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psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
June 22, 2022 - June 21, 2017
Estimating deaths due to medical error: the ongoing controversy and why
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psnet.ahrq.gov/issue/improving-medication-administration-safety-community-hospital-setting-using-lean-methodology
September 23, 2020 - April 24, 2019
Estimating deaths due to medical error: the ongoing controversy and why
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psnet.ahrq.gov/node/33800/psn-pdf
January 01, 2015 - Taken together, these
studies argue that CPOE implementation does not obviate the need for ongoing oversight … a blueprint of how vendors should test CPOE systems, both prior to their
implementation and in an ongoing
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psnet.ahrq.gov/node/842923/psn-pdf
February 01, 2023 - cases of postoperative Aspergillus, this review could have been
accomplished more quickly with an ongoing … To address the OR supply room problem, the hospital should
institute weekly terminal cleans with ongoing … All these interventions necessitate staff education and ongoing audits.
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psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
June 19, 2024 - June 19, 2024
The Joint Commission's ongoing professional practice evaluation process
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psnet.ahrq.gov/issue/munson-medical-center-embedding-culture-safety-and-qi-organization
March 20, 2024 - Citation
Related Resources From the Same Author(s)
The Joint Commission's ongoing
-
psnet.ahrq.gov/node/33830/psn-pdf
March 22, 2016 - medical-error-third-leading-cause-death-us
https://psnet.ahrq.gov/issue/estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters … https://psnet.ahrq.gov/issue/estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters
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psnet.ahrq.gov/issue/product-related-issues-make-error-potential-enormous-investigational-drugs
May 07, 2018 - May 7, 2018
Ongoing, preventable fatal events with fentanyl transdermal patches are alarming
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psnet.ahrq.gov/issue/diagnostic-errors-primary-care-pediatrics-project-redde
April 08, 2018 - The authors discuss an ongoing quality improvement collaborative working to reduce diagnostic errors
-
psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-safety
July 01, 2017 - The ability to measure and track progress in patient safety remains an ongoing challenge, particularly
-
psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - multiple-levels-involved-prescribing-wrong-medication
The Case
A 65-year-old woman complained of some ongoing … The only lab abnormality was a mild increase in her liver function tests which was attributed to her
ongoing … On postoperative day 15, she called back again with ongoing nausea. … and pended to the
physician who then prescribed the medication electronically to the patient for her ongoing
-
psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - documented
attempt to measure failure to rescue.6 Work to improve failure to rescue has since been ongoing … rescue and close
the mortality gap among hospitals in Michigan.4 Innovations like RIC may promote ongoing
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psnet.ahrq.gov/issue/nurse-decision-making-prearrest-period
July 29, 2020 - evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing
-
psnet.ahrq.gov/issue/opioid-crisis-origins-trends-policies-and-roles-pharmacists
December 14, 2022 - June 16, 2019
Ongoing, preventable fatal events with fentanyl transdermal patches are
-
psnet.ahrq.gov/issue/nurses-knowledge-and-teaching-possible-postpartum-complications
May 31, 2023 - evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing
-
psnet.ahrq.gov/issue/what-have-we-learnt-after-15-years-research-weekend-effect
December 02, 2020 - October 24, 2017
Estimating deaths due to medical error: the ongoing controversy and
-
psnet.ahrq.gov/issue/safety-culture-and-care-program-prevent-surgical-errors
March 25, 2020 - evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing
-
psnet.ahrq.gov/issue/learning-accident-and-error-avoiding-hazards-workload-stress-and-routine-interruptions
September 27, 2023 - evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing
-
psnet.ahrq.gov/issue/key-potentially-inappropriate-drugs-pediatrics-kids-list
September 23, 2020 - May 4, 2022
Ongoing, preventable fatal events with fentanyl transdermal patches are alarming
-
psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool
June 02, 2021 - evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing