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Showing results for "fact".

81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47477/psn-pdf
    November 14, 2018 - Written by the patient's husband, the article outlines the failures that led to her death despite the fact

82. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42649/psn-pdf
    October 09, 2013 - spreading-human-factors-expertise-healthcare-untangling-knots-people-and-systems https://psnet.ahrq.gov/issue/science-human-factors-separating-fact-fiction

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41623/psn-pdf
    April 05, 2013 - Recognizing this fact, this commentary calls for a systems engineering approach to identifying and preventing

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37588/psn-pdf
    February 15, 2011 - reported quality measure on the timing of antibiotic administration in patients with pneumonia in fact

85. Falling Between the Cracks in the Software | PSNet
    psnet.ahrq.gov/web-mm/falling-between-cracks-software
    March 09, 2011 - of interoperability between two distinct electronic health record (EHR) systems is evident from the fact … has been subsidized with taxpayer dollars in the form of Meaningful Use incentives.( 9 ) Given this fact … In fact, the original HITECH legislation that authorized the financial incentives for EHR adoption stated … today because of myriad technical, policy, and cultural barriers, misaligned incentives, and due to the fact

86. Situational (Un)Awareness | PSNet
    psnet.ahrq.gov/web-mm/situational-unawareness
    August 01, 2009 - In fact, a recent review of literature from 2000–2009 found many studies highlighting safety issues related … Despite the fact that the patient was admitted with a clear and potentially life-threatening diagnosis … In addition, the fact that no antibiotics were dispensed by the pharmacy signals a breakdown in communication … information provided.( 8 ) For example, the two nurses caring for this patient did not question the fact

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50793/psn-pdf
    January 15, 2020 - with medication administration errors; the authors speculate that this may be attributable to the fact

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37583/psn-pdf
    March 03, 2011 - AHRQ's Patient Safety Indicators, this study discovered that events expected to be random in nature in fact

89. In Conversation With… Vineet Arora, MD, MAPP | PSNet
    psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
    May 31, 2023 - Do you see the fact that the notes have deteriorated as a problem in training and professionalism, or … They keep everything in their notes, when in fact it's pretty easy with a graph function to look at how … The worst-case scenario is when you implement the EHR, because of the inertia and the fact that nobody … That's not even connecting the fact that the note's probably copied and pasted. … It's hard to divorce the fact that you're a physician there.

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45545/psn-pdf
    October 05, 2016 - This fact sheet summarizes the results of a stakeholder meeting that explored usability problems and

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35006/psn-pdf
    October 25, 2013 - reviewing the report’s findings should bear in mind these potential methodologic shortcomings and the fact

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33724/psn-pdf
    February 01, 2012 - see it as a fundamental part of the hospitalist mindset and job description as opposed to just the fact … But nobody can counter the fact that the operation takes longer and the OR becomes less efficient. … LS: We have certainly focused on the fact that medicine is a skillset, even the cognitive fields of medicine … At the same time, we cannot lose sight of the fact that there's still a mandate to produce competent … I don't think longer training has anything to do with the fact that if at some point you don't feel

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33637/psn-pdf
    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 … that it's mostly about systems, but in fact there are some "bad" people. … 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

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42117/psn-pdf
    March 20, 2013 - However, implementation of this strategy is limited by the fact that no study yet has prospectively

95. Antibiotic timing and errors in diagnosing pneumonia. | PSNet
    psnet.ahrq.gov/issue/antibiotic-timing-and-errors-diagnosing-pneumonia
    March 20, 2024 - publicly reported quality measure on the timing of antibiotic administration in patients with pneumonia in fact

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34652/psn-pdf
    March 04, 2011 - They conclude by expressing the challenges in error reporting and emphasizing the fact that risk is

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44795/psn-pdf
    June 29, 2016 - psnet.ahrq.gov/primer/human-factors-engineering https://psnet.ahrq.gov/issue/science-human-factors-separating-fact-fiction

98. Polypharmacy | PSNet
    psnet.ahrq.gov/web-mm/polypharmacy
    March 01, 2007 - The patient accepted the risperidone without disclosing this fact to his caregiver or case manager. … In fact, the community pharmacy had a fully accurate list only 25% of the time (versus only 8% with primary … An additional issue is the fact that some expensive drugs (like the depot injections of risperidone)

99. Advancing Health Care Safety for All. | PSNet
    psnet.ahrq.gov/issue/advancing-health-care-safety-all
    July 19, 2024 - Fact Sheet/FAQs Advancing Health Care Safety for All.

100. Medication Without Harm: WHO's Third Global Patient Safety Challenge. | PSNet
     psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
     July 14, 2021 - Book/Report Medication Without Harm: WHO's Third Global Patient Safety Challenge. Citation Text: Medication Without Harm: WHO's Third Global Patient Safety Challenge. Geneva, Switzerland: World Health Association; 2017. Copy Citation Save Save to your library …