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psnet.ahrq.gov/node/33841/psn-pdf
September 01, 2017 - We need to figure out how to make sure that
James Reason's Swiss cheese holes don't all align and allow
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psnet.ahrq.gov/Information/Editor
April 05, 2025 - James A. Bourgeois, OD, MD Consulting Editor, Psychiatry View Bio Dr.
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psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
June 15, 2024 - James P.
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psnet.ahrq.gov/periodic-issue/periodic-issue-404
August 30, 2023 - James C, Singh K, Valley TS, et al.
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psnet.ahrq.gov/periodic-issue/periodic-issue-344
May 16, 2022 - WebM&M Cases
Check Twice, Transport Once Alexandria DePew, MSN, RN, James Rice, & Julie
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psnet.ahrq.gov/innovation/duke-pediatric-residency-safety-council
November 16, 2022 - James M. Naessens, Claudia R. Campbell, Jeanne M. Huddleston, Bjorn P. Berg, John J.
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - 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/Information/Panel
January 01, 2012 - James & Alice B.
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
May 05, 2025 - Brent James—one of the nation's leading physician quality improvement experts—discussed his use of change
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psnet.ahrq.gov/node/49585/psn-pdf
May 01, 2009 - James L.
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psnet.ahrq.gov/periodic-issue/periodic-issue-343
May 16, 2022 - WebM&M Cases
Check Twice, Transport Once Alexandria DePew, MSN, RN, James Rice, & Julie
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - Patrick Romano, MD MPH; Debra Bakerjian, PhD, APRN, RN; Kevin James Keenan, MD; Daniel
Nishijima, MD
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - Patrick Romano, MD MPH; Debra Bakerjian, PhD, APRN, RN; Kevin James Keenan, MD; Daniel Nishijima, MD,
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psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - James Augustine, MD
July 28, 2021
First Do No Harm.
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psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - that occurred during this case.1 The Swiss Cheese model, first described by British
psychologist James
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psnet.ahrq.gov/node/867035/psn-pdf
October 30, 2024 - Aryee E, James SL, Hunt GM, et al.
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psnet.ahrq.gov/node/867651/psn-pdf
February 26, 2025 - Subsequently, James Reason applied cognitive psychology to error, and
Rasmussen, Hollnagel, and Woods
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - Accessed July 5, 2024. [ Free full text (PDF) ] Aryee E, James SL, Hunt GM, et al.
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psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
October 02, 2024 - Subsequently, James Reason applied cognitive psychology to error, and Rasmussen, Hollnagel, and Woods
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psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
February 01, 2006 - However, James Reason and others have made the point that a totally blameless, non-punitive environment