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psnet.ahrq.gov/issue/clash-name-care
April 27, 2016 - This investigative news article explores the practice of overlapping procedures at a leading hospital
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psnet.ahrq.gov/issue/34-ways-survive-your-next-trip-hospital
May 02, 2018 - This magazine article provides 34 tips from leading patient safety experts to assist patients in this
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psnet.ahrq.gov/node/851099/psn-pdf
June 28, 2023 - Misconnection Leading to Arterial Thrombosis
June 28, 2023
Bohringer C, Lee G. … Misconnection Leading to Arterial Thrombosis. PSNet [internet]. 2023. … https://psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
The Case
A 55-year-old man … The Commentary
https://psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
by Christian … are also associated with pain on arterial injection, they are
much less likely to cause thrombosis leading
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psnet.ahrq.gov/node/60541/psn-pdf
May 01, 2013 - targeted-versus-universal-decolonization-prevent-icu-infection
Healthcare associated infection is a leading
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psnet.ahrq.gov/node/42724/psn-pdf
December 06, 2013 - adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and-involvement
https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
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psnet.ahrq.gov/node/35832/psn-pdf
August 04, 2009 - The authors provide a general overview of patient safety, discuss
the leading organizations involved
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psnet.ahrq.gov/node/34662/psn-pdf
December 24, 2008 - patients,
functioning of microsystems and organizations, and environmental factors), and ultimately leading
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psnet.ahrq.gov/node/36262/psn-pdf
August 04, 2009 - Despite
the leading role that many AMCs have assumed in safety and quality research, evidence indicates
-
psnet.ahrq.gov/node/41186/psn-pdf
January 03, 2017 - psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals
Adverse drug events (ADEs) are a leading
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psnet.ahrq.gov/node/43136/psn-pdf
April 30, 2014 - Patient reports and nurse observations regarding hand hygiene compliance corresponded 87% of
the time, leading
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psnet.ahrq.gov/node/38014/psn-pdf
March 02, 2011 - However, manual counting has
been criticized as ineffective and leading to prolonged surgeries.
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psnet.ahrq.gov/node/36797/psn-pdf
August 26, 2011 - The
reviewers also rate the surgical care quality and whether the complications leading to the suit
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psnet.ahrq.gov/node/45909/psn-pdf
September 22, 2017 - simulated-setting
Look-alike and sound-alike medications can be erroneously substituted for each other, leading
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psnet.ahrq.gov/node/37226/psn-pdf
December 15, 2011 - Parents also did not consistently inform clinicians of ameliorable ADEs when they occurred,
leading
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psnet.ahrq.gov/issue/acog-committee-statement-no-10-racial-and-ethnic-inequities-obstetrics-and-gynecology
November 13, 2024 - May 17, 2023
Mental health conditions leading cause of pregnancy-related deaths.
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psnet.ahrq.gov/issue/sentinel-event-alert-68-updated-surgical-fire-prevention-21st-century
February 26, 2025 - 2022
WebM&M Cases
Inadequate Anesthesia Preparation Leading
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psnet.ahrq.gov/taxonomy/term/3460
August 11, 2025 - analyses of major accidents and catastrophic systems failures tend to reveal multiple, smaller failures leading
-
psnet.ahrq.gov/node/45033/psn-pdf
July 16, 2019 - appropriate reason for overriding was
that the patient had actually tolerated the drug in question, leading
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psnet.ahrq.gov/node/39173/psn-pdf
November 02, 2014 - In this commentary, leaders of several
leading safety organizations endorse five principles for transforming
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psnet.ahrq.gov/node/38865/psn-pdf
April 04, 2011 - loss of her daughter due to a preventable error led Sorrel King to found the Josie King Foundation, a
leading