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psnet.ahrq.gov/issue/extraneous-tissue-potential-source-diagnostic-error-surgical-pathology
October 27, 2010 - Resources From the Same Author(s)
Specimen labeling errors in surgical pathology: an 18-month
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psnet.ahrq.gov/issue/epidemiology-comparative-methods-detection-and-preventability-adverse-drug-events
March 09, 2016 - April 22, 2015
Twelve-month review of infusion pump near-miss medication and dose selection
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psnet.ahrq.gov/issue/improving-situation-awareness-advance-patient-outcomes-systematic-literature-review
January 16, 2010 - 31, 2014
Analysis of risk of medical errors using structural-equation modelling: a 6-month
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psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work
July 11, 2018 - June 1, 2022
Twelve-month review of infusion pump near-miss medication and dose selection
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psnet.ahrq.gov/node/866254/psn-pdf
July 10, 2024 - Top Penn State Health surgeon warned leaders about
transplant problems months before shutdown. Then he
was let go.
July 10, 2024
Massey W, Keith C. Spotlight PA: June 20, 2024.
https://psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-
months-shutdown-then
Whistleblowers…
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psnet.ahrq.gov/issue/association-between-end-rotation-resident-transition-care-and-mortality-among-hospitalized
August 15, 2018 - In academic hospitals, clinician teams switch on a predictable schedule, often at the end of the month
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psnet.ahrq.gov/node/49828/psn-pdf
May 01, 2018 - A month after stopping steroids, the headaches recurred. … It was not clear if the 2-month delay would have long-term consequences beyond the
untreated symptoms … inquired about the absence of an interpretation on an
elevated CRP earlier, potentially shortening the 2-month
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psnet.ahrq.gov/node/45868/psn-pdf
January 31, 2018 - Increasing trainee reporting of adverse events with
monthly, trainee-directed review of adverse events.
January 31, 2018
Smith A, Hatoun J, Moses J. Increasing Trainee Reporting of Adverse Events With Monthly Trainee-
Directed Review of Adverse Events. Acad Pediatr. 2017;17(8):902-906. doi:10.1016/j.acap.2017.01.00…
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psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
June 29, 2022 - January 17, 2024
Learning in radiation oncology: 12-month experience with a new incident
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psnet.ahrq.gov/issue/human-based-errors-involving-smart-infusion-pumps-catalog-error-types-and-prevention
November 16, 2022 - December 8, 2021
Twelve-month review of infusion pump near-miss medication and dose selection
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psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
September 22, 2021 - Using standardized participants, trainees were presented with a case involving an 18-month-old African
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psnet.ahrq.gov/node/49567/psn-pdf
September 01, 2008 - If the daily dose were to be continued for more
than a month, this postmenopausal woman would be at … Use of intraarticular glucocorticoids at 2- to 3-month intervals (i.e., to relieve a single painful, … Use of oral glucocorticoids in protocols in which they are tapered to zero dose within a month (i.e.,
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psnet.ahrq.gov/node/73253/psn-pdf
May 12, 2021 - Any new process poses a risk for errors: learning from 4
months of Coronavirus disease 2019 (COVID-19)
vaccinations.
May 12, 2021
ISMP Medication Safety Alert! Acute Care Edition. April 22, 2021.26(8):1-5.
https://psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease-
2019-c…
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psnet.ahrq.gov/node/44823/psn-pdf
February 15, 2017 - US poison control center calls for infants 6 months of age
and younger.
February 15, 2017
Kang M, Brooks DE. US Poison Control Center Calls for Infants 6 Months of Age and Younger. Pediatrics.
2016;137(2):e20151865. doi:10.1542/peds.2015-1865.
https://psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-m…
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psnet.ahrq.gov/node/44173/psn-pdf
July 16, 2015 - Opioid prescribing and potential overdose errors among
children 0 to 36 months old.
July 16, 2015
Basco WT, Ebeling M, Garner SS, et al. Opioid Prescribing and Potential Overdose Errors Among Children
0 to 36 Months Old. Clin Pediatr (Phila). 2015;54(8):738-44. doi:10.1177/0009922815586050.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/issue/impact-intensivist-led-multidisciplinary-extended-rapid-response-team-hospital-wide
June 14, 2017 - September 9, 2011
Twelve-month review of infusion pump near-miss medication and dose
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psnet.ahrq.gov/issue/fatigue-radiology-fertile-area-future-research
August 29, 2018 - April 19, 2011
Spike in fatal medication errors at the beginning of each month.
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psnet.ahrq.gov/issue/sign-out-snapshot-cross-sectional-evaluation-written-sign-outs-among-specialties
November 20, 2013 - February 15, 2011
Twelve-month review of infusion pump near-miss medication and dose
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psnet.ahrq.gov/issue/hospital-rating-organizations-quality-and-patient-safety-scores-analysis-result-discrepancies
February 22, 2017 - February 1, 2013
Twelve-month review of infusion pump near-miss medication and dose selection
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psnet.ahrq.gov/issue/patient-misidentifications-caused-errors-standard-barcode-technology
June 13, 2012 - March 20, 2019
Specimen labeling errors in surgical pathology: an 18-month experience