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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.128_slideshow.ppt
July 01, 2006 - Non-ICU Patients
Lack clear standards for patient assessment, including the elements, timing, and responsible … Who is responsible for this assessment?
What is the recommended timing for this assessment? … The transport personnel are responsible for ensuring the nurse completes the ticket and that the ticket
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - People closest to the mishap often feel responsible and eager to help with suggestions for improvement … Accountability is not just holding somebody responsible by meting out punishment. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/node/36186/psn-pdf
September 30, 2010 - triggered; an "efferent limb," the team of clinicians that responds to an event; an
administrative arm responsible
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psnet.ahrq.gov/node/39174/psn-pdf
December 16, 2009 - involvement-parents-critical-incidents-neonatal-paediatric-intensive-care-unit
Parents of hospitalized children feel personally responsible
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psnet.ahrq.gov/node/42542/psn-pdf
March 17, 2014 - psnet.ahrq.gov/issue/surgical-checklists-systematic-review-impacts-and-implementation
Checklists have been responsible
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psnet.ahrq.gov/issue/did-i-do-best-system-would-let-me-healthcare-professional-views-hospital-home-care
January 12, 2022 - These problems were felt to be responsible for preventable adverse events after discharge .
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psnet.ahrq.gov/issue/accountability-nursing-practice-why-it-important-patient-safety
April 07, 2021 - Clinicians and the organizations they work for are responsible for providing safe, high-quality care
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psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
September 07, 2022 - Technically inadequate radiographs were responsible for a significant number of missed diagnoses of
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psnet.ahrq.gov/issue/nursing-student-medication-errors-snapshot-view-school-nursings-quality-and-safety-officer
October 19, 2022 - Nurses are often responsible for medication administration at the bedside.
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psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
September 06, 2023 - demonstrate the role of discrimination in the outcome and hold the clinicians and organization involved responsible
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psnet.ahrq.gov/issue/use-simulation-measure-effects-just-time-information-prevent-nursing-medication-errors
August 04, 2021 - Nurses are often responsible for medication administration at the bedside.
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psnet.ahrq.gov/node/39800/psn-pdf
January 19, 2011 - The prescribing stage was responsible for nearly 95% of the errors in the former category
but only 60%
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psnet.ahrq.gov/node/42710/psn-pdf
December 29, 2014 - A chemotherapy medication prescribing error was
responsible for one of the most infamous patient safety
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psnet.ahrq.gov/issue/deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical
November 29, 2023 - Additionally, the medical center failed to fully report the provider responsible for three of the wrong-site
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psnet.ahrq.gov/issue/detection-analysis-and-significance-physician-clustering-medical-malpractice-lawsuit-payouts
June 22, 2022 - Prior research demonstrates that a small percentage of physicians are responsible for a significant
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psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021
October 05, 2016 - This report examines the effectiveness of state medical-licensing boards as responsible parties to tracking
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psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
September 01, 2010 - Whistleblowers can identify the presence of systemic failures, but the organization is responsible for
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psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
December 23, 2012 - The Veterans Affairs (VA) health system is responsible for both systemic achievements and challenges
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - Radiologists are responsible for the production and delivery of the radiology report, and referring clinicians … are responsible for obtaining and reading radiologists’ reports. 5 Both radiologists and referring … clinicians are legally responsible for retaining and being able to produce the radiology reports. 5 … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - Physicians
are responsible for following up on tests they order. … the laboratory must immediately alert the individual or entity
requesting the test or the individual responsible … Take-Home Points
Physicians are responsible for tracking the results on laboratory tests they order. … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not