-
psnet.ahrq.gov/node/34763/psn-pdf
March 07, 2005 - In fact, Sagan ultimately concludes that good fortune played a greater role than good design in the
-
www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily6.html
July 01, 2018 - key stakeholders at multiple points in time, our process for Guide development ensures that the Guide ultimately
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/toolkit.html
December 01, 2013 - responsibilities, offers the parent/caretaker an environment to openly express their fears or concerns that will ultimately
-
www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/toolkit.html
December 01, 2013 - responsibilities, offers the parent/caretaker an environment to openly express their fears or concerns that will ultimately
-
psnet.ahrq.gov/issue/users-manual-ioms-quality-chasm-report
August 04, 2021 - experience of patients, functioning of microsystems and organizations, and environmental factors), and ultimately
-
psnet.ahrq.gov/issue/case-adverse-drug-reaction-induced-dispensing-error
August 17, 2022 - mistakenly taking two contraindicated medications, which resulted in an adverse drug reaction and ultimately
-
psnet.ahrq.gov/issue/foundational-science-learning-health-systems
June 26, 2019 - networks, and processes to use data, information, evidence, and knowledge to implement change and, ultimately
-
psnet.ahrq.gov/issue/does-unit-shift-report-blackout-period-improve-patient-safety
August 04, 2021 - The project did devise a standardized handoff process that was ultimately employed across the organization
-
www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program2.html
April 01, 2018 - Ultimately, 627 possible programs were excluded from the database. … The number of programs ultimately represented in the catalog reflects the varying state of patient safety … However, upon further review, many potential programs identified during the environmental scan were ultimately … identified during the environmental scan were no longer available at the time of abstraction, thus ultimately … Other Exclusion Factors
Annual conferences were identified in the environmental scan but ultimately
-
psnet.ahrq.gov/issue/managing-risks-organizational-accidents
May 13, 2011 - this book demonstrates Reason's thinking at its finest and illustrates many of the key concepts that ultimately
-
psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - industries, primarily aviation.(3,4) Perhaps
the most powerful ambition was that health care systems would ultimately … practical difficulty is resolving the
inherent ambiguity in near-miss events: does the fact that there was ultimately
-
psnet.ahrq.gov/node/37791/psn-pdf
September 29, 2017 - Ultimately, the decision was overturned by OHRP (with
considerable pressure from those in the safety
-
psnet.ahrq.gov/node/47452/psn-pdf
December 27, 2018 - From the 144 studies
ultimately included in the analysis, they found that implementation of evidence-based
-
psnet.ahrq.gov/node/40692/psn-pdf
October 04, 2011 - for patients with obesity are discussed in an AHRQ WebM&M
commentary, which examined a case of an ultimately
-
psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - The success of that single-center study ultimately led to the multicenter I-PASS study . … We ultimately landed on I-PASS, which stands for I llness severity, P atient summary, A ction list … Of course, we ultimately found that there was not any significant difference in the amount of time that … This synthesis component was an initially resisted yet ultimately highly valued behavior change that
-
integrationacademy.ahrq.gov/news-and-events/news/new-scorecard-report-us-primary-care-system
June 24, 2025 - Ultimately, an unproductive primary care system jeopardizes the health and safety of every community. … Challenge 2: Inadequate funding contributes to workforce reductions and, ultimately, restricts patient
-
psnet.ahrq.gov/node/33578/psn-pdf
September 15, 2024 - Each of these
safety hazards ultimately was attributed to a relatively simple yet overlooked problem … This workaround was deemed to be a substantial contributor to the ultimately
fatal error.
-
psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - identified a hematoma that was likely related to the radiology procedure as well as decreased flow that was ultimately … features that would have led to earlier confirmatory imaging with magnetic resonance angiography, which ultimately … imaging and subsequent CT imaging delayed the diagnosis and management of the renal artery stenosis that ultimately
-
www.ahrq.gov/research/shuttered/hospevac4.html
July 01, 2018 - monitoring a potential/evolving threat to patient safety during a wait-and-reassess period, and then ultimately … Evacuate Following Hurricane Katrina
In the aftermath of Hurricane Katrina, hospitals in New Orleans ultimately
-
www.ahrq.gov/cahps/surveys-guidance/maternal-health/index.html
March 01, 2025 - initiative aims to ensure that maternal care services are aligned with patient needs and priorities, ultimately