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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/node/33716/psn-pdf
September 01, 2011 - In fact, the original definition of a "critical incident" was basically an incident
involving the potential … In fact, we've been conducting a national study, interviewing people at about 30 or 40 different
hospitals … RW: You mentioned this epidemiologic issue and the fact that these are not true rates. … In fact, not only do they get back about
acknowledging and personally thanking them for doing the
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psnet.ahrq.gov/node/33828/psn-pdf
March 01, 2017 - Systems need to be able to cope with the fact that there will be some
people, even if a very small number … And that literature, in fact, predicted the Enron disaster a couple of years before it happened. … see
with patient safety or other quality improvement interventions a rush to implementation, when in fact … MDW: That is, in fact, where my current research program is going.
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - 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/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/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/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/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/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion
August 13, 2010 - Commentary
Perinatal patient safety from the perspective of nurse executives: a round table discussion.
Citation Text:
Perinatal patient safety from the perspective of nurse executives: a round table discussion. Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J.
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psnet.ahrq.gov/issue/patient-safety-global-action-patient-safety
July 18, 2018 - Book/Report
Patient Safety: Global Action on Patient Safety.
Citation Text:
Patient Safety: Global Action on Patient Safety. Executive Board EB144/29 144th session. Geneva, Switzerland: World Health Organization; December 12, 2018.
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psnet.ahrq.gov/issue/rudeness-work
May 29, 2014 - Commentary
Rudeness at work.
Citation Text:
Flin R. Rudeness at work. BMJ. 2010;340:c2480. doi:10.1136/bmj.c2480.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/mother-claims-hospital-error-kept-her-newborn-daughter
June 13, 2011 - Newspaper/Magazine Article
Mother claims hospital error kept her from newborn daughter.
Citation Text:
Mother claims hospital error kept her from newborn daughter. Barbella M. Drug Topics. October 8, 2007.
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psnet.ahrq.gov/issue/caring-those-who-care-guide-development-and-implementation-occupational-health-and-safety
June 27, 2018 - Book/Report
Caring for Those Who Care: Guide for the Development and Implementation of Occupational Health and Safety Programmes for Health Workers.
Citation Text:
Caring for Those Who Care: Guide for the Development and Implementation of Occupational Health and Safety Programmes for Hea…
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psnet.ahrq.gov/issue/technical-series-safer-primary-care
November 19, 2014 - Book/Report
Technical Series on Safer Primary Care.
Citation Text:
Technical Series on Safer Primary Care. Geneva, Switzerland: World Health Organization; 2016.
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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/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/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/node/60548/psn-pdf
May 28, 2020 - One of the challenges you see with medical devices is the
fact that they can be modified, and in fact
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psnet.ahrq.gov/web-mm/other-hand
December 12, 2012 - pressure (BP) in both arms (if there is more arteritis in one of the arm arteries than the other), and in fact … But, in fact, the issues presented by this case have little to do with the patient's medical diagnosis … The fact that critical information needs to be entered in multiple places (i.e., in the medical record