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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39391/psn-pdf
    March 24, 2010 - impact-morbidity-and-mortality-conferences-analysis-mortality-and-critical-events-intensive https://psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35193/psn-pdf
    July 10, 2008 - Investigators discovered nearly six independent factors per case and provide a detailed discussion of
  3. psnet.ahrq.gov/issue/malpractice-mess
    November 14, 2018 - Gawande shares several stories of malpractice lawsuits, giving context to a balanced discussion on problems
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35228/psn-pdf
    March 04, 2011 - Discussion shares the limitations of the literature about medication safety practices and calls for
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46444/psn-pdf
    December 19, 2017 - This case discussion reviews an incident that occurred due to an NPO status order for a patient prior
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47246/psn-pdf
    September 19, 2018 - This discussion paper reviews evidence-based characteristics of high-functioning teams and barriers
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45372/psn-pdf
    November 18, 2016 - the need to improve physician–patient communication about prognosis in order to ensure appropriate discussion
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37365/psn-pdf
    March 04, 2011 - Health Serv Res. 2007;42(6 Pt 1):2275-93; discussion 2294-323.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44132/psn-pdf
    May 13, 2015 - psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people This commentary provides a statistical discussion
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42164/psn-pdf
    July 03, 2014 - JAMA Intern Med. 2013;173(8):707-9; discussion 663. doi:10.1001/jamainternmed.2013.2968.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37389/psn-pdf
    January 30, 2008 - The discussion includes current hospital efforts to prevent medication errors and the growing interest
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45270/psn-pdf
    June 29, 2016 - using-contemporary-leadership-skills-medication-safety-programs https://psnet.ahrq.gov/issue/transformational-leadership-nursing-and-medication-safety-education-discussion-paper
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45800/psn-pdf
    January 18, 2017 - //psnet.ahrq.gov/issue/inpatient-notes-mistakes-hospital-communicating-apologizing-and-beyond Open discussion
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41424/psn-pdf
    June 27, 2012 - practice-based-learning-and-improvement-two-year-experience-reporting-morbidity-and-mortality https://psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38720/psn-pdf
    June 24, 2009 - patient-safety-north-america-beyond-operate-through-your-initials-and-sign- your-site This article highlights the discussion
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34882/psn-pdf
    February 28, 2011 - The discussion includes potential strategies to prevent similar poor outcomes.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35254/psn-pdf
    April 06, 2011 - Discussion includes detailed presentation of the frequency of events, their location of occurrence,
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43882/psn-pdf
    February 18, 2015 - errors with further information from the editors including context, learning objectives, and a case discussion
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44003/psn-pdf
    June 17, 2015 - A team-based workshop and facilitated discussion around safety issues resulted in an increase in voluntary
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41870/psn-pdf
    December 12, 2012 - of voluntary error reporting in maternity care and found that a considerable amount of peer group discussion

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