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psnet.ahrq.gov/issue/guidance-patient-safety-ophthalmology-royal-college-ophthalmologists
November 12, 2014 - College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions
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psnet.ahrq.gov/issue/sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia
January 07, 2015 - electronic adverse event identification, classification, and corrective actions across academic pediatric institutions
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psnet.ahrq.gov/issue/social-aspects-clinical-errors-discussion-paper
September 12, 2018 - Disclosing medical errors to patients: a challenge for health care professionals and institutions
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psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center
December 05, 2013 - mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions
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psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
February 19, 2014 - Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions
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psnet.ahrq.gov/issue/measurement-adverse-events-using-incidence-flagged-diagnosis-codes
June 18, 2013 - Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions
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psnet.ahrq.gov/issue/anybody-list-youre-more-worried-about-qualitative-analysis-exploring-functions-questions
January 22, 2016 - Paper- and computer-based workarounds to electronic health record use at three benchmark institutions
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psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors
December 26, 2014 - Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions
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psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors
May 16, 2012 - Paper- and computer-based workarounds to electronic health record use at three benchmark institutions
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psnet.ahrq.gov/issue/patient-safety-climate-variation-perceptions-infection-preventionists-and-quality-directors
January 09, 2011 - Organizational culture and its implications for infection prevention and control in healthcare institutions
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psnet.ahrq.gov/issue/evidence-guiding-practice-reported-versus-observed-adherence-contact-precautions-pilot-study
June 28, 2017 - Organizational culture and its implications for infection prevention and control in healthcare institutions
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psnet.ahrq.gov/issue/sleep-deprivation-elective-surgical-procedures-and-informed-consent
December 21, 2017 - Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions
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psnet.ahrq.gov/issue/disclosure-medical-error-policies-and-practice
June 30, 2011 - Disclosing medical errors to patients: a challenge for health care professionals and institutions
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psnet.ahrq.gov/issue/typology-electronic-health-record-workarounds-small-medium-size-primary-care-practices
November 30, 2016 - electronic adverse event identification, classification, and corrective actions across academic pediatric institutions
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psnet.ahrq.gov/issue/you-cant-understand-something-you-hide-transparency-path-improve-patient-safety
October 04, 2006 - Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions
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psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be-handled
March 19, 2018 - Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
May 01, 2011 - Malpractice reform—opportunities for leadership by health care institutions and liability insurers. … of an individual physician
However, care may be delivered by numerous providers, sometimes across institutions
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psnet.ahrq.gov/node/33820/psn-pdf
December 01, 2016 - Very few institutions ever look at close calls or
near misses. … When many institutions go to do this, the people involved don't understand that
you really have to do … But we had a whole host of different people involved in this from
different institutions like Kaiser
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psnet.ahrq.gov/node/49665/psn-pdf
September 01, 2012 - greater
than 20 million procedures.(8) Because many RSI cases are kept confidential by providers, institutions … These events can have significant financial impact on
providers and institutions, both in legal costs … and nonpayment from the federal government.(16,20)
Additionally, institutions suffer a cost to their
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psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - health care industry from public outrage, reformed reimbursement policies, and
regulation.(3)
Although institutions … system change, external reporting requirements can increase the priority of patient safety within
institutions … medical errors: although transparency can drive improvements, care must be taken to avoid penalizing
institutions