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psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking
January 21, 2019 - October 27, 2021
Omissions of care in nursing homes: a uniform definition for research
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psnet.ahrq.gov/issue/evaluation-preoperative-team-briefing-new-communication-routine-results-improved-clinical
April 06, 2011 - A study of patients' and operating room team members' perceptions of error definition, reporting, and
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psnet.ahrq.gov/issue/persistence-unsafe-practice-everyday-work-exploration-organizational-and-psychological
April 06, 2011 - A study of patients' and operating room team members' perceptions of error definition, reporting, and
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psnet.ahrq.gov/issue/novel-process-audit-standardized-perioperative-handoff-protocols
June 27, 2018 - Citation
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psnet.ahrq.gov/issue/increasing-patient-safety-and-efficiency-transfusion-therapy-using-formal-process-definitions
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Henneman EA, Avrunin GS, Clarke LA, et al. Increasing patient safety and efficiency in transfusion therapy using formal process definitions. Transfus Med Rev. 2007;21(…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
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