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6921. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42776/psn-pdf
      May 29, 2014 - impact of automated dispensing cabinets on patient safety and ergonomics in a teaching health care center … impact of automated dispensing cabinets on patient safety and ergonomics in a teaching health care center

6922. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44848/psn-pdf
      April 22, 2016 - medication reconciliation: using a collaborative approach to process improvement at an academic medical center … Medication Reconciliation: Using a Collaborative Approach to Process Improvement at an Academic Medical Center

6923. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39993/psn-pdf
      July 03, 2014 - organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center … organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center

6924. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35186/psn-pdf
      July 13, 2005 - progress to date, with a particular focus on two participating hospitals' (Hackensack University Medical Center … in New Jersey and McLeod Regional Medical Center in South Carolina) experiences in implementing the

6925. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45251/psn-pdf
      August 24, 2016 - Reporting on a series of patient injuries linked to a contracted anesthesiologist at a cataract surgery center … office-based-anesthesia-safety-and-outcomes https://psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel-report

6926. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41577/psn-pdf
      September 27, 2016 - perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center … perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center

6927. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39214/psn-pdf
      January 03, 2017 - Medical trainees' formal and informal incident reporting across a five-hospital academic medical center … Medical trainees' formal and informal incident reporting across a five-hospital academic medical center

6928. Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. | PSNet
      psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
      September 13, 2016 - in Medicine, Maxwell School of Citizenship and Public Affairs at Syracuse University, and Jefferson Center … in Medicine, Maxwell School of Citizenship and Public Affairs at Syracuse University, and Jefferson Center … in Medicine, Maxwell School of Citizenship and Public Affairs at Syracuse University, and Jefferson Center

6929. The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  | PSNet
      psnet.ahrq.gov/issue/health-literacy-americas-adults-results-2003-national-assessment-adult-literacy
      January 16, 2019 - Washington, DC: National Center for Education Statistics; 2006. … Washington, DC: National Center for Education Statistics; 2006. … Washington, DC: National Center for Education Statistics; 2006.

6930. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39550/psn-pdf
      July 05, 2013 - of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center … of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center

6931. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39286/psn-pdf
      February 10, 2010 - team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center … team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center

6932. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34005/psn-pdf
      August 17, 2017 - Its work has been folded into the Betsy Lehman Center for Patient Safety in the Commonwealth of Massachusetts … ://psnet.ahrq.gov/issue/err-human-need-trauma-support-too https://psnet.ahrq.gov/issue/betsy-lehman-center-patient-safety

6933. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41210/psn-pdf
      January 03, 2017 - impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center … impact of implementing smart patient- controlled analgesic pumps at a tertiary care academic medical center

6934. Out of the Crisis. | PSNet
      psnet.ahrq.gov/issue/out-crisis
      March 06, 2005 - Cambridge, MA: Massachusetts Institute of Technology, Center for Advanced Engineering Study, 1986. … Cambridge, MA: Massachusetts Institute of Technology, Center for Advanced Engineering Study, 1986. … Cambridge, MA: Massachusetts Institute of Technology, Center for Advanced Engineering Study, 1986.

6935. Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. | PSNet
      psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and-prescribing-practices
      September 07, 2016 - Roudebush VA Medical Center in Indianapolis, Indiana. … Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center … August 12, 2020 Critical Deficiencies at the Washington DC VA Medical Center.

6936. Benzocaine sprays marketed under different names, including Hurricaine, Topex, and Cetacaine. | PSNet
      psnet.ahrq.gov/issue/benzocaine-sprays-marketed-under-different-names-including-hurricaine-topex-and-cetacaine
      December 02, 2015 - Food and Drug Administration; FDA; CDER; Center for Drug Evaluation and Research. … Linkedin Copy URL May 4, 2015 Food and Drug Administration; FDA; CDER; Center … Food and Drug Administration; FDA; CDER; Center for Drug Evaluation and Research.

6937. Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. | PSNet
      psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error-findings-perioperative-settings-1998-2005
      August 24, 2015 - Rockville, MD: US Pharmacopeia Center for the Advancement of Patient Safety; 2006 Copy Citation … Rockville, MD: US Pharmacopeia Center for the Advancement of Patient Safety; 2006 This report shares … Rockville, MD: US Pharmacopeia Center for the Advancement of Patient Safety; 2006 Copy Citation

6938. MEDMARX Data Report: A Report on the Relationship of Drug Names and Medication Errors in Response to the Institute of Medicine's Call to Action (2003-2006 Findings and Trends 2002-2006). | PSNet
      psnet.ahrq.gov/issue/medmarx-data-report-report-relationship-drug-names-and-medication-errors-response-institute
      March 21, 2007 - Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacopeia; 2008. … Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacopeia; 2008. … Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacopeia; 2008.

6939. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40962/psn-pdf
      December 14, 2011 - Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center … Committee on Trauma Performance Improvement and Patient Safety program: maximal impact in a mature trauma center

6940. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
      October 01, 2010 - his nephrologist sat down next to him and stated that a serious error had occurred at the dialysis center … * * Case: Dangerous Dialysis (2) The dialysis center was actually not sure which dialysis membrane … At this dialysis center, many patients had HIV and hepatitis C, so it was conceivable that this particular … One retrospective study found 1 error or adverse event for every 733 dialysis treatments A typical center … does 500 treatments per week In a national survey of dialysis center staff, 87% acknowledged a mistake