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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
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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
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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
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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
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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
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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
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psnet.ahrq.gov/node/42394/psn-pdf
July 10, 2013 - https://psnet.ahrq.gov/issue/situ-simulation-identification-systems-issues
This review describes how
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psnet.ahrq.gov/node/42493/psn-pdf
August 14, 2013 - psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
This commentary describes
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psnet.ahrq.gov/node/42184/psn-pdf
December 18, 2013 - This commentary discusses barriers to understanding and measuring progress in safety improvement and
describes
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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
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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
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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
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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
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psnet.ahrq.gov/node/42986/psn-pdf
February 26, 2014 - potential-inaccuracy-electronically-transmitted-medication-history-information-
used
This announcement describes
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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
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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
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psnet.ahrq.gov/node/39476/psn-pdf
April 28, 2010 - pharmacy-nursing-intervention-improve-accuracy-and-completeness-
medication-histories
This column describes
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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
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psnet.ahrq.gov/node/39850/psn-pdf
January 19, 2011 - //psnet.ahrq.gov/issue/tracing-foundations-conceptual-framework-patient-safety-ontology
This essay describes
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psnet.ahrq.gov/node/46617/psn-pdf
February 21, 2018 - This
newsletter article describes problems second victims may experience and outlines how organizations