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psnet.ahrq.gov/node/38378/psn-pdf
September 24, 2010 - https://psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpatient-care
This article describes
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psnet.ahrq.gov/node/40720/psn-pdf
August 24, 2011 - https://psnet.ahrq.gov/issue/incomplete-care-trail-flaws-system
This article describes how missing patient
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psnet.ahrq.gov/node/37614/psn-pdf
March 21, 2011 - issue/how-hepatitis-probe-led-clinic-old-fashioned-legwork-yielded-clues-came-
together
This article describes
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psnet.ahrq.gov/node/40335/psn-pdf
December 18, 2014 - assessing-teamwork-and-communication-authentic-patient-care-learning-
environment
This commentary describes
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psnet.ahrq.gov/node/40863/psn-pdf
October 19, 2011 - family-woman-who-died-after-medical-error-joins-hospitals-safety-panel
Reporting on a fatal medical error, this article describes
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psnet.ahrq.gov/node/43214/psn-pdf
May 28, 2014 - performing physical examinations and over-
reliance on technology can contribute to diagnostic errors and describes
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psnet.ahrq.gov/node/44436/psn-pdf
October 30, 2017 - to misdiagnosis of food allergies in children and the potential
consequences, this magazine article describes
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psnet.ahrq.gov/node/37205/psn-pdf
December 14, 2007 - health-it-implementation-stories-hands-care-plan-tool-seeks-improve-nurse-
communication
This article describes
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psnet.ahrq.gov/node/39969/psn-pdf
October 27, 2010 - psnet.ahrq.gov/issue/preventable-harm-index-effective-motivator-facilitate-drive-zero
This commentary describes
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psnet.ahrq.gov/node/39465/psn-pdf
May 08, 2018 - latest-heparin-fatality-speaks-loudly-what-have-you-done-stop-bleeding
Detailing a recent lethal overdose of heparin, this piece describes
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psnet.ahrq.gov/node/40587/psn-pdf
January 22, 2017 - safety-strategies-academic-radiation-oncology-department-and-
recommendations-action
This commentary describes
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psnet.ahrq.gov/node/37749/psn-pdf
July 16, 2018 - potential fire sources, provides guidelines to prevent and reduce harm from operating
room fires, and describes
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psnet.ahrq.gov/node/39727/psn-pdf
August 04, 2010 - psnet.ahrq.gov/issue/rapid-response-teams-seen-through-eyes-nurse
This study surveyed bedside nurses and describes
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psnet.ahrq.gov/node/41524/psn-pdf
November 05, 2013 - https://psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence
This commentary describes
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psnet.ahrq.gov/node/38787/psn-pdf
May 07, 2018 - article discusses examples of confusion associated with the use of certain letters and numbers and
describes
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psnet.ahrq.gov/node/39288/psn-pdf
February 10, 2010 - https://psnet.ahrq.gov/issue/patient-safety-act
This report describes progress in implementing the Patient
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psnet.ahrq.gov/node/41476/psn-pdf
June 20, 2012 - https://psnet.ahrq.gov/issue/interdisciplinary-team-training-five-lessons-learned
This commentary describes
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psnet.ahrq.gov/node/42408/psn-pdf
July 10, 2013 - non-technical-skills-and-future-teamwork-healthcare-settings
Highlighting the value of teamwork in delivering safe care, this report describes
-
psnet.ahrq.gov/node/41397/psn-pdf
June 06, 2012 - https://psnet.ahrq.gov/issue/semi-supervised-classification-patient-safety-event-reports
This study describes
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psnet.ahrq.gov/node/43295/psn-pdf
June 27, 2018 - This article describes four key elements to
achieve lasting improvement of alarm safety across organizations