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psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
January 01, 2006 - Pilots report incidents (any occurrence that could affect safety), and ASRS staff analyze them, may interview
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psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
March 01, 2013 - The problem is very well defined, and we already do surveillance for the occurrence of those adverse
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psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
January 01, 2009 - ameliorate barriers to error reporting.( 1 , 2 ) Of course, the ethical obligations triggered by the occurrence
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - long-term care setting ( 12 ), there is not yet clear evidence that these types of interventions reduce the occurrence
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psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
January 01, 2006 - Pilots report incidents (any occurrence that could affect safety), and ASRS staff analyze them, may interview
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psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - The problem is very well defined, and we already do surveillance for the occurrence of those adverse
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - Errors and Near Misses: What Health Care Could Learn From Aviation
Carl Macrae, PhD | December 1, 2016
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Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation…
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October 31, 2023 - In Conversation with... Cheryl Jones about Addressing
Workplace Violence and Creating a Safer Workplace
October 31, 2023
Jones CB. In Conversation with.. Cheryl Jones about Addressing Workplace Violence and Creating a Safer
Workplace. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/conversation-cheryl-j…
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - 13 ) Although smaller hospitals had more discharges with all secondary diagnoses labeled as POA, the occurrence
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August 01, 2012 - long-term care setting ( 12 ), there is not yet clear evidence that these types of interventions reduce the occurrence
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - Intraoperative, incidental durotomies are a common occurrence during lumbar laminectomy4–7.
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December 01, 2010 - February 13, 2014
Relationship between occurrence of surgical complications and hospital
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September 01, 2008 - In Conversation with…Eric G. Poon, MD, MPH
September 1, 2008
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In Conversation with…Eric G. Poon, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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August 01, 2009 - can be more productive than examining a broad category of problems months after their occurrence (e.g
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psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
August 01, 2009 - can be more productive than examining a broad category of problems months after their occurrence (e.g
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psnet.ahrq.gov/node/60722/psn-pdf
February 06, 2023 - Occurrence and timing of subsequent severe acute
respiratory syndrome coronavirus 2 reverse-transcription
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January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care
Paul E. Plsek, MS | January 1, 2015
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Plsek PE. Innovation and Lean Thinking: Mutuall…
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - Application of Safety-II Principles
Chalapathy Venkatesan, MD, MS, CPPS, Kathy Helak, MSN, BSN, RN, FACHE, CPPS, Zoe Sousane, BS, Cindy Manaoat Van, MHSA, CPPS | August 28, 2024
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…
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December 01, 2021 - EMS Perils from Hospital Overcrowding
August 31, 2022
Brown S, Rose JS, Barnes DK. EMS Perils from Hospital Overcrowding. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
The Case
A 71-year-old man with a history of postoperative septic knee arthritis (status: post-intravenous…
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August 28, 2024 - In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles
Chalapathy Venkatesan, MD, MS, CPPS, Kathy Helak, MSN, BSN, RN, FACHE, CPPS, Zoe Sousane, BS, Cindy Manaoat Van, MHSA, CPPS | August 28, 2024
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