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  1. psnet.ahrq.gov/issue/what-every-health-lawyer-should-know-about-patient-safety-and-quality-improvement-act-2005
    January 23, 2017 - One key PSO benefit is the ability for health systems  and hospitals to share protected details of
  2. psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
    March 13, 2013 - Presented by the surgeon himself, the article details the factors that led to the error, including production
  3. psnet.ahrq.gov/issue/what-accountability-health-care
    April 19, 2013 - This perspective details the concepts surrounding “accountability” in health care.
  4. psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-protocol
    November 12, 2014 - This study details the novel methodology and protocols developed by the 5th National Audit Project for
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37756/psn-pdf
    December 15, 2008 - national-profile-patient-safety-us-hospitals https://psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37768/psn-pdf
    April 27, 2010 - wisdom-and-justice-not-paying-preventable-complications https://psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46975/psn-pdf
    November 16, 2018 - Although limited by the nature of the voluntary reports, which contained sparse details precluding assessment
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40483/psn-pdf
    September 20, 2011 - framework calls for investigators to use change theory to develop their projects; provide adequate details
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47203/psn-pdf
    October 25, 2018 - labeled a troublemaker, and worry that the team would judge them for not understanding the medical details
  10. psnet.ahrq.gov/issue/safe-use-opioids-hospitals
    February 28, 2018 - Please refer to the information link below for further details.
  11. psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study
    July 01, 2016 - Without focusing on the details of the error, the author describes the investigative process that uncovered
  12. psnet.ahrq.gov/issue/wrong-patient
    December 23, 2008 - While reviewing the details of the case and the institution’s root cause analysis , the authors identify
  13. psnet.ahrq.gov/issue/improving-patient-care-cognitive-psychology-missed-diagnoses
    October 03, 2012 - While reviewing the details of the case, the author explores the pitfalls leading to missed diagnoses
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836811/psn-pdf
    April 07, 2022 - Centralized watcher huddles providing twice-daily reports on watcher patients, including watcher criteria, details
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39617/psn-pdf
    February 18, 2011 - medicares-policy-not-pay-treating-hospital-acquired-conditions-impact https://psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details
  16. psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement
    July 26, 2023 - The details of such a system, the cost impact, and examples of how it might operationally function are
  17. psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care
    July 05, 2008 - He goes on to share his personal experience with the health care system in describing the details of
  18. psnet.ahrq.gov/issue/hospital-board-checklist-improve-culture-and-reduce-central-line-associated-bloodstream
    May 24, 2012 - This article details a checklist that hospital leadership can use to organize efforts to eliminate
  19. psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
    July 15, 2015 - Summarizing the goals from the report, this commentary details how the recommendations from the NAM can
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840174/psn-pdf
    August 28, 2024 - She asked questions about the details of the procedure, which he answered.  … If all the details of the care given to the patient are not yet known at this time, the liaison should … If this assumption was verified by the review process and RCAs, the following details related to an … Details about the recovery claim are provided in a conditional payment letter from CMS.

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