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psnet.ahrq.gov/issue/overview-adverse-events-related-invasive-procedures-intensive-care-unit
November 29, 2023 - October 29, 2014
Impact of contact isolation for multidrug-resistant organisms on the occurrence
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psnet.ahrq.gov/issue/factors-influence-expected-length-operation-results-prospective-study
August 11, 2021 - October 31, 2014
Relationship between occurrence of surgical complications and hospital
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psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-among-spine-surgeons
March 09, 2022 - WebM&M Cases
Spinal Epidural Abscess
August 8, 2019
The occurrence
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psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents
October 05, 2022 - April 5, 2023
Implementing the clinical occurrence reporting and learning system: a double-loop
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psnet.ahrq.gov/issue/fast-does-not-imply-flawed-analyzing-emergency-physician-productivity-and-medical-errors
January 25, 2023 - January 20, 2021
Maximum emergency department overcrowding is correlated with occurrence
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psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-after-colonoscopy
March 25, 2020 - March 25, 2020
Maximum emergency department overcrowding is correlated with occurrence
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psnet.ahrq.gov/issue/teaching-students-administer-medications-safely
December 04, 2019 - October 10, 2018
The relationship between nursing experience and education and the occurrence
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psnet.ahrq.gov/issue/specificity-computerized-physician-order-entry-has-significant-effect-efficiency-workflow
March 14, 2022 - June 8, 2022
Implementing the clinical occurrence reporting and learning system: a double-loop
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psnet.ahrq.gov/node/38348/psn-pdf
December 30, 2014 - Implementing a bar-code medication administration
system.
December 30, 2014
Weber RJ. Implementing a Bar-Code Medication Administration System. Hosp Pharm. 2010;43(12):1016-
1022. doi:10.1310/hpj4312-1016.
https://psnet.ahrq.gov/issue/implementing-bar-code-medication-administration-system
This commentary discusse…
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psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
October 03, 2017 - Study
Preventing wrong site, procedure, and patient events using a common cause analysis.
Citation Text:
Mallett R, Conroy M, Saslaw LZ, et al. Preventing wrong site, procedure, and patient events using a common cause analysis. Am J Med Qual. 2012;27(1):21-9. doi:10.1177/10628606114120…
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psnet.ahrq.gov/issue/patient-perceptions-missed-nursing-care
September 27, 2017 - June 28, 2017
The occurrence of adverse events potentially attributable to nursing care
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psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
July 13, 2009 - April 19, 2017
The relationship between nursing experience and education and the occurrence
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psnet.ahrq.gov/issue/medical-errors-should-you-apologize
August 13, 2010 - November 18, 2016
The relationship between nursing experience and education and the occurrence
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psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
July 21, 2010 - Related Resources
Tubing misconnections—a persistent and potentially deadly occurrence
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psnet.ahrq.gov/issue/validity-patient-safety-indicators-veterans-health-administration
October 16, 2008 - September 11, 2023
Patient characteristics and the occurrence of never events.
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psnet.ahrq.gov/issue/pediatric-quality-and-safety
August 01, 2018 - August 26, 2020
The effect of a transitional pharmaceutical care program on the occurrence
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psnet.ahrq.gov/issue/follow-tips-safe-efficient-practice
July 23, 2010 - November 18, 2016
The relationship between nursing experience and education and the occurrence
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psnet.ahrq.gov/issue/health-information-technology-and-its-effects-hospital-costs-outcomes-and-patient-safety
January 29, 2018 - September 16, 2020
Maximum emergency department overcrowding is correlated with occurrence
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psnet.ahrq.gov/issue/challenges-ahead-technology-training-report-training-initiative-committee-technology
August 09, 2017 - May 29, 2019
Tubing misconnections—a persistent and potentially deadly occurrence.
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digital.ahrq.gov/sites/default/files/docs/publication/KSchultzetal2006HFES_JobTaskAnalysis.pdf
January 01, 2005 - The
number of individual occurrences of each task, mean
duration of each occurrence (i.e., dwell time