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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34861/psn-pdf
    November 11, 2015 - psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures The authors analyzed
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36052/psn-pdf
    June 29, 2011 - Investigators analyzed more than 550,000 hospital discharges from Wisconsin discharge records data and
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36032/psn-pdf
    April 11, 2011 - https://psnet.ahrq.gov/issue/pediatric-medication-safety-and-media-what-does-public-see This study analyzed
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37797/psn-pdf
    February 03, 2010 - psnet.ahrq.gov/issue/predictors-adverse-events-patients-after-discharge-intensive-care-unit This study analyzed
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40096/psn-pdf
    December 22, 2010 - enhancing-communication-surgery-through-team-training-interventions- systematic-literature This review analyzed
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42862/psn-pdf
    January 15, 2014 - This report analyzed data and expert interviews from four Veterans Affairs medical centers to identify
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48150/psn-pdf
    August 21, 2019 - They analyzed referral documentation and responses received from subspecialists as well as discharge
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837499/psn-pdf
    June 22, 2022 - In this study, researchers analyzed the variance between AHRQ pediatric quality indicators and CMS hospital-acquired
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45300/psn-pdf
    August 10, 2016 - This pre–post study analyzed voluntary error reports at a single academic medical center and found that
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46941/psn-pdf
    August 01, 2018 - Using data from the Pediatric Emergency Care Applied Research Network, researchers analyzed incident
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45577/psn-pdf
    February 08, 2017 - Researchers analyzed data on medication safety events in 2 ICUs at a medical center and found 1622 preventable
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46252/psn-pdf
    September 24, 2017 - Researchers analyzed 575 distinct text pages regarding 217 patients and found that the messages lacked
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38697/psn-pdf
    June 10, 2009 - Part I of this study analyzed events from morbidity and mortality conferences.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35312/psn-pdf
    January 02, 2017 - https://psnet.ahrq.gov/issue/medication-errors-involving-wrong-administration-technique This study analyzed
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46346/psn-pdf
    October 29, 2017 - In this retrospective study, researchers analyzed root cause analysis reports regarding events related
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38988/psn-pdf
    October 07, 2009 - issue/resident-duty-hour-reform-associated-increased-morbidity-following-hip- fracture This study analyzed
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36880/psn-pdf
    August 31, 2011 - https://psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals This study analyzed
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43894/psn-pdf
    February 25, 2015 - impact-standardized-incident-reporting-system-perioperative-setting-single- center-experience This study analyzed
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35544/psn-pdf
    March 29, 2010 - Investigators analyzed the conversations and discovered that 57% of the surgeons used the word "error
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44707/psn-pdf
    February 09, 2016 - infections-and-interaction-rituals-organisation-clinician-accounts-speaking-or- remaining This qualitative study analyzed

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