental-demands-during-dispensing-perceived-medication-safety-and-employee-well-being
May 16, 2012 - June 9, 2011
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/value-human-factors-medication-and-patient-safety-intensive-care-unit
December 01, 2010 - January 7, 2015
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/review-medical-error-reporting-system-design-considerations-and-proposed-cross-level-systems
May 16, 2012 - December 1, 2010
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/typology-electronic-health-record-workarounds-small-medium-size-primary-care-practices
November 30, 2016 - July 6, 2022
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/toward-theoretical-approach-medical-error-reporting-system-research-and-design
November 30, 2011 - April 14, 2011
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - The fact that the latter report was written by the Department of Health is quite important because I … In fact, the economic incentives in hospitals still work against risk management to some extent because … The fact that reporting systems per se are not going to sort all our safety problems should not be blamed
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psnet.ahrq.gov/issue/association-between-end-rotation-resident-transition-care-and-mortality-among-hospitalized
August 15, 2018 - The accompanying editorial notes that some of the mortality increase may be accounted for by the fact