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psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety-policy-england
August 18, 2021 - Through interviews with policy makers, managers, and senior clinicians responsible for implementing the
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psnet.ahrq.gov/issue/multistate-point-prevalence-survey-health-care-associated-infections
November 14, 2018 - Clostridium difficile was responsible for more than 12% of infections, highlighting the importance of
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psnet.ahrq.gov/issue/associations-person-related-environment-related-and-communication-related-factors-medication
January 19, 2022 - This study explored associations between person-related (e.g., individual responsible for medication
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psnet.ahrq.gov/web-mm/feeling-no-pain
August 30, 2023 - 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 and … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/issue/afraid-hospital-parental-concern-errors-during-childs-hospitalization
April 21, 2011 - This survey of parents of hospitalized children found that nearly two-thirds felt personally responsible
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psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-hospitalized-patients
May 27, 2011 - Physicians were responsible for 72% of the incidents, and 56% of the ADEs were believed to be preventable
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - want to prevent that as well as a whole host of other problems, you have to have the whole team feel responsible … medicine—the operating room—where everybody says the surgeon is the captain of the ship and holds him responsible … What we are saying is that the best way to be responsible is to start by listening to people, by making … them feel responsible, too. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/issue/accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuits
October 16, 2024 - Download Citation
Related Resources From the Same Author(s)
Toward a responsible
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psnet.ahrq.gov/issue/recommendations-and-low-technology-safety-solutions-following-neuromuscular-blocking-agent
October 02, 2024 - November 16, 2022
Toward a responsible future: recommendations for AI-enabled clinical
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psnet.ahrq.gov/issue/apologies-pathologists-why-when-and-how-say-sorry-after-committing-medical-error
September 04, 2024 - June 20, 2018
Are amended surgical pathology reports getting to the correct responsible
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psnet.ahrq.gov/issue/nursing-homes-fined-covid-infection-control-lapses
November 24, 2021 - Copy Citation
Related Resources From the Same Author(s)
When we're all responsible
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psnet.ahrq.gov/web-mm/glucose-roller-coaster
February 02, 2022 - and perils of "cross-coverage," the management of patients by physicians other than those primarily responsible … Moreover, our nightfloat intern may be responsible for as many as 40-60 patients (including some in the … 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/harm-alarm-fatigue
February 14, 2018 - 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/web-mm/inside-time-out
March 01, 2004 - 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/web-mm/result-stopped-here
December 01, 2006 - 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/49513/psn-pdf
July 01, 2006 - clear standards for patient
assessment, including the elements of an assessment, its timing, and the responsible … The transport personnel are responsible for ensuring
the nurse completes the ticket and that the ticket … Who is responsible for this assessment?
What is the recommended timing for this assessment? … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/node/49543/psn-pdf
September 01, 2007 - involved, including physicians, nurses, and pharmacists, often have divergent expectations about who is
responsible … Second, although the medication history was later corrected by the anesthesiologist, the clinician
responsible … design a robust medication reconciliation process, first define steps involved and decide who
should be 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/patient-safety-essentials-laboratory-professionals-certificate-program
September 16, 2009 - July 16, 2014
Are amended surgical pathology reports getting to the correct responsible
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psnet.ahrq.gov/issue/enhancing-surgical-systems
April 12, 2017 - February 11, 2015
“Those found responsible have been sacked”: some observations on the
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psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head
June 21, 2023 - July 29, 2020
When we're all responsible for a patient's death, no one is.