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psnet.ahrq.gov/node/39689/psn-pdf
May 07, 2018 - https://psnet.ahrq.gov/issue/dtap-tdap-mix-ups-now-affecting-hundreds-patients
This piece reports on examples
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psnet.ahrq.gov/node/43276/psn-pdf
June 18, 2014 - This
newsletter article provides examples of this issue in medication administration, discusses factors
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psnet.ahrq.gov/node/37341/psn-pdf
January 20, 2010 - The author provides case examples that illustrate successful
implementation of these elements.
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psnet.ahrq.gov/node/35171/psn-pdf
December 19, 2018 - From
discussion of safety principles to practical examples of project planning, the authors advocate
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psnet.ahrq.gov/node/36165/psn-pdf
September 29, 2010 - authors recommend development of critical diagnosis guidelines for anatomic pathology and provide
examples
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psnet.ahrq.gov/node/39414/psn-pdf
March 31, 2010 - https://psnet.ahrq.gov/issue/responding-large-scale-testing-errors
Using two case examples, this article
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psnet.ahrq.gov/node/36892/psn-pdf
December 01, 2017 - mistake-proofing-design-health-care-processes
In this report, the author draws from multidisciplinary sources to share examples
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psnet.ahrq.gov/node/35895/psn-pdf
August 24, 2018 - https://psnet.ahrq.gov/issue/building-case-medication-reconciliation
This article presents examples
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psnet.ahrq.gov/node/60751/psn-pdf
January 01, 2021 - psnet.ahrq.gov/issue/fighting-common-enemy-catalyst-close-intractable-safety-gaps
This Viewpoint presents examples
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psnet.ahrq.gov/node/846447/psn-pdf
March 22, 2023 - Using three case examples from surgery, urology, and maternity care, this study explored the emotional
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psnet.ahrq.gov/node/60821/psn-pdf
August 19, 2020 - authors of this commentary
reflect on institutional betrayal during the COVID-19 pandemic and discuss examples
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psnet.ahrq.gov/node/72496/psn-pdf
November 25, 2020 - The authors summarize the evidence on supply chain resilience
and medical product shortage, provide examples
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psnet.ahrq.gov/node/60845/psn-pdf
August 26, 2020 - Examples of formal
and informal spaces include mortality and morbidity (M&M) meetings (formal) and handoffs
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psnet.ahrq.gov/node/50816/psn-pdf
January 29, 2020 - Examples include not
restricting oral liquid medication dosing to milliliters or having inaccurate standard
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psnet.ahrq.gov/node/837059/psn-pdf
May 11, 2022 - commentary discusses the relationship between medical ethics and racism in healthcare institutions, using
examples
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psnet.ahrq.gov/node/34016/psn-pdf
July 03, 2013 - authors apply the aviation industry's concept of "authority gradients" to medicine and use several
examples
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psnet.ahrq.gov/node/33948/psn-pdf
December 18, 2008 - Stories of their successful efforts provide effective examples for national initiatives.
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psnet.ahrq.gov/node/39911/psn-pdf
June 10, 2018 - drug-shortages-national-survey-reveals-high-level-frustration-low-level-safety
This piece explores the effects of drug shortages on patient safety and provides examples
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psnet.ahrq.gov/node/858165/psn-pdf
December 13, 2023 - Through examples of the opioid crisis in the United States and Canada, and radiation therapy in
Canada
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psnet.ahrq.gov/node/37190/psn-pdf
October 07, 2011 - psnet.ahrq.gov/issue/medical-errors-arising-outsourcing-laboratory-and-radiology-services
This study gives examples