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psnet.ahrq.gov/node/40867/psn-pdf
October 19, 2011 - medication-error-prevention-school-setting-closer-look
This commentary discusses medication error in schools and describes
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psnet.ahrq.gov/node/40794/psn-pdf
June 10, 2018 - psnet.ahrq.gov/issue/telling-true-stories-ismp-hallmark-heres-why-you-should-tell-stories-too
This piece describes
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psnet.ahrq.gov/node/38251/psn-pdf
November 26, 2008 - https://psnet.ahrq.gov/issue/nursing-peer-review-developing-framework-patient-safety
This article describes
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psnet.ahrq.gov/node/34054/psn-pdf
December 22, 2008 - framework-classifying-factors-contribute-error-emergency-department
Drawing on error investigations in one urban hospital's emergency department, this article describes
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psnet.ahrq.gov/node/36594/psn-pdf
May 27, 2011 - https://psnet.ahrq.gov/issue/right-tech-dose-helps-medicine-go-down
The author describes some common
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psnet.ahrq.gov/node/42630/psn-pdf
June 10, 2018 - small-effort-big-payoffautomated-maximum-dose-alerts-hard-stops
This newsletter article relates three incidents involving high-alert medication errors and describes
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psnet.ahrq.gov/node/38992/psn-pdf
April 16, 2018 - safe-patient-outcomes-occur-timely-standardized-communication-critical-
values
This article reports on failures surrounding critical test results and describes
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psnet.ahrq.gov/node/39128/psn-pdf
December 01, 2009 - how analysis of rapid response team calls identified a recurrent pattern of medication
errors, and describes
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psnet.ahrq.gov/node/38321/psn-pdf
June 17, 2014 - recent study and Joint Commission alert regarding how disruptive
behavior may affect patient safety and describes
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psnet.ahrq.gov/node/39223/psn-pdf
June 09, 2011 - https://psnet.ahrq.gov/issue/engineered-solution-maladministration-spinal-injections
This study describes
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psnet.ahrq.gov/node/42244/psn-pdf
June 27, 2018 - psnet.ahrq.gov/issue/medical-simulation-holistic-approach-highly-reliable-healthcare
This magazine article describes
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psnet.ahrq.gov/node/37990/psn-pdf
August 13, 2008 - such-cases-found-state-2006
This article reports on the incidence of wrong site surgeries in Massachusetts and describes
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psnet.ahrq.gov/node/42127/psn-pdf
March 20, 2013 - https://psnet.ahrq.gov/issue/negligence-genuine-error-and-litigation
This review describes differences
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psnet.ahrq.gov/node/41256/psn-pdf
April 04, 2012 - issue/unpredictable-drug-shortages-ethical-framework-short-term-rationing-hospitals
This commentary describes
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psnet.ahrq.gov/node/39474/psn-pdf
June 27, 2011 - https://psnet.ahrq.gov/issue/model-medication-safety-event-detection
This AHRQ-funded work describes
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psnet.ahrq.gov/node/38719/psn-pdf
June 17, 2009 - https://psnet.ahrq.gov/issue/implementation-rapid-response-team-success-story
This article describes
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psnet.ahrq.gov/node/40358/psn-pdf
April 06, 2011 - psnet.ahrq.gov/issue/safety-huddles-pacu-when-patient-self-medicates
Through a case scenario, this commentary describes
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psnet.ahrq.gov/node/35074/psn-pdf
March 07, 2016 - https://psnet.ahrq.gov/issue/library-hospital-pairing-empowers-patients-improves-safety
This article describes
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psnet.ahrq.gov/node/38023/psn-pdf
August 27, 2008 - context, this article explains the difference between tort-based and no-fault
compensatory systems, and describes
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psnet.ahrq.gov/node/42289/psn-pdf
May 22, 2013 - https://psnet.ahrq.gov/issue/high-reliability-pediatric-intensive-care-unit
This review describes how