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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35517/psn-pdf
    November 17, 2016 - https://psnet.ahrq.gov/issue/joint-commission-journal-quality-and-patient-safety This monthly, peer-reviewed
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35841/psn-pdf
    March 28, 2011 - https://psnet.ahrq.gov/issue/measuring-safety-climate-health-care The authors reviewed 12 studies that
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74710/psn-pdf
    January 26, 2022 - evolution-anesthesia-patient-safety-movement-america-lessons-learned-and- considerations The legacy of anesthesiology as a leader in patient safety is reviewed
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47411/psn-pdf
    December 12, 2018 - Researchers retrospectively reviewed events involving disrespectful provider behavior at a single academic
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73589/psn-pdf
    August 11, 2021 - ://psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hospital-grounds-and-clinic-areas Researchers reviewed
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837426/psn-pdf
    June 15, 2022 - training in the United Kingdom identified a high rate of prescribing errors (8.9% of prescriptions reviewed
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849136/psn-pdf
    May 17, 2023 - This peer-reviewed article discusses how one organization implemented an M&M program.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50799/psn-pdf
    January 15, 2020 - The authors reviewed over 40 articles and identified four themes influencing medication safety: (1)
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848814/psn-pdf
    May 10, 2023 - In this peer-reviewed commentary, the authors critique several components of the report.
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840163/psn-pdf
    November 16, 2022 - This report reviewed over 500 race- or ethnicity-related patient safety incidents to determine the types
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50911/psn-pdf
    February 19, 2020 - This article reviewed existing medication reconciliation strategies and found that many have poor accuracy
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73984/psn-pdf
    October 20, 2021 - Using the Diagnostic Error Evaluation and Research (DEER) taxonomy, researchers reviewed 16 records
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50918/psn-pdf
    February 19, 2020 - prior research developing trigger tools for identifying preventable errors in dentistry, this study reviewed
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839818/psn-pdf
    November 09, 2022 - systems, error types associated with immobilization systems, and the influence of treatment position are reviewed
  15. psnet.ahrq.gov/issue/disclosure-unanticipated-events-next-step-better-communication-patients-part-1-3
    January 13, 2016 - has taken place since 2001 about the role disclosure plays in supporting safe and effective care is reviewed
  16. psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-organization
    January 13, 2016 - The implementation and application of proactive risk assessment is reviewed.
  17. psnet.ahrq.gov/issue/costs-and-benefits-health-information-technology
    July 27, 2018 - The authors reviewed the literature on health information technology (HIT).
  18. psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-reduction
    May 07, 2014 - This newsletter article recommends that high-alert medication lists be updated and reviewed regularly
  19. psnet.ahrq.gov/issue/fail-safe-patient-id-matching-remains-just-out-reach
    October 05, 2016 - A past WebM&M commentary reviewed an incident involving a patient mix-up.
  20. psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution
    November 03, 2015 - The authors reviewed discharge medication records for elderly patients to assess documentation problems

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