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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
June 01, 2011 - Background: MDs Caring for Relatives
Physicians often provide medical care to close relatives
In fact
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - This latter example may lead hospitals to believe that they have improved
care when in fact they have … limited number of clinical areas for which public reporting has been implemented
and in light of the fact … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
benefited from immunization, there was in fact
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psnet.ahrq.gov/node/33876/psn-pdf
August 01, 2018 - The fact that a given practice—whether it's a change in workflow or
a computerized reminder—worked in … The fact that most safety is local is an important truth to appreciate, but it is no excuse for the central
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psnet.ahrq.gov/node/49587/psn-pdf
May 01, 2009 - In fact, survival rates in modern urban trauma centers for patients with
stab wounds to the heart who … In fact, the opposite scenario is more common: a patient who has
suffered a primary cardiac or neurologic
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psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
October 01, 2007 - 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
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - This latter example may lead hospitals to believe that they have improved care when in fact they have … limited number of clinical areas for which public reporting has been implemented and in light of the fact … patients with pneumonia, so while this patient is likely to have benefited from immunization, there was in fact
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psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
February 26, 2025 - So while people use the term root cause analysis as if it is one specific process, in fact the way one … In fact, in the VA, our staunchest adversaries became our most avid supporters.
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psnet.ahrq.gov/web-mm/medication-overdose
September 01, 2011 - 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
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psnet.ahrq.gov/node/49751/psn-pdf
January 01, 2016 - One study demonstrated that wrong-patient errors are most common in outpatient
practices; in fact, the … In fact, one of
these SAFER Guides is dedicated to the subject of patient identification and offers
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psnet.ahrq.gov/node/49836/psn-pdf
July 01, 2018 - "(3) Not all workarounds are bad; in fact, they may improve patient
outcomes by promoting timely care … In fact, studies of multiple industries show that workarounds are inevitable, which means that
rather
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psnet.ahrq.gov/node/49424/psn-pdf
November 01, 2003 - In
fact, the American College of Obstetrics and Gynecology (ACOG) and JCAHO now mandate "immediate … Regretfully, local anesthesia techniques for cesarean section
are rarely taught to obstetrical residents; in fact
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psnet.ahrq.gov/node/49622/psn-pdf
March 01, 2011 - 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
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psnet.ahrq.gov/node/33745/psn-pdf
February 01, 2013 - In fact, consumers may be confused by the
number and variety of recommendations, finding many to be … Five Steps to Safer HealthCare: Patient Fact Sheet.
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psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
July 14, 2021 - Toolkit
Classic
Safe Surgery.
Citation Text:
Safe Surgery. World Health Organization.
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psnet.ahrq.gov/issue/health-worker-safety-priority-patient-safety
October 07, 2020 - Book/Report
Health Worker Safety: A Priority for Patient Safety.
Citation Text:
Health Worker Safety: A Priority for Patient Safety. Geneva, Switzerland: World Health Organization; September 17, 2020.
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psnet.ahrq.gov/issue/amc-pso-resource-center
November 17, 2021 - Multi-use Website
AMC PSO Resource Center.
Citation Text:
AMC PSO Resource Center. Academic Medical Center Patient Safety Organization.
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psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - (2) Interestingly, a United
Kingdom-based study noted that indigestion or burning type pain was in fact … This approach is not validated; in fact, response to either medication has been found to be
misleading
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psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
February 15, 2017 - 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/49707/psn-pdf
April 01, 2014 - One week of appropriate H. pylori treatment resulted in no improvement in symptoms; in fact, the
patient … These hazards are not unique to this case; in fact, they are a common set of
conditions associated with
-
psnet.ahrq.gov/node/49797/psn-pdf
June 01, 2017 - Despite the fact that a significant proportion of ED patients have
underlying behavioral health disorders … Interventions to Reduce Diagnostic Errors
The case above highlights the fact that diagnostic errors