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psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009
April 21, 2010 - However, prior research has extensively documented the limitations of such systems.
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psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
September 29, 2017 - The authors summarize five primary barriers: accepting limitations on maximum performance, abandoning
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psnet.ahrq.gov/issue/frequency-and-significance-discrepancies-surgical-count
March 02, 2011 - This study used direct observation to address these questions, and revealed some limitations of the counting
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psnet.ahrq.gov/issue/surgeon-information-transfer-and-communication-factors-affecting-quality-and-efficiency
December 21, 2014 - The institution of duty hour limitations for housestaff has led to fundamental changes in the structure
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psnet.ahrq.gov/issue/overestimation-clinical-diagnostic-performance-caused-low-necropsy-rates
February 09, 2011 - The authors point out that many missed diagnoses may represent limitations of current technology or atypical
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psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans-affairs
February 10, 2015 - Their discussion, including the limitations of applying the VA system learnings more broadly, is timely
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psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures
February 14, 2018 - Limitations on housestaff duty hours were implemented with the intent of protecting patients by reducing
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psnet.ahrq.gov/issue/interventions-reduce-pediatric-medication-errors-systematic-review
December 04, 2016 - to determine the effectiveness of interventions to reduce pediatric medication errors, though many limitations
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psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting
August 28, 2013 - The limitations of standard incident reporting systems have been well documented .
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psnet.ahrq.gov/issue/evolving-literature-safety-walkrounds-emerging-themes-and-practical-messages
February 25, 2015 - However, this review includes a number of cautionary notes about the limitations of safety rounds and
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psnet.ahrq.gov/issue/taking-pulse-health-care-systems-experiences-patients-health-problems-six-countries
December 23, 2012 - States, for instance, seemed to suffer from fragmentation of care and inadequate insurance as well as limitations
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psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care
March 03, 2011 - Despite the noted limitations in IR and the poor correlation to actual quality- or safety-related
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psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va
October 14, 2009 - Despite limitations in the use of PSIs to measure performance, the study found that the dimensions
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psnet.ahrq.gov/issue/effect-nonpayment-preventable-infections-us-hospitals
July 03, 2016 - The benefits and limitations of the CMS policy are discussed in an AHRQ WebM&M interview with Dr.
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psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems
May 24, 2012 - A sizable body of research has characterized the limitations of such systems, but they remain a cornerstone
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psnet.ahrq.gov/node/33800/psn-pdf
January 01, 2015 - Benefits and Limitations of CPOE
Data from diverse settings demonstrates clear but circumscribed benefits … Addressing Limitations of CPOE Implementation
There is evidence that health systems are addressing some
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psnet.ahrq.gov/issue/does-computerized-provider-order-entry-reduce-prescribing-errors-hospital-inpatients
February 15, 2012 - The authors highlight limitations and point out the modest sample sizes and variable study designs as
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psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event
November 23, 2014 - This study reports how one health system attempted to address these limitations of the Global Trigger
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psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-beneficiaries-first-2-years-following-acgme-resident
February 17, 2009 - A related editorial discusses the need for more research on the effect of work hour limitations on patient
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psnet.ahrq.gov/issue/medically-necessary-time-sensitive-procedures-scoring-system-ethically-and-efficiently-manage
October 11, 2017 - This article describes a scoring system incorporating resource limitations and COVID-19 transmission