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  1. hcup-us.ahrq.gov/db/nation/kid/KID_Sources_and_Restrictions_2003.pdf
    January 01, 2003 - Sources of KID Data and State-Specific Restrictions 2003 AZ Arizona Department of Health Services No restrictions CA Office of Statewide Health Planning & Development Confidentiality of Records • To meet California confidentiality requirements, admission month (AMONTH), age in ye…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38577/psn-pdf
    April 22, 2009 - Leading your organization to high reliability. April 22, 2009 Kemper C, Boyle DK. Leading your organization to high reliability. Nurs Manag. 2009;40(4):14-18. doi:10.1097/01.NUMA.0000349684.24165.68. https://psnet.ahrq.gov/issue/leading-your-organization-high-reliability This commentary describes high reliability …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45225/psn-pdf
    June 15, 2016 - A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. June 15, 2016 Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. J Investig Med High Impact Case R…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36416/psn-pdf
    December 22, 2010 - A medical error leads to tragedy: how do we inform the patient? December 22, 2010 Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21. https://psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient This roundtable discussion p…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40641/psn-pdf
    July 27, 2011 - Error in body weight estimation leads to inadequate parenteral anticoagulation. July 27, 2011 Macedo LG dos R, de Oliveira L, Pintão MC, et al. Error in body weight estimation leads to inadequate parenteral anticoagulation. Am J Emerg Med. 2011;29(6):613-7. doi:10.1016/j.ajem.2010.01.006. https://psnet.ahrq.gov/is…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38886/psn-pdf
    August 26, 2009 - Medication overdoses leading to emergency department visits among children. August 26, 2009 Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018. https://psnet.ahrq.gov/issue/medication…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46463/psn-pdf
    October 04, 2017 - Effectively leading for quality. October 4, 2017 Lachman P, Nicklin W. Effectively leading for quality. Healthc Manage Forum. 2017;30(5):233-236. doi:10.1177/0840470417706705. https://psnet.ahrq.gov/issue/effectively-leading-quality Hospital boards and executives can help drive safety improvement. This commentary …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41331/psn-pdf
    October 03, 2017 - Leading a highly visible hospital through a serious reportable event. October 3, 2017 Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6. https://psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-repor…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38619/psn-pdf
    May 07, 2018 - Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 23, 2009;14:1-2. https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea- involuntary-manslaughter …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37417/psn-pdf
    March 28, 2012 - Medication use leading to emergency department visits for adverse drug events in older adults. March 28, 2012 Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. Ann Intern Med. 2007;147(11):755-765. https://psnet.ahrq.gov/issue/med…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39110/psn-pdf
    June 10, 2018 - Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 5, 2009;14:1-3. https://psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time- leading-dru…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46081/psn-pdf
    April 19, 2017 - Why are medical errors still a leading cause of death? April 19, 2017 Headley M. https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death This magazine article explores the need for robust research and effective reporting to better understand the prevalence of medical errors and how to prevent…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44239/psn-pdf
    September 29, 2017 - When medical care leads to harm—difficulty finding words: a teachable moment. September 29, 2017 Chamberlain E, DiVeronica M, Segura R. When medical care leads to harm- difficulty finding words: a teachable moment. JAMA Intern Med. 2015;175(8):1271-1272. doi:10.1001/jamainternmed.2015.2334. https://psnet.ahrq.gov/…
  14. hcup-us.ahrq.gov/db/nation/nis/nis_2005_stspecific_restr.jsp
    January 01, 2005 - Sources of NIS Data and State-Specific Restrictions 2005 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…
  15. hcup-us.ahrq.gov/db/nation/nis/nis_2004_stspecific_restr.jsp
    January 01, 2004 - Sources of NIS Data and State-Specific Restrictions 2004 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38598/psn-pdf
    June 03, 2010 - Leading successful rapid response teams: a multisite implementation evaluation. June 3, 2010 Donaldson N, Shapiro S, Scott M, et al. Leading successful rapid response teams: A multisite implementation evaluation. J Nurs Adm. 2009;39(4):176-81. doi:10.1097/NNA.0b013e31819c9ce9. https://psnet.ahrq.gov/issue/leading-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43201/psn-pdf
    May 21, 2014 - New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. May 21, 2014 Washington, DC: US Department of Health and Human Services; May 7, 2014. https://psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved- care-and-savings Comparing safety…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45357/psn-pdf
    October 09, 2016 - Leading article: how can I optimise my role as a leader within the surgical team? October 9, 2016 Green B, Mitchell DA, Stevenson P, et al. Leading article: how can I optimise my role as a leader within the surgical team? Br J Oral Maxillofac Surg. 2016;54(8):847-850. doi:10.1016/j.bjoms.2016.05.035. https://psnet…
  19. hcup-us.ahrq.gov/db/nation/kid/KID_Sources_and_Restrictions_2000.pdf
    January 01, 2000 - Microsoft Word - KID_Sources_and_Restrictions_2000.doc Sources of KID Data and State-Specific Restrictions 2000 HCUP KID (1/28/03) 1 Sources of KID Data and State-Specific Restrictions AZ Arizona Department of Health Services No restrictions CA Office of Statewide Health Planning & …
  20. hcup-us.ahrq.gov/db/nation/nis/nis_2003_stspecific_restr.jsp
    January 01, 2003 - Sources of NIS Data and State-Specific Restrictions 2003 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…