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psnet.ahrq.gov/node/34669/psn-pdf
June 26, 2015 - Learning from mistakes is easier said than done: group
and organizational influences on the detection and
correction of human error.
June 26, 2015
Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences
on the Detection and Correction of Human Error. J Appl Behav Sci. 200…
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psnet.ahrq.gov/issue/prospective-pilot-intervention-study-prevent-medication-errors-drugs-administered-children
December 04, 2015 - Errors in the administration of intravenous medications in hospital and the role of correct
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psnet.ahrq.gov/issue/moral-distress-compassion-fatigue-and-perceptions-about-medication-errors-certified-critical
November 09, 2015 - September 27, 2016
Strategies used by critical care nurses to identify, interrupt, and correct
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psnet.ahrq.gov/issue/icu-nurses-acceptance-electronic-health-records
December 31, 2014 - September 27, 2016
Strategies used by critical care nurses to identify, interrupt, and correct
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psnet.ahrq.gov/issue/patient-safety-and-collaboration-intensive-care-unit-team
February 17, 2010 - November 28, 2016
Strategies used by critical care nurses to identify, interrupt, and correct
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psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
November 26, 2014 - November 26, 2014
Are amended surgical pathology reports getting to the correct responsible
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psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors
August 30, 2017 - Errors in the administration of intravenous medications in hospital and the role of correct
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psnet.ahrq.gov/issue/interruptions-and-multi-tasking-moving-research-agenda-new-directions
March 23, 2011 - Errors in the administration of intravenous medications in hospital and the role of correct
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psnet.ahrq.gov/issue/application-aronsons-taxonomy-medication-errors-nursing
January 15, 2009 - Errors in the administration of intravenous medications in hospital and the role of correct
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psnet.ahrq.gov/issue/responsible-e-prescribing-needs-e-discontinuation
July 10, 2017 - Related Resources From the Same Author(s)
Beyond medication reconciliation: the correct
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psnet.ahrq.gov/issue/improving-medication-safety-during-hospital-based-transitions-care
May 08, 2017 - January 23, 2019
Beyond medication reconciliation: the correct medication list.
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psnet.ahrq.gov/issue/back-basics-approach-reduce-ed-medication-errors
September 28, 2010 - October 3, 2011
Strategies used by critical care nurses to identify, interrupt, and correct
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psnet.ahrq.gov/issue/data-driven-implementation-alarm-reduction-interventions-cardiovascular-surgical-icu
August 17, 2017 - September 26, 2016
Strategies used by critical care nurses to identify, interrupt, and correct
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psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through-screening-intensive
February 19, 2014 - April 29, 2018
Strategies used by critical care nurses to identify, interrupt, and correct
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psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
June 22, 2011 - September 28, 2016
Strategies used by critical care nurses to identify, interrupt, and correct
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psnet.ahrq.gov/node/60168/psn-pdf
March 25, 2020 - Right Electrocardiogram, Wrong Patient
March 25, 2020
Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
The Cases
Multiple electrocardiograms (EKGs) were incorrectly documented at a large urban tertiary care hosp…
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psnet.ahrq.gov/node/60952/psn-pdf
September 30, 2020 - When the Lytes Go Out: A Case of Inpatient Cardiac
Arrest
September 30, 2020
Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
Disclosure of Relevant Financial Relationships: As a pr…
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psnet.ahrq.gov/issue/improving-reliability-root-cause-analysis
January 17, 2017 - Newspaper/Magazine Article
Improving reliability with root cause analysis.
Citation Text:
Improving reliability with root cause analysis. Latino RJ
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psnet.ahrq.gov/issue/ability-practitioners-identify-solid-oral-dosage-tablets
January 02, 2017 - Study
Ability of practitioners to identify solid oral dosage tablets.
Citation Text:
Ability of practitioners to identify solid oral dosage tablets. Schiff GD; Kim S; Seger AC; Bult J; Bates DW.
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
May 18, 2016 - Book/Report
Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition.
Citation Text:
Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404066.
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