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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45714/psn-pdf
    December 20, 2017 - national-surveillance-emergency-department-visits-outpatient-adverse-drug-events https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39143/psn-pdf
    February 14, 2011 - impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental- study Medication errors are a leading

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851158/psn-pdf
    June 28, 2023 - there is little published information on these rare events, the risk of all bleeding complications leading … wire was used to cross the valve in this case, but contrast was injected through the MPA catheter leading … Contrast injection was performed, which resulted in ventricular perforation, leading to rapid accumulation

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863649/psn-pdf
    February 28, 2024 - Editor’s note: Monika Haugstetter, MHA, MSN, RN, CPHQ, is a Health Science Administrator with AHRQ, leading … My professional focus has been on leading quality improvement projects. … I was also involved with leading the AHRQ-funded National Training program and leading national conferences … Monika has been leading AHRQ’s efforts in the diagnostic error realm, so I know that that’s a topic

  5. Drug diversion and impaired health care workers. | PSNet

    psnet.ahrq.gov/issue/drug-diversion-and-impaired-health-care-workers
    July 31, 2019 - June 17, 2020 Mental health conditions leading cause of pregnancy-related deaths.

  6. HEAR Her Concerns. | PSNet

    psnet.ahrq.gov/issue/hear-her-concerns
    April 01, 2024 - February 22, 2023 Mental health conditions leading cause of pregnancy-related deaths.

  7. AACE Patient Safety Exchange. | PSNet

    psnet.ahrq.gov/issue/aace-patient-safety-exchange
    April 22, 2020 - May 7, 2018 National estimates of insulin-related hypoglycemia and errors leading to

  8. Supporting second victims. | PSNet

    psnet.ahrq.gov/issue/supporting-second-victims
    February 15, 2023 - Citation Related Resources From the Same Author(s) Mental health conditions leading

  9. Supporting safe, equitable care during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/supporting-safe-equitable-care-during-covid-19-pandemic
    March 02, 2022 - June 17, 2020 Mental health conditions leading cause of pregnancy-related deaths.

  10. Statement on the prevention of retained foreign bodies after surgery. | PSNet

    psnet.ahrq.gov/issue/statement-prevention-retained-foreign-bodies-after-surgery
    October 15, 2018 - August 24, 2005 Leading a Culture of Safety: a Blueprint for Success.

  11. Patient Safety: Exploring Quality of Care in the US. | PSNet

    psnet.ahrq.gov/issue/patient-safety-exploring-quality-care-us
    December 03, 2018 - February 24, 2025 ‘Medical errors are the third leading cause of death’ and other statistics

  12. Patient Safety: A Human Factors Approach. | PSNet

    psnet.ahrq.gov/issue/patient-safety-human-factors-approach
    January 01, 2019 - August 24, 2017 Leading Health Care Transformation: A Primer for Clinical Leaders.

  13. Diffusion of Responsibility Leads to Danger | PSNet

    psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
    November 08, 2013 - Related Resources WebM&M Cases Misconnection Leading

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41866/psn-pdf
    November 28, 2012 - events after hospital discharge and a growing policy focus on preventing readmissions, the factors leading

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44004/psn-pdf
    September 01, 2016 - psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38645/psn-pdf
    February 15, 2011 - https://psnet.ahrq.gov/primer/medication-reconciliation https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44305/psn-pdf
    January 22, 2016 - rates for teaching hospitals were higher than expected based on patient and hospital characteristics, leading

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45491/psn-pdf
    May 09, 2017 - design and underlying clinical decision support systems, as well as insufficient system flexibility leading

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41408/psn-pdf
    October 19, 2012 - review documents 35 cases of unsafe injection practices in the United States over the past decade, leading

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38981/psn-pdf
    September 30, 2009 - computerized-decision-support-reduce-potentially-inappropriate-prescribing-older-emergency https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
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