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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41595/psn-pdf
    May 28, 2019 - Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. May 28, 2019 Medical Product Safety Network. Silver Spring, MD; US Food and Drug Administration. November 19, 2008. https://psnet.ahrq.gov/issue/luer-connector-misconnections-under-recognized-potentially-dangerous-events This Web si…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37591/psn-pdf
    November 10, 2011 - Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07. November 10, 2011 National Health Epidemiology and Quality Assurance Advisory Committee. Wellington, New Zealand; Quality Improvement Committee; 2008. https://psnet.ahrq.gov/issue/commentary-sentinel-serious-events-reported-distr…
  3. psnet.ahrq.gov/issue/growing-role-patient-safety-officer-implications-risk-managers
    February 17, 2009 - Book/Report The growing role of the Patient Safety Officer: implications for risk managers. Citation Text: The growing role of the Patient Safety Officer: implications for risk managers. Chicago, IL: American Society of Healthcare Risk Management; 2004. Copy Citation Sa…
  4. psnet.ahrq.gov/issue/girl-dies-during-restraint-hospital-already-criticized-problems
    March 16, 2011 - Newspaper/Magazine Article A girl dies during restraint at hospital already criticized for problems. Citation Text: A girl dies during restraint at hospital already criticized for problems. Bernhard B, Kohler J. St. Louis Post-Dispatch. August 1, 2010:A1 Copy Citation …
  5. psnet.ahrq.gov/issue/patient-safety-and-quality-pediatric-intensive-care-unit
    October 06, 2011 - Special or Theme Issue Patient safety and quality in the pediatric intensive care unit. Citation Text: Patient safety and quality in the pediatric intensive care unit. Ped Crit Care Med. 2007;8(2):s1-s43. Copy Citation Save Save to your library Print …
  6. psnet.ahrq.gov/training-catalog/monthly-webinars
    Organization: Organization Quality Reporting Center EventEvent Location: Online Date: On demand Event Fee: Free CE or CME Offered?
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49432/psn-pdf
    February 09, 2004 - allows any provider to submit an online report of any situation that created a near miss for an adverse event … or actually caused an adverse event.
  8. psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
    December 22, 2020 - actually looking through the charts, and an expert panel that would then determine whether an adverse event … Teaching dental students about patient communication following an adverse event: a pilot educational … An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38393/psn-pdf
    October 03, 2017 - Adverse Health Care Events Reporting System: What Have We Learned? October 3, 2017 St. Paul, MN: Minnesota Department of Health; January 2009. https://psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned Through a qualitative evaluation of the Minnesota statewide reporting initiati…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38375/psn-pdf
    December 01, 2019 - ISMP QuarterWatch Reports. April 17, 2019 Horsham, PA: Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-quarterwatch-reports This website provides quarterly reports that identify and analyze new risks related to medications and adverse drug events submitted to the Food and Drug Administra…
  11. psnet.ahrq.gov/training-catalog/armstrong-institute-training-catalog
    Johns Hopkins Armstrong Institute for Patient Safety and Quality Event … Description: Collection of patient safety training modules Event Location: Online Date: … On demand Event Fee: Fee Associated CE or CME Offered?
  12. psnet.ahrq.gov/training-catalog/webinar-series-3
    Organization: Organization Hospital Quality Institute EventEvent Location: Online Date: On demand Event Fee: Free CE or CME Offered?
  13. psnet.ahrq.gov/training-catalog/webinar-series
    Organization: Organization Patient Safety Authority EventEvent Location: Online Date: Various dates Event Fee: Free CE or CME Offered?
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38308/psn-pdf
    April 21, 2010 - Adverse-event-reporting practices by US hospitals: results of a national survey. … Adverse-event-reporting practices by US hospitals: results of a national survey. … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey https
  15. psnet.ahrq.gov/periodic-issue/periodic-issue-386
    April 26, 2023 - Study Using the Generic Analysis Method to analyze sentinel event reports across … This study pooled sentinel event reports from 28 Dutch hospitals to identify common system-level contributing
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49475/psn-pdf
    March 01, 2005 - Source of New Failures Just a few years ago, prior to development of digital radiology, this type of event … The source of this event is not human error on the part of the surgeon.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40038/psn-pdf
    December 23, 2016 - Sentinel Event Alert. 2010;46(46):1-4. … follow-report-preventing-suicide-focus-medicalsurgical-units-and-emergency- department Suicide among hospitalized patients remains an under-recognized never event … This Sentinel Event Alert reviews risk factors for inpatient suicide and delineates prevention strategies … never-events https://psnet.ahrq.gov/issue/suicide-medical-setting https://psnet.ahrq.gov/issue/sentinel-event-alert
  18. psnet.ahrq.gov/training-catalog/ashp-learning-center
    Organization American Society for Health-System Pharmacists (ASHP) EventEvent Location: Online Date: On demand Event Fee: Fee Associated (for some) CE or CME Offered
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39736/psn-pdf
    April 03, 2017 - Risk and Event Assessment. April 3, 2017 Jt Comm J Qual Patient Saf. 2010;36:348-385. … https://psnet.ahrq.gov/issue/risk-and-event-assessment This issue contains several articles dedicated … https://psnet.ahrq.gov/issue/risk-and-event-assessment https://psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its
  20. psnet.ahrq.gov/training-catalog/pharmacy-education-opportunities
    Organization National Community Pharmacists Association (NCPA) EventEvent Location: Online Date: On demand Event Fee: Fee Associated CE or CME Offered?

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