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  1. psnet.ahrq.gov/training-catalog/improving-care-transitions-older-adults
    Organization: Organization RCTCLEARN.NET Event Description
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45802/psn-pdf
    December 12, 2018 - Intravenous smart pump drug library compliance: a descriptive study of 44 hospitals. December 12, 2018 Giuliano KK, Su W-T, Degnan DD, et al. Intravenous Smart Pump Drug Library Compliance: A Descriptive Study of 44 Hospitals. J Patient Saf. 2018;14(4):e76-e82. doi:10.1097/PTS.0000000000000383. https://psnet.ahrq.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45535/psn-pdf
    January 23, 2017 - Surgical specimen management: a descriptive study of 648 adverse events and near misses. January 23, 2017 Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396. https://psnet.ahrq.gov/issue/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848318/psn-pdf
    May 03, 2023 - teamwork-clinical-leadership-skills-and-environmental-factors-influence-missed-nursing-care https://psnet.ahrq.gov/primer/missed-nursing-care https://psnet.ahrq.gov/issue/description-and-factors-associated-missed-nursing-care-acute-care-community-hospital
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73981/psn-pdf
    October 20, 2021 - medication-reconciliation-twist-or-dare-we-say-patch https://psnet.ahrq.gov/issue/obtaining-best-possible-medication-history-hospital-admission-description-pharmacy-technician
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43574/psn-pdf
    October 08, 2014 - psnet.ahrq.gov/issue/mixed-blessings-smart-infusion-devices-and-health-care-it This study provides a detailed description
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37114/psn-pdf
    October 04, 2011 - A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. October 4, 2011 Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of morbidity and mortality conference…
  8. psnet.ahrq.gov/training-catalog/artificial-intelligence-and-human-factors-health-care-quality-safety-conference
    Organization Penn State College of Medicine Event Description
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34646/psn-pdf
    July 01, 2015 - a working prototype went into use with seven distinct components, including detection, selection, description
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47233/psn-pdf
    November 02, 2018 - responsibility-quality-improvement-and-patient-safety-hospital-board-and-medical-staff https://psnet.ahrq.gov/issue/patient-safety-rounds-description-inexpensive-important-strategy-improve-safety-culture
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42720/psn-pdf
    November 13, 2013 - Workplace bullying in the OR: results of a descriptive study. November 13, 2013 Chipps E, Stelmaschuk S, Albert NM, et al. Workplace Bullying in the OR: Results of a Descriptive Study. AORN J. 2013;98(5). doi:10.1016/j.aorn.2013.08.015. https://psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45516/psn-pdf
    February 17, 2017 - Patient safety in otolaryngology: a descriptive review. February 17, 2017 Danino J, Muzaffar J, Metcalfe C, et al. Patient safety in otolaryngology: a descriptive review. Eur Arch Otorhinolaryngol. 2017;274(3):1317-1326. doi:10.1007/s00405-016-4291-z. https://psnet.ahrq.gov/issue/patient-safety-otolaryngology-descr…
  13. psnet.ahrq.gov/issue/application-who-surgical-safety-checklist-outside-operating-theatre-medicine-can-learn
    March 17, 2021 - This study provides an in-depth description of how the checklist was modified and applied in cardiac
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35356/psn-pdf
    May 27, 2011 - Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system. May 27, 2011 Thompson DA; Duling L; Holzmueller CG; et al. JCOM. 2(8):407-412 https://psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-error…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44080/psn-pdf
    September 27, 2017 - A descriptive study of nurse-reported missed care in neonatal intensive care units. September 27, 2017 Tubbs-Cooley HL, Pickler RH, Younger JB, et al. A descriptive study of nurse-reported missed care in neonatal intensive care units. J Adv Nurs. 2015;71(4):813-24. doi:10.1111/jan.12578. https://psnet.ahrq.gov/iss…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42800/psn-pdf
    July 03, 2016 - particular disease that is actually unrelated to the problem—appeared near the beginning of the case description
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43636/psn-pdf
    November 26, 2014 - This study provides an in-depth description of how the checklist was modified and applied in cardiac
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43828/psn-pdf
    January 14, 2015 - intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian https://psnet.ahrq.gov/issue/physician-intent-pharmacy-label-prevalence-and-description-discrepancies-cross-sectional
  19. psnet.ahrq.gov/issue/medical-surgical-nurse-leaders-experiences-safety-culture-inductive-qualitative-descriptive
    August 05, 2020 - Study Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study. Citation Text: Harton L, Skemp L. Medical–surgical nurse leaders' experiences with safety culture: An inductive qualitative descriptive study. J Nurs Manag. 2022;30(7):2781-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34803/psn-pdf
    January 05, 2017 - Discussion includes a description of the RCA system employed, examples of events analyzed, and an informative

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