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psnet.ahrq.gov/node/37972/psn-pdf
May 02, 2018 - heparin-errors-continue-despite-prior-high-profile-fatal-events
Drawing on analysis from previously reported errors, this article describes
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psnet.ahrq.gov/node/39149/psn-pdf
January 15, 2017 - psnet.ahrq.gov/issue/disclosure-and-apology-whats-missing-advancing-programs-support-clinicians
This report describes
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psnet.ahrq.gov/node/38767/psn-pdf
April 18, 2011 - failed-spinal-anaesthesia-mechanisms-management-and-prevention
This review surveys common risks involved with spinal anesthesia and describes
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psnet.ahrq.gov/node/37521/psn-pdf
January 06, 2017 - psnet.ahrq.gov/issue/implementing-computerized-physician-order-management-community-hospital
This article describes
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psnet.ahrq.gov/node/42716/psn-pdf
November 06, 2013 - reducing-cognitive-errors-dermatology-can-anything-be-done
This commentary outlines types of cognitive biases and describes
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psnet.ahrq.gov/node/39041/psn-pdf
October 21, 2009 - psnet.ahrq.gov/issue/or-and-just-culture
To illustrate the value of just culture implementation, this piece describes
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psnet.ahrq.gov/node/37104/psn-pdf
April 22, 2011 - the basis for disclosing medical errors, discusses what constitutes high-
quality disclosure, and describes
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psnet.ahrq.gov/node/43429/psn-pdf
October 11, 2016 - collected an estimated $15 million in penalties from hospitals for adverse events,
this news piece describes
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psnet.ahrq.gov/node/42225/psn-pdf
April 24, 2013 - https://psnet.ahrq.gov/issue/brigham-and-womens-airing-medical-mistakes
This newspaper article describes
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psnet.ahrq.gov/node/42480/psn-pdf
August 07, 2013 - https://psnet.ahrq.gov/issue/multi-tiered-approach-safety-education
This commentary describes an initiative
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psnet.ahrq.gov/node/36327/psn-pdf
February 13, 2008 - https://psnet.ahrq.gov/issue/using-medical-error-reporting-drive-patient-safety-efforts
The author describes
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psnet.ahrq.gov/node/40774/psn-pdf
September 14, 2011 - https://psnet.ahrq.gov/issue/system-wide-initiative-prevent-retained-vaginal-sponges
This commentary describes
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psnet.ahrq.gov/node/42846/psn-pdf
January 08, 2014 - https://psnet.ahrq.gov/issue/impact-and-implementation-simulation-based-training-safety
This review describes
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psnet.ahrq.gov/node/41276/psn-pdf
April 04, 2012 - This commentary reviews a government investigation of computed tomography (CT) safety concerns and
describes
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psnet.ahrq.gov/node/39650/psn-pdf
June 30, 2010 - https://psnet.ahrq.gov/issue/negotiating-safety-when-staffing-falls-short
This commentary describes
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psnet.ahrq.gov/node/42752/psn-pdf
January 23, 2014 - sounding-alarm-nurses-organizations-work-address-alarm-fatigue
This article reports on the widespread issue of alarm fatigue and describes
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psnet.ahrq.gov/node/40528/psn-pdf
September 09, 2011 - https://psnet.ahrq.gov/issue/proposal-surgical-checklist-ambulatory-oral-surgery
This commentary describes
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psnet.ahrq.gov/node/41805/psn-pdf
October 31, 2012 - psnet.ahrq.gov/issue/call-action-safeguarding-integrity-healthcare-quality-and-safety-systems
This report describes
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psnet.ahrq.gov/node/42712/psn-pdf
October 02, 2017 - https://psnet.ahrq.gov/issue/improving-patient-safety-through-transparency
This commentary describes
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psnet.ahrq.gov/node/37917/psn-pdf
July 23, 2008 - psnet.ahrq.gov/issue/identifying-cross-contaminants-and-specimen-mix-ups-surgical-pathology
This article describes