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psnet.ahrq.gov/issue/improved-medication-management-introduction-perioperative-and-prescribing-pharmacist-service
August 05, 2020 - This study evaluated the impact of the PeRiopErative and Prescribing (PREP) pharmacist, who is responsible
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psnet.ahrq.gov/issue/exploring-nurses-attitudes-skills-and-beliefs-medication-safety-practices
October 21, 2020 - Nurses are responsible for several steps in the medication-use process, including preparation, administration
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psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
November 30, 2022 - A restorative approach focuses on (1) who has been hurt and their needs, and who is responsible for addressing
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psnet.ahrq.gov/issue/medication-management-covid-19-patients-during-transition-virtual-models-care-qualitative
October 30, 2024 - Participants described challenges with lack of clarity on who is responsible for the patient's usual
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psnet.ahrq.gov/issue/rapid-response-systems-prospective-study-response-times
November 16, 2022 - Study
Rapid response systems: a prospective study of response times.
Citation Text:
Adelstein B-A, Piza MA, Nayyar V, et al. Rapid response systems: a prospective study of response times. J Crit Care. 2011;26(6):635.e11-8. doi:10.1016/j.jcrc.2011.03.013.
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psnet.ahrq.gov/node/43115/psn-pdf
December 18, 2014 - Clostridium difficile was responsible for more than 12% of infections,
highlighting the importance of
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psnet.ahrq.gov/issue/how-medical-error-shapes-physicians-perceptions-learning-exploratory-study
August 16, 2023 - that memories of mistakes from training seemed to stand out, and participants expressed feeling both responsible
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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/web-mm/little-shuteye
December 22, 2018 - The department director, nurse manager, or nurse educator are typically responsible for ensuring the … The department director and/or nurse manager should be responsible for determining the extent of notification … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not
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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/issue/abusive-supervision-systematic-review-and-fundamental-rethink
May 18, 2022 - While leaders and supervisors are responsible for ensuring a professional and respectful work environment
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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/weak-response
February 24, 2011 - The authors are solely responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
May 01, 2010 - should be done
One of best starting points for Just Culture: people closest to mishap often feel responsible … , a hospital should balance accountability and learning
Accountability is not just holding someone responsible
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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/study-multisite-prospective-adverse-event-surveillance-system
October 16, 2019 - rates among the five hospitals and concluded that event detection among the trigger event reviewers was responsible
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psnet.ahrq.gov/node/49766/psn-pdf
August 21, 2016 - know how to access the call schedule to find out which care
team and which resident were primarily responsible … Medicine,
Neurosurgery, Orthopedics, etc.) and first call provider (the provider on the care team responsible … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/primer/patient-engagement-and-safety
August 30, 2023 - medical error, and another study found that most parents of hospitalized children felt personally responsible … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - patient had contacted the insurance company multiple times, he was repeatedly informed that he would be responsible … the colonoscopy a diagnostic test (rather than a screening test), which means that patients may be responsible … ) For patients on a high-deductible health plan, this change in test classification could make them responsible … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not