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psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here
December 27, 2018 - November 7, 2019
The reporting and analysis of incidents involving medication safety represent
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psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches
August 01, 2012 - The 115 articles freely available in this latest issue of AHRQ's Advances in Patient Safety represent
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psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-system-capability
September 30, 2020 - Shortcomings in health equity represent systemic weaknesses in health care.
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psnet.ahrq.gov/issue/changing-narratives-patient-safety
April 17, 2019 - Mental models represent established mindsets that can either hinder or enhance safety.
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psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis
March 10, 2021 - Hospital-acquired pressure ulcers are considered never events and represent a significant source of
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psnet.ahrq.gov/issue/improving-resident-morning-sign-out-use-daily-events-reports
March 04, 2020 - Handoffs in the inpatient setting represent an ongoing challenge for patient safety.
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psnet.ahrq.gov/issue/call-action-addressing-pediatric-fall-safety-ambulatory-environments
June 30, 2021 - Patient falls represent a significant cause of patient harm.
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psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary-0
October 23, 2019 - Hospital-acquired conditions (HACs) represent a significant source of preventable harm to patients.
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psnet.ahrq.gov/issue/potential-uses-ai-perioperative-nursing-handoffs-qualitative-study
September 01, 2021 - Handoffs and transitions of care represent a vulnerable time for patients as important information
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psnet.ahrq.gov/node/49421/psn-pdf
October 01, 2003 - However, this case does represent an error and preventable
adverse event, because the patient experienced … Given the known low yield of self-reporting (10), this
study’s results probably represent only the " … solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/35886/psn-pdf
July 23, 2010 - The survey results are not linked to
patient outcomes, and this would represent an important and next
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psnet.ahrq.gov/node/47582/psn-pdf
December 12, 2018 - success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
Hospital-acquired pressure ulcers (HAPUs) are considered a never event, represent
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psnet.ahrq.gov/node/39655/psn-pdf
July 07, 2010 - often missed,
are largely based on autopsy studies and data from malpractice claims, which may over-represent
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psnet.ahrq.gov/node/40750/psn-pdf
September 07, 2011 - Although the findings may represent
reporting bias, since MEDMARX consists of voluntarily reported data
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psnet.ahrq.gov/node/38608/psn-pdf
January 02, 2017 - This novel strategy may represent an
effective, patient-centered approach to this problem.
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psnet.ahrq.gov/node/46892/psn-pdf
June 13, 2018 - While infections and adverse drug events decreased, pressure ulcers increased and
represent an opportunity
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psnet.ahrq.gov/node/34656/psn-pdf
May 27, 2011 - The methods explored in this study represent a growing
trend in improving safety, which is to better
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psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary
October 23, 2019 - While infections and adverse drug events decreased, pressure ulcers increased and represent an opportunity
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psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk
October 03, 2018 - Latex products are widely available in hospitals and represent a persistent threat to patients with
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psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death
November 25, 2009 - title National Confidential Enquiry into Perioperative Deaths (NCEPOD), this office changed its name to represent