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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41641/psn-pdf
    August 29, 2012 - patient-safety-and-quality-improvement-overview-qi This commentary describes strategies to improve quality and safety in health care systems, including
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43434/psn-pdf
    August 06, 2014 - maryland-hospitals-arent-reporting-all-errors-and-complications-experts-say This news article reports weaknesses in a Maryland reporting program, including
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44532/psn-pdf
    December 21, 2018 - in health care incident reporting systems that limit their ability to contribute to improvements, including
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45306/psn-pdf
    August 17, 2016 - IPSC educational activities and efforts to raise awareness of local and national safety initiatives, including
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43718/psn-pdf
    December 03, 2014 - overall interest in patient safety and teamwork, but also identified numerous areas for improvements, including
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45544/psn-pdf
    December 19, 2016 - a 12- year period, this article recommends strategies to reduce risks associated with prescribing, including
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35029/psn-pdf
    January 05, 2017 - Brigham and Women’s Hospital in Boston, the authors discuss development of a patient safety team, including
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42491/psn-pdf
    September 18, 2013 - used to estimate the incidence of diagnostic error and recommends tactics to improve its measurement, including
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40868/psn-pdf
    October 19, 2011 - simulation-based training can reduce errors and improve patient outcomes, this commentary recommends including
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45026/psn-pdf
    April 19, 2016 - This perspective describes strategies to decrease risks associated with concurrent operations, including
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43714/psn-pdf
    December 17, 2014 - undisclosed details from the emergency room physician who misdiagnosed the patient when he first presented, including
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40080/psn-pdf
    December 15, 2010 - This study surveyed more than 5000 providers who reported elements of unsafe injection practices, including
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42910/psn-pdf
    July 28, 2014 - Review of the literature identified 40 attributes, including trust, being cared for, and staff competency
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44110/psn-pdf
    May 13, 2015 - Articles in this special issue explore research around simulation training, including faculty development
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36323/psn-pdf
    November 14, 2018 - the three types of behavior involved in error—human error, at-risk behavior, and reckless behavior—including
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46494/psn-pdf
    January 24, 2018 - Articles in this special issue explore complications in anesthesia, including how providers can respond
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44492/psn-pdf
    September 23, 2015 - Articles in this special issue examine the reasons for this shortcoming, including the impact of health
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42293/psn-pdf
    January 01, 2015 - leadership-and-patient-safety-review-literature This narrative review highlights elements of work environments and leadership, including
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36459/psn-pdf
    January 07, 2011 - assessment-adverse-drug-events-among-patients-tertiary-care-medical-center This observational study found that several types of patients, including
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40733/psn-pdf
    August 31, 2011 - beyond-prescription-medication-monitoring-and-adverse-drug-events-older- adults This commentary suggests strategies for improving prescribing safety, including

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