-
psnet.ahrq.gov/node/41895/psn-pdf
December 30, 2014 - supplement highlight findings of a multi-national effort to improve transitions from the
hospital to home, including
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psnet.ahrq.gov/node/42213/psn-pdf
April 17, 2013 - protocols
This commentary describes several quality improvement initiatives and their specific benefits, including
-
psnet.ahrq.gov/node/37268/psn-pdf
December 16, 2011 - prevention-wrong-site-tooth-extraction-clinical-guidelines
This article discusses strategies to prevent wrong-site tooth extraction including
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psnet.ahrq.gov/node/42192/psn-pdf
April 17, 2013 - simulation training program for multidisciplinary surgical teams to practice
emergency scenarios, including
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psnet.ahrq.gov/node/45063/psn-pdf
May 04, 2016 - outlines specific
elements of medication reconciliation where pharmacist involvement can enhance safety, including
-
psnet.ahrq.gov/node/41712/psn-pdf
September 26, 2012 - psnet.ahrq.gov/issue/errors-and-malpractice-radiology
This special issue discusses radiology errors, including
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psnet.ahrq.gov/node/43135/psn-pdf
April 23, 2014 - surgical care such as deviation in practice, this report outlines strategies to improve
outcomes, including
-
psnet.ahrq.gov/node/43437/psn-pdf
August 13, 2014 - incidence and
developing solutions, this commentary outlines methods to augment diagnostic safety including
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psnet.ahrq.gov/node/47472/psn-pdf
October 24, 2018 - This online course offers three modules designed to build awareness of key patient safety topics, including
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psnet.ahrq.gov/node/37672/psn-pdf
April 09, 2008 - laterality errors (transposition of left
and right eyes in documenting abnormalities or treatments), including
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psnet.ahrq.gov/node/37888/psn-pdf
July 02, 2008 - commentary discusses goals for medication safety along with strategies to prevent
medication errors including
-
psnet.ahrq.gov/node/42616/psn-pdf
September 25, 2013 - Safety Reporting System, this article reviews the
unintended consequences of automated default values, including
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psnet.ahrq.gov/node/41832/psn-pdf
November 26, 2012 - managing patients with complex conditions, this review
recommends strategies to improve team training, including
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psnet.ahrq.gov/node/41922/psn-pdf
December 12, 2012 - commentary discusses areas of risk in the intensive care unit along with interventions to mitigate
them, including
-
psnet.ahrq.gov/node/46415/psn-pdf
February 21, 2018 - This patient safety organization provides data
analysis, annual reports, and publications including
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psnet.ahrq.gov/node/38398/psn-pdf
February 11, 2009 - literature on bile duct injury during cholecystectomy focuses on cognitive errors made by
surgeons, including
-
psnet.ahrq.gov/node/42874/psn-pdf
January 29, 2014 - Articles cover various topics, including heuristic
thinking, communication skills, incident reporting
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psnet.ahrq.gov/node/37496/psn-pdf
May 01, 2016 - National Quality Forum, addresses the inception of now well-
known quality improvement strategies including
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psnet.ahrq.gov/node/35923/psn-pdf
July 26, 2010 - response to two deaths from obstetric hemorrhage, a hospital implemented patient safety improvements,
including
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psnet.ahrq.gov/node/35469/psn-pdf
January 21, 2011 - They identified several contributors, including lapses in communication and problems with follow-
up