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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42246/psn-pdf
    May 10, 2013 - psnet.ahrq.gov/issue/serious-threat-patient-safety-unintended-misuse-fentanyl-patches This commentary describes
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41584/psn-pdf
    October 11, 2012 - psnet.ahrq.gov/issue/making-it-easier-do-right-thing-modern-communication-qi-agenda This commentary describes
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41182/psn-pdf
    February 29, 2012 - medicare-study-finds-teaching-hospitals-have-higher-risk-complications- findings-disputed This news article describes
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40936/psn-pdf
    November 16, 2011 - https://psnet.ahrq.gov/issue/sir-karl-popper-swans-and-general-practitioner This commentary describes
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41486/psn-pdf
    November 21, 2016 - https://psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environmental-scan-report This report describes
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39941/psn-pdf
    October 20, 2010 - psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing This commentary describes
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42394/psn-pdf
    July 10, 2013 - https://psnet.ahrq.gov/issue/situ-simulation-identification-systems-issues This review describes how
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42493/psn-pdf
    August 14, 2013 - psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team This commentary describes
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42184/psn-pdf
    December 18, 2013 - This commentary discusses barriers to understanding and measuring progress in safety improvement and describes
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41784/psn-pdf
    November 30, 2012 - psnet.ahrq.gov/issue/procedural-safety-emergency-care-conceptual-model-and-recommendations This commentary describes
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37265/psn-pdf
    May 02, 2018 - issue/potassium-may-no-longer-be-stocked-patient-care-units-serious-threats-still- exist This article describes
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38550/psn-pdf
    May 08, 2018 - on the mistaken administration of a high-alert medication, similar to a prior sentinel event, and describes
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37188/psn-pdf
    September 19, 2007 - teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help- stat This article discusses the advent of rapid response teams and describes
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42986/psn-pdf
    February 26, 2014 - potential-inaccuracy-electronically-transmitted-medication-history-information- used This announcement describes
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41761/psn-pdf
    October 17, 2012 - This commentary reviews the incidence and risk factors associated with retained surgical sponges and describes
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38248/psn-pdf
    December 27, 2008 - This article reports on AHRQ's progress in naming and supporting patient safety organizations and describes
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39476/psn-pdf
    April 28, 2010 - pharmacy-nursing-intervention-improve-accuracy-and-completeness- medication-histories This column describes
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46495/psn-pdf
    December 13, 2017 - https://psnet.ahrq.gov/issue/wrong-site-surgery-1 This commentary describes a case of wrong-site surgery
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39850/psn-pdf
    January 19, 2011 - //psnet.ahrq.gov/issue/tracing-foundations-conceptual-framework-patient-safety-ontology This essay describes
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46617/psn-pdf
    February 21, 2018 - This newsletter article describes problems second victims may experience and outlines how organizations

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