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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39980/psn-pdf
    January 13, 2014 - This website provides information on AHRQ Common Format use by Patient Safety Organizations, and describes
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38167/psn-pdf
    December 17, 2008 - /toward-definition-teamwork-emergency-medicine Building on the results of a workshop, this article describes
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38337/psn-pdf
    January 14, 2009 - https://psnet.ahrq.gov/issue/scene-childrens-hospitals-and-clinics-minnesota This article describes
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38204/psn-pdf
    October 03, 2017 - This newspaper article reports on one hospital executive's work on transparency regarding errors and describes
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40701/psn-pdf
    August 17, 2011 - https://psnet.ahrq.gov/issue/evaluating-safety-and-competency-bedside This article describes an intensive
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40867/psn-pdf
    October 19, 2011 - medication-error-prevention-school-setting-closer-look This commentary discusses medication error in schools and describes
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40794/psn-pdf
    June 10, 2018 - psnet.ahrq.gov/issue/telling-true-stories-ismp-hallmark-heres-why-you-should-tell-stories-too This piece describes
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38251/psn-pdf
    November 26, 2008 - https://psnet.ahrq.gov/issue/nursing-peer-review-developing-framework-patient-safety This article describes
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34054/psn-pdf
    December 22, 2008 - framework-classifying-factors-contribute-error-emergency-department Drawing on error investigations in one urban hospital's emergency department, this article describes
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36594/psn-pdf
    May 27, 2011 - https://psnet.ahrq.gov/issue/right-tech-dose-helps-medicine-go-down The author describes some common
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42630/psn-pdf
    June 10, 2018 - small-effort-big-payoffautomated-maximum-dose-alerts-hard-stops This newsletter article relates three incidents involving high-alert medication errors and describes
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38992/psn-pdf
    April 16, 2018 - safe-patient-outcomes-occur-timely-standardized-communication-critical- values This article reports on failures surrounding critical test results and describes
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39128/psn-pdf
    December 01, 2009 - how analysis of rapid response team calls identified a recurrent pattern of medication errors, and describes
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38321/psn-pdf
    June 17, 2014 - recent study and Joint Commission alert regarding how disruptive behavior may affect patient safety and describes
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39223/psn-pdf
    June 09, 2011 - https://psnet.ahrq.gov/issue/engineered-solution-maladministration-spinal-injections This study describes
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42244/psn-pdf
    June 27, 2018 - psnet.ahrq.gov/issue/medical-simulation-holistic-approach-highly-reliable-healthcare This magazine article describes
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37990/psn-pdf
    August 13, 2008 - such-cases-found-state-2006 This article reports on the incidence of wrong site surgeries in Massachusetts and describes
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42127/psn-pdf
    March 20, 2013 - https://psnet.ahrq.gov/issue/negligence-genuine-error-and-litigation This review describes differences
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41256/psn-pdf
    April 04, 2012 - issue/unpredictable-drug-shortages-ethical-framework-short-term-rationing-hospitals This commentary describes
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39474/psn-pdf
    June 27, 2011 - https://psnet.ahrq.gov/issue/model-medication-safety-event-detection This AHRQ-funded work describes

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