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psnet.ahrq.gov/node/40781/psn-pdf
September 14, 2011 - https://psnet.ahrq.gov/issue/reducing-incidence-retained-surgical-instrument-fragments
This article describes
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psnet.ahrq.gov/node/41295/psn-pdf
April 11, 2012 - psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened-actions-reduce-adverse-events
This article describes
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psnet.ahrq.gov/node/41563/psn-pdf
December 04, 2016 - https://psnet.ahrq.gov/issue/harm-healing-partnering-patients-who-have-been-harmed
This publication describes
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psnet.ahrq.gov/node/37851/psn-pdf
June 18, 2008 - reviews how the complexity of care in the pediatric intensive care unit may lead to medical
errors and describes
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psnet.ahrq.gov/node/40975/psn-pdf
December 07, 2011 - https://psnet.ahrq.gov/issue/factors-associated-misdiagnosis-acute-stroke-young-adults
This study describes
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psnet.ahrq.gov/node/42769/psn-pdf
November 27, 2013 - https://psnet.ahrq.gov/issue/sepsis-recognizing-next-event
This commentary describes the development
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psnet.ahrq.gov/node/36761/psn-pdf
August 09, 2011 - https://psnet.ahrq.gov/issue/strategies-increase-reporting-near-misses-and-adverse-events
The author describes
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psnet.ahrq.gov/node/37647/psn-pdf
March 26, 2008 - national-patient-safety-goals
This article reviews the Joint Commission's National Patient Safety Goals and describes
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psnet.ahrq.gov/node/41335/psn-pdf
April 25, 2012 - https://psnet.ahrq.gov/issue/ask-me-if-i-cleaned-my-hands
This commentary describes barriers, for both
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psnet.ahrq.gov/node/42295/psn-pdf
May 29, 2013 - https://psnet.ahrq.gov/issue/medication-reconciliation-meets-its-match
This newsletter article describes
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psnet.ahrq.gov/node/40245/psn-pdf
June 08, 2011 - led to fatal errors, this two-part newspaper
article reports on the dangers of "alarm fatigue" and describes
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psnet.ahrq.gov/node/39722/psn-pdf
July 28, 2010 - through-and-beyond-anaesthesia-awareness
This commentary reveals one patient’s experience with anesthesia awareness and describes
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psnet.ahrq.gov/node/37718/psn-pdf
April 23, 2008 - https://psnet.ahrq.gov/issue/mistakes-and-disclosure
This article describes a method for teaching residents
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psnet.ahrq.gov/node/40917/psn-pdf
November 09, 2011 - framework-patient-safety-part-1-and-part-2
This two-part commentary discusses trust as vital component of safety culture, and describes
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psnet.ahrq.gov/node/41695/psn-pdf
July 19, 2017 - https://psnet.ahrq.gov/issue/acog-committee-opinion-531-improving-medication-safety
This guideline describes
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psnet.ahrq.gov/node/41831/psn-pdf
December 31, 2012 - economics-health-care-quality-and-medical-errors
Discussing the financial impact of medical errors, this commentary describes
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psnet.ahrq.gov/node/42714/psn-pdf
August 19, 2017 - https://psnet.ahrq.gov/issue/switch-safety-perioperative-hand-tools
This commentary describes the development
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psnet.ahrq.gov/node/44652/psn-pdf
November 11, 2015 - psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices
This commentary describes
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psnet.ahrq.gov/node/39417/psn-pdf
August 06, 2016 - https://psnet.ahrq.gov/issue/safety-culture-theory-method-and-improvement
This book describes the fundamentals
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psnet.ahrq.gov/node/41060/psn-pdf
September 06, 2013 - flaws-clinical-reasoning-common-cause-diagnostic-error
Through an illustrative case report, this commentary describes