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psnet.ahrq.gov/issue/drug-shortages-threaten-patient-safety
May 07, 2018 - The piece includes a link to a brief survey on this topic.
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psnet.ahrq.gov/issue/interactions-between-context-health-care-organisation-and-failure-situational-impact-failure
May 17, 2012 - This review includes 49 studies that describe post-failure learning or non-learning behavior within healthcare
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psnet.ahrq.gov/issue/being-open-communicating-patient-safety-incidents-patients-and-their-carers
October 26, 2007 - disclosure guidelines for communicating with patients and families regarding unintentional harm and includes
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psnet.ahrq.gov/issue/national-coordinating-council-medication-error-reporting-and-prevention
April 15, 2015 - Prevention (NCC MERP) coordinates a nationwide campaign for medication error reporting and prevention which includes
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psnet.ahrq.gov/issue/safety-0
March 07, 2018 - The collection includes an assessment and interactive tools to test ideas for improvement.
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psnet.ahrq.gov/issue/defusing-disruptive-behavior-workbook-health-care-leaders
April 24, 2007 - This workbook includes background on disruptive behaviors and provides tools for health care managers
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psnet.ahrq.gov/issue/disclosure-unanticipated-events-creating-effective-patient-communication-policy-part-2-3
January 13, 2016 - Discussion includes a summary of the key document elements and highlights legal considerations.
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psnet.ahrq.gov/issue/safety-quality-and-informatics-leadership-program
May 01, 2015 - The program includes webinars, lectures, workshops, and case discussions.
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psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada
June 22, 2015 - This report describes a new metric used to analyze mortality rates in Canadian health care and also includes
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psnet.ahrq.gov/issue/patient-harm-when-attorney-wont-take-your-case
July 22, 2015 - This news article includes a patient's account of his difficulty obtaining legal representation for
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psnet.ahrq.gov/issue/patient-safety-handbook-second-edition
March 27, 2005 - This revised edition of a comprehensive resource on patient safety includes new chapters discussing such
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psnet.ahrq.gov/issue/chasing-zero-winning-war-healthcare-harm
May 18, 2012 - This documentary reports on families affected by medical errors; it includes the story of a high-profile
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psnet.ahrq.gov/node/43198/psn-pdf
July 19, 2023 - The course includes updated evidence reviews, trainer guidance,
measurement tools, a pocket guide quick
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psnet.ahrq.gov/node/60698/psn-pdf
July 15, 2020 - This special issue includes articles examining topics such as the role of
policies affecting this patient
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psnet.ahrq.gov/node/60350/psn-pdf
May 20, 2020 - describes the
process for completing facilitated ACA and the framework for an effective ACA, which includes
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psnet.ahrq.gov/node/73415/psn-pdf
June 23, 2021 - In addition to topics covered in the 2010 article, this article also includes
diagnostic errors related
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psnet.ahrq.gov/node/73653/psn-pdf
September 01, 2021 - improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle
https://psnet.ahrq.gov/issue/path-diagnostic-excellence-includes-feedback-calibrate-how-clinicians-think
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psnet.ahrq.gov/node/72733/psn-pdf
February 10, 2021 - The set list includes both pandemic-related hazards and common problems such as use of
abbreviations
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psnet.ahrq.gov/node/60153/psn-pdf
March 25, 2020 - The protocol includes requirements for personal protective equipment for hazardous drugs, the
use of
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psnet.ahrq.gov/node/44794/psn-pdf
May 21, 2019 - The book includes examples of RCAs to illustrate how the method can uncover flaws that
contribute to