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psnet.ahrq.gov/issue/quality-care-cranial-implant-surgeries-james-haley-va-medical-center-tampa-florida
June 13, 2012 - Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures … July 27, 2022
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with
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psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
November 30, 2016 - November 30, 2016
Operational failures detected by frontline acute care nurses. … July 5, 2017
Participating in a multisite study exploring operational failures encountered
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psnet.ahrq.gov/issue/automated-identification-extreme-risk-events-clinical-incident-reports
November 03, 2015 - November 3, 2015
Syndromic surveillance for health information system failures: a feasibility … November 2, 2010
A systematic review of failures in handoff communication during intrahospital
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psnet.ahrq.gov/issue/usability-and-feasibility-consumer-facing-technology-reduce-unsafe-medication-use-older
February 17, 2011 - Same Author(s)
Effect of reducing interns' weekly work hours on sleep and attentional failures … March 6, 2019
Multiple latent failures align to allow a serious drug interaction to harm
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psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review
January 19, 2016 - May 30, 2012
Surgical technology and operating-room safety failures: a systematic review … August 11, 2010
Failures in communication and information transfer across the surgical
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psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
July 13, 2010 - June 23, 2009
Communication failures contributing to patient injury in anaesthesia malpractice … September 21, 2022
Communication failures contributing to patient injury in anaesthesia
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psnet.ahrq.gov/issue/factors-influencing-perioperative-nurses-error-reporting-preferences
June 23, 2010 - December 8, 2010
Communication failures in the operating room: an observational classification … August 14, 2019
Using incident reports to assess communication failures and patient outcomes
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psnet.ahrq.gov/issue/patient-safety-attitudes-and-behaviors-graduating-medical-students
June 01, 2016 - November 16, 2022
Decreasing handoff-related care failures in children's hospitals. … October 31, 2018
Trainees' perceptions of patient safety practices: recounting failures
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psnet.ahrq.gov/issue/patient-safety-otolaryngology-descriptive-review
July 14, 2010 - January 14, 2014
Surgical technology and operating-room safety failures: a systematic … August 13, 2013
Deconstructing intraoperative communication failures.
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psnet.ahrq.gov/node/38050/psn-pdf
July 28, 2013 - psnet.ahrq.gov/issue/scariest-hospital-risks
This article discusses common medical complications and care failures
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psnet.ahrq.gov/node/42478/psn-pdf
August 07, 2013 - psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers
https://psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers
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psnet.ahrq.gov/node/37560/psn-pdf
March 28, 2018 - https://psnet.ahrq.gov/issue/learning-investigations
Analyzing health care failures from 2004-2007 in
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psnet.ahrq.gov/node/42181/psn-pdf
April 10, 2013 - psnet.ahrq.gov/issue/think-you-cant-make-medication-errors
This article describes examples of medication safety failures
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psnet.ahrq.gov/node/36219/psn-pdf
October 18, 2010 - to manage risk in radiology by adhering
to organizational principles that help mitigate industrial failures
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psnet.ahrq.gov/node/36719/psn-pdf
July 26, 2011 - /patient-safety-where-nursing-education
The authors encourage nursing educators to address systems failures
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psnet.ahrq.gov/node/35867/psn-pdf
April 29, 2018 - psnet.ahrq.gov/issue/iv-potassium-given-epidurally-getting-route-problem
This article outlines systems failures
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psnet.ahrq.gov/node/39095/psn-pdf
September 27, 2016 - psnet.ahrq.gov/issue/prescription-success-dont-bother-nurses
https://psnet.ahrq.gov/issue/operational-failures-and-interruptions-hospital-nursing
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psnet.ahrq.gov/node/42549/psn-pdf
August 28, 2013 - overview of patient safety, including types of adverse events, causes for
errors, and how to learn from failures
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psnet.ahrq.gov/node/40777/psn-pdf
September 14, 2011 - accountability, disclosure and coping, hand-offs, never events,
patient safety organizations, and systems failures
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psnet.ahrq.gov/node/35241/psn-pdf
September 11, 2018 - issue/team-communication-operating-room
The author presents sample cases from aviation to illustrate failures