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Showing results for "fact".

81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39321/psn-pdf
    April 08, 2011 - Signouts by pediatric interns failed to communicate essential information 40% of the time, despite the fact

82. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867427/psn-pdf
    December 18, 2024 - Published April 26, 2021. https://www.who.int/news- room/fact-sheets/detail/falls#:~:text=Falls%20… … index.html#:~:text=Falls%20are%20the%20leading%20cause http://www.who.int https://www.who.int/news-room/fact-sheets … /detail/falls#:~:text=Falls%20are%20the%20second%20leading https://www.who.int/news-room/fact-sheets/

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49634/psn-pdf
    September 01, 2011 - In fact, a recent review of literature from 2000–2009 found many studies highlighting safety issues … 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

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33804/psn-pdf
    March 03, 2016 - Thousands of hospitals, in fact in some states it's mandated, use that for things like central line–associated … with 5000 hospitals, if you look at how people do quality improvement and work on patient safety, the fact … /2016-Fact-sheets-items/2016-03-03-2.html https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets … /2016-Fact-sheets-items/2016-03-03.html RW: In a world of Kaiser Permanentes, Cleveland Clinics, and … And in fact, with TCPI [Transforming Clinical Practice Initiative] we made that a priority.

85. 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

86. 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

87. 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

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74109/psn-pdf
    November 24, 2021 - breakdowns in communication and patient education contributing to medication adverse events, and (3) the fact

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33674/psn-pdf
    February 01, 2009 - You can envision that many hospitals may figure out ways to document care well, but may in fact not … the providers and make it very hard to move to the next stage of clinical care if you have not, in fact … But if, in fact, the Medicare payment system remains a DRG-like system where we will pay for a given … Many of the things that people talk about as safety issues in fact are. … Well, in fact, it is. What we don't really know is how to fix that.

90. Medicare proposes new hospital value-based purchasing program. | PSNet
    psnet.ahrq.gov/issue/medicare-proposes-new-hospital-value-based-purchasing-program
    June 29, 2016 - This fact sheet highlights key points of a government effort to link performance on quality with select

91. Thirty Safe Practices for Better Health Care. | PSNet
    psnet.ahrq.gov/issue/thirty-safe-practices-better-health-care
    December 24, 2008 - , 2005 AHRQ; Agency for Healthcare Research and Quality; NQF; National Quality Forum This fact

92. Medication safety checklist. | PSNet
    psnet.ahrq.gov/issue/medication-safety-checklist
    October 25, 2006 - Fact Sheet/FAQs Medication safety checklist.

93. 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

94. Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. | PSNet
    psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
    September 10, 2014 - Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact … Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact

95. 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

96. 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

97. Hindsight Bias | PSNet
    psnet.ahrq.gov/glossary/hindsight-bias
    September 13, 2021 - Those reviewing events after the fact see the outcome as more foreseeable and therefore more preventable

98. 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

99. HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study. | PSNet
    psnet.ahrq.gov/issue/healthgrades-quality-study-second-annual-patient-safety-american-hospitals-study
    October 25, 2013 - reviewing the report’s findings should bear in mind these potential methodologic shortcomings and the fact

100. Losing Laura. | PSNet
     psnet.ahrq.gov/issue/losing-laura
     June 06, 2018 - Written by the patient's husband, the article outlines the failures that led to her death despite the fact