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psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - To understand how such medication errors can occur, it is helpful
to review James Reason’s Swiss Cheese
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Zangaro GA, Dulko D, Sullivan D, Weatherspoon D, White KM, Hall VP, Sequellati R, Donnelli A, James J
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psnet.ahrq.gov/web-mm/missing-suction-tip
January 01, 2006 - Moore, MD James H.
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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - James E.
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psnet.ahrq.gov/node/49411/psn-pdf
July 01, 2003 - Director, Program in Medical Ethics University of California, San
Francisco San Francisco, California
James
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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - Young MP, Gooder VJ, McBride K, James B, Fisher ES.
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psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
December 01, 2005 - many ways, the American patient safety movement owes its origins to the work of English psychologist James
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psnet.ahrq.gov/periodic-issue/periodic-issue-342
May 16, 2022 - WebM&M Cases
Check Twice, Transport Once Alexandria DePew, MSN, RN, James Rice, & Julie
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psnet.ahrq.gov/periodic-issue/periodic-issue-374
December 14, 2022 - James BC, Savitz L, Fairbanks RJ, et al. NEJM Catalyst .
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - To understand how such medication errors can occur, it is helpful to review James Reason’s Swiss Cheese
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psnet.ahrq.gov/web-mm/right-left-neither
November 16, 2022 - James Reason has developed a powerful explanatory model to understand adverse events that occur by the
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psnet.ahrq.gov/periodic-issue/periodic-issue-430
March 27, 2024 - Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation James
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psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - Technology as a Solution James Reason, who has studied a wide range of human errors and systems factors
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psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
April 01, 2006 - January 1, 2009
Quality of Care in Cranial Implant Surgeries at James A.
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psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - This may reveal the nature and location of what James Reason
refers to as "error traps" where errors
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psnet.ahrq.gov/node/49408/psn-pdf
July 01, 2003 - Technology as a Solution James Reason, who has studied a wide range of human errors and systems
factors
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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - I started
to read them and discovered James Reason and Jens Rasmussen and all those people.
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psnet.ahrq.gov/web-mm/ounce-prevention
February 17, 2011 - Dilemma
November 1, 2006
Quality of Care in Cranial Implant Surgeries at James
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psnet.ahrq.gov/periodic-issue/periodic-issue-314
October 27, 2021 - Share
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James
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - We need to understand the science of safety, and the work of James Reason, Charles
Vincent, and Karl