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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37253/psn-pdf
    January 10, 2017 - https://psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-0 This issue includes
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42331/psn-pdf
    June 05, 2013 - using-abcs-situational-awareness-patient-safety This commentary examines the role of situational awareness in nursing care and includes
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38796/psn-pdf
    April 04, 2011 - presentation describes a wrong-site surgery incident, provides perspectives from the patient, clinician, and includes
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36773/psn-pdf
    August 21, 2007 - https://psnet.ahrq.gov/issue/better-surgeons-notes-performance This book includes essays on the social
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43507/psn-pdf
    September 10, 2014 - surgical-black-box-could-reduce-errors This news article reports on the development a surgical black box, which includes
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34126/psn-pdf
    July 20, 2012 - Prevention (NCC MERP) coordinates a nationwide campaign for medication error reporting and prevention which includes
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34603/psn-pdf
    September 29, 2017 - Discussion includes a summary of the key document elements and highlights legal considerations.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35294/psn-pdf
    May 04, 2015 - The text includes a sample sentinel event root cause analysis form and a glossary.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35734/psn-pdf
    May 04, 2015 - announcement alerts clinicians to reports of adverse events associated with benzocaine sprays and includes
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42461/psn-pdf
    July 31, 2013 - mindless-mindful-practice-cognitive-bias-and-clinical-decision-making Discussing how weaknesses in cognition contribute to flawed decision making, this commentary includes
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36974/psn-pdf
    February 05, 2014 - This article is part of a special issue that includes several papers on improving safety culture.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35336/psn-pdf
    June 17, 2014 - medication-safety-issue-brief-bar-code-implementation-strategies This brief addresses the role of bar coding in medication safety and includes
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42275/psn-pdf
    October 08, 2013 - close-calls-patient-safety-should-we-be-paying-closer-attention This commentary highlights the value of analyzing near misses in preventing errors and includes
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42866/psn-pdf
    January 22, 2014 - https://psnet.ahrq.gov/issue/patient-harm-when-attorney-wont-take-your-case This news article includes
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867383/psn-pdf
    December 18, 2024 - This review includes 49 studies that describe post-failure learning or non-learning behavior within
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867138/psn-pdf
    November 13, 2024 - A break that includes a positive interaction also improves perceptions of patient safety.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41701/psn-pdf
    September 26, 2019 - This toolkit includes modules on how to build the CUSP team, identify recurring safety concerns, and
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44821/psn-pdf
    December 05, 2022 - The kit now includes an action plan template.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844763/psn-pdf
    September 11, 2019 - program-emphasis-patient Resident physicians complete an annual evaluation of their training program, which includes
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837983/psn-pdf
    August 31, 2022 - This report includes results of an environmental scan and expert interviews that examined how racism

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