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psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - He protested, noting that he was
already responsible for overseeing the anesthesia for three surgeries … providers, as well as to improve the quality and safety of care.(5) Those in upper management who
are responsible … A system analysis of production pressures examines all
of the work system factors that can be responsible … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=16182125
responsible for this report’s contents, findings
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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
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psnet.ahrq.gov/node/49562/psn-pdf
May 01, 2008 - occurs, best practices
must also address the issue of who documents the communication—the individual responsible … Best practices suggest that the time out be led by the physician responsible for performing the
procedure … Protocol and time out are documented, but care
must be taken to not make one member of the team feel responsible … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - The resident physician responsible for the patient overnight was also paged
about the alarms. … Since one monitor watcher is responsible for watching as many as 40 patients' data, only one ECG
lead … the nurse responded to these alarms by checking on the patient (multiple times) and contacting the
responsible … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/node/44709/psn-pdf
November 18, 2016 - physicians, and
variation in physicians' communication and teamwork skills were the main factors deemed responsible
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psnet.ahrq.gov/issue/findings-first-consensus-conference-medical-emergency-teams
August 04, 2021 - triggered; an "efferent limb," the team of clinicians that responds to an event; an administrative arm responsible
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psnet.ahrq.gov/issue/alert-burden-pediatric-hospitals-cross-sectional-analysis-six-academic-pediatric-health
September 29, 2021 - In this cross-sectional study, researchers found that custom alerts were responsible for the majority
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psnet.ahrq.gov/issue/identification-root-causes-emergency-diagnostic-imaging-delays-three-canadian-hospitals
July 02, 2014 - conducted a root cause analysis of diagnostic imaging delays and found that current practices were responsible
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psnet.ahrq.gov/issue/analysis-human-performance-deficiencies-associated-surgical-adverse-events
April 15, 2016 - This study found that those types of human errors were responsible for 51.6% of 188 surgical adverse
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psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention
May 20, 2015 - encourage error reporting and could be linked to reforms that make institutions, rather than individuals, responsible
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psnet.ahrq.gov/issue/open-notes-shines-light-errors-patient-medical-records-will-new-rule-lead-flood-correction
March 27, 2024 - June 1, 2022
When we're all responsible for a patient's death, no one is.
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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/issue/non-technical-skills-surgery-during-covid-19-pandemic-observational-study
December 06, 2023 - Non-technical skills such as communication , teamwork , decision-making , and situational awareness are responsible
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - Breadcrumb
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Created By: AHRQ
Date Created: January 24, 20…
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psnet.ahrq.gov/issue/anticoagulant-medication-errors-hospitals-and-primary-care-cross-sectional-study
August 18, 2010 - Researchers found that anticoagulants were responsible for 8.3% of medication errors documented in a
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psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-and-costs
January 29, 2015 - recommends ways to enhance the use of quality and safety measures, including establishing an entity responsible
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psnet.ahrq.gov/web-mm/check-bags
January 03, 2017 - the ICU is usually less than or equal to 2:1, while a single nurse on a medical-surgical unit may be responsible … When errors occur, the responsible staff member should be an active participant in an evaluative process … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/node/49409/psn-pdf
July 01, 2003 - Similarly, the person responsible for taking the
history might be faulted for not probing sufficiently … Most analyses of
error determine that the hospital, by assigning the work schedule, was responsible … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/issue/magnitude-and-modifiers-weekend-effect-hospital-admissions-systematic-review-and-meta
November 25, 2020 - system factors (less staffing and certain services may not be available on the weekend) are primarily responsible
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psnet.ahrq.gov/issue/communication-health-care-workers-regarding-health-care-associated-exposure-coronavirus-2019
August 12, 2020 - Key elements include identifying individuals responsible for communicating with and supporting potentially