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psnet.ahrq.gov/node/60865/psn-pdf
August 31, 2020 - That's just a fact. … The discussion lands on the fact that Cindy is a ‘person.’ … It doesn't change the fact that the nurse needs to do a clear, concise assessment
and have it documented
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psnet.ahrq.gov/node/867676/psn-pdf
February 26, 2025 - Responding to Patient Safety Events
February 26, 2025
Shaikh U. Responding to Patient Safety Events. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/responding-patient-safety-events
Background
Patient safety events that occur in health care facilities require prompt action to ensure that further harm is
mit…
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psnet.ahrq.gov/node/72693/psn-pdf
January 29, 2021 - An anesthesiologist may, in fact, inject up to a half million doses of different
drugs in his/her professional … Enhanced clinical supervision has, in fact,
been found to be associated with improved clinical and educational
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psnet.ahrq.gov/node/50391/psn-pdf
September 25, 2019 - On reviewing the case, the surgeon thought that the patient had in fact presented with acute cholecystitis … and renal
disease
Ultrasound is particularly useful for detecting gallstones, but it may have in fact
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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - She did not inform the hospitalist that the medications were in her hospital bag; in
fact, she may not … In fact, these errors and their serious consequences prompted
requirements in hospitals for medication
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psnet.ahrq.gov/node/33850/psn-pdf
January 01, 2018 - create long, rambling notes that do not clearly convey the current status of a patient and can, in fact … technically feasible within the EHR itself, clinicians typically oppose such drastic measures.(4) The fact
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psnet.ahrq.gov/node/33719/psn-pdf
October 01, 2011 - Self-serving biases in the attribution process: a re-examination of the fact for fiction question.
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psnet.ahrq.gov/node/33797/psn-pdf
January 01, 2016 - psnet.ahrq.gov//#ref1
https://psnet.ahrq.gov//#ref2
https://psnet.ahrq.gov//#ref4
this well-known fact … will require not only advances in the science but also
changes to today's culture, which inhibits fact-finding
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psnet.ahrq.gov/node/49395/psn-pdf
April 01, 2003 - In fact, one of the most
publicized medical errors in recent years involved a very similar fatal misinterpretation … The potential for this potentially disastrous medication
substitution is accentuated by the fact that
-
psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - 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
-
psnet.ahrq.gov/node/60241/psn-pdf
February 24, 2022 - psnet.ahrq.gov//#32
https://psnet.ahrq.gov//#32
https://psnet.ahrq.gov//#35
https://www.cms.gov/newsroom/fact-sheets … applications.50
Various concerns were voiced about false negative results associated with rapid tests and the fact … deaths.81 The increases in NH staff cases were even higher at 277%, which
may be attributed to the fact … put forth by the federal and state
governments, the NH industry, and professional organizations, the fact … www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-
Instruments/QualityImprovementOrgs/Downloads/Fact-Sheet-QIN-QIOs-Safe-Care-that-is-Person
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psnet.ahrq.gov/issue/paper-and-computer-based-workarounds-electronic-health-record-use-three-benchmark
June 06, 2012 - June 6, 2012
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/workarounds-barcode-medication-administration-systems-their-occurrences-causes-and-threats
November 30, 2011 - January 7, 2015
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
October 23, 2013 - September 9, 2010
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - In fact, the majority of those who die by suicide have
never seen a mental health professional (62%) … However, the fact that the patient eloped reveals a major gap in
care, in that this patient who warranted … In fact, among primary
care patients, 2%–3% report experiencing suicidal ideation in the preceding month
-
psnet.ahrq.gov/node/49810/psn-pdf
November 01, 2017 - In fact, palliative care professionals often observe that the first few days after the
withdrawal of … Although
double effect has been deemed to be ethically appropriate, it may obfuscate the fact that health … The fact that the care team chose to review the case means that
they've already taken the first step
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psnet.ahrq.gov/issue/who-patient-safety
July 14, 2021 - Multi-use Website
WHO Patient Safety.
Citation Text:
WHO Patient Safety. World Health Organization.
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January …
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psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety
July 14, 2021 - Multi-use Website
Global Knowledge Sharing Platform for Patient Safety.
Citation Text:
Global Knowledge Sharing Platform for Patient Safety. World Health Organization.
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Faceboo…
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psnet.ahrq.gov/issue/save-lives-clean-your-hands
July 14, 2021 - Multi-use Website
World Hand Hygiene Day.
Citation Text:
World Hand Hygiene Day. World Health Organization
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J…
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psnet.ahrq.gov/perspective/context-intervention
August 05, 2020 - Self-serving biases in the attribution process: a re-examination of the fact for fiction question.