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psnet.ahrq.gov/node/60164/psn-pdf
March 25, 2020 - to a long-standing initiative to define an evolving set of measures to respond to changes in core
areas
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psnet.ahrq.gov/node/37752/psn-pdf
May 07, 2019 - Recommendations include improvement in areas such as stocking,
labeling, and removal of expired medications
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psnet.ahrq.gov/node/837347/psn-pdf
June 08, 2022 - Areas of focus include workforce shortages, system
inequities and burnout.
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psnet.ahrq.gov/node/47668/psn-pdf
January 30, 2019 - This guide provides an overview of
key concepts associated with reliability and highlights areas of
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psnet.ahrq.gov/node/35088/psn-pdf
January 01, 2025 - Major focus areas include promoting surgical
safety, achieving health equity, and preventing hospital-acquired
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psnet.ahrq.gov/node/867049/psn-pdf
October 30, 2024 - Areas for improvement include risk assessment and triage, recruitment and
retention of staff, estates
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psnet.ahrq.gov/node/867601/psn-pdf
January 22, 2025 - This article describes the PFPS-US Artificial Intelligence Working Group's priority areas
of concern
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psnet.ahrq.gov/node/866324/psn-pdf
July 17, 2024 - The
areas of focus include organizational culture, leadership, patient/family engagement, workforce
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psnet.ahrq.gov/issue/patient-safety-womens-health-care-framework-progress
January 12, 2011 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/when-good-doctors-go-bad-systems-problem
November 02, 2014 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
May 07, 2014 - March 26, 2014
Some IV medications are diluted unnecessarily in patient care areas, creating … January 28, 2015
Some IV medications are diluted unnecessarily in patient care areas,
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psnet.ahrq.gov/issue/losing-laura
June 06, 2018 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-healthcare-systematic-literature-review
October 20, 2021 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/changing-dynamics-drug-overdose-epidemic-united-states-1979-through-2016
November 21, 2021 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample
November 04, 2020 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
March 24, 2021 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/patient-initiated-voluntary-online-survey-adverse-medical-events-perspective-696-injured
May 20, 2020 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/node/47739/psn-pdf
February 20, 2019 - The authors
provide quality control questions to help those involved in developing AI systems detect areas
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psnet.ahrq.gov/node/72805/psn-pdf
March 03, 2021 - The authors summarize areas of concern healthcare leadership should explore when determining
the implementation
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psnet.ahrq.gov/node/47999/psn-pdf
May 15, 2019 - This analysis describes the
prevalence of pregnancy-related death and areas of concern during pregnancy