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psnet.ahrq.gov/issue/current-assessment-patient-safety-education
May 28, 2014 - September 27, 2016
The relationship between nursing experience and education and the occurrence
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psnet.ahrq.gov/issue/use-dimensional-analysis-reduce-medication-errors
August 06, 2014 - April 19, 2017
The relationship between nursing experience and education and the occurrence
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psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006
August 06, 2008 - May 21, 2013
The occurrence of wrong-site surgery self-reported by candidates for certification
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psnet.ahrq.gov/issue/fatal-gas-line-mix-how-avoid-making-gastly-mistake
April 29, 2018 - April 25, 2018
Tubing misconnections—a persistent and potentially deadly occurrence.
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psnet.ahrq.gov/issue/medication-error-reduction-and-use-pda-technology
August 28, 2024 - April 19, 2017
The relationship between nursing experience and education and the occurrence
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psnet.ahrq.gov/issue/countering-cognitive-biases-minimising-low-value-care
May 11, 2019 - April 28, 2021
Occurrence, prevention, and management of the psychological effects of
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psnet.ahrq.gov/issue/patient-safety-dermatologic-surgery-part-1-patient-safety-procedural-dermatology-part-2
October 04, 2023 - August 2, 2015
Patient characteristics and the occurrence of never events.
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psnet.ahrq.gov/issue/frequency-pediatric-medication-administration-errors-and-contributing-factors
November 16, 2022 - August 30, 2017
The occurrence of adverse events potentially attributable to nursing
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psnet.ahrq.gov/issue/josies-story-patient-safety-curriculum
July 24, 2019 - November 28, 2016
The relationship between nursing experience and education and the occurrence
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psnet.ahrq.gov/issue/office-based-surgery-and-patient-outcomes
October 06, 2021 - December 2, 2020
Association between night-time surgery and occurrence of intraoperative
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psnet.ahrq.gov/issue/us-repeating-its-deadliest-pandemic-mistake
September 02, 2020 - September 8, 2021
Maximum emergency department overcrowding is correlated with occurrence
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psnet.ahrq.gov/issue/missed-breast-cancers-us-guided-core-needle-biopsy-how-reduce-them
March 25, 2020 - August 23, 2023
Maximum emergency department overcrowding is correlated with occurrence
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psnet.ahrq.gov/issue/spotlight-strategies-increasing-safety-reporting-nursing-education
October 19, 2022 - April 19, 2017
The relationship between nursing experience and education and the occurrence
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - Those conditions include the unpredictable
occurrence of emergencies, the inability to “pause” necessary … The goal is to understand the causes of errors to
prevent the future occurrence of a similar event.
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psnet.ahrq.gov/web-mm/x-ray-flip
August 10, 2019 - estimated 6,700,000 surgical procedures, 242 were performed at the wrong site, making this a "rare occurrence … Armed with this understanding, they can apply cognitive forcing strategies to reduce the occurrence of
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psnet.ahrq.gov/node/35315/psn-pdf
April 12, 2019 - The Institute for Safe Medication Practices.
April 12, 2019
5200 Butler Pike, Plymouth Meeting, PA, 19462. 215-947-7797.
https://psnet.ahrq.gov/issue/institute-safe-medication-practices
The Institute for Safe Medication Practices (ISMP) is a nonprofit organization whose focus is to help health
care practitioners u…
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psnet.ahrq.gov/node/35160/psn-pdf
January 02, 2017 - Unlabeled containers lead to patient's death.
January 2, 2017
Cohen MR, Smetzer JL. Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf.
2005;31(7):414-7.
https://psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
The authors review selected incidents of harm involving unlabeled con…
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psnet.ahrq.gov/node/35161/psn-pdf
March 13, 2016 - The forgotten tourniquet—an update.
March 13, 2016
PA Patient Saf Advis. 2016;13(1):4. http://patientsafety.pa.gov/ADVISORIES/Pages/201603_32.aspx.
https://psnet.ahrq.gov/issue/forgotten-tourniquet-update
This advisory from the Pennsylvania Patient Safety Reporting System discusses 1079 reports of
tourniquets bein…
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hcup-us.ahrq.gov/reports/statbriefs/sb240-Co-occurring-Physical-Mental-Substance-Conditions-Hospital-Stays.jsp
February 01, 2018 - STATISTICAL BRIEF #240
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psnet.ahrq.gov/issue/use-anatomic-marking-form-alternative-universal-protocol-preventing-wrong-site-wrong
March 02, 2011 - Commentary
Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery.
Citation Text:
Knight N, Aucar J. Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong…