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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
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psnet.ahrq.gov/node/73984/psn-pdf
October 20, 2021 - Using the
Diagnostic Error Evaluation and Research (DEER) taxonomy, researchers reviewed 16 records
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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
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psnet.ahrq.gov/node/849136/psn-pdf
May 17, 2023 - This peer-reviewed article discusses how one organization implemented an
M&M program.
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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
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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
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psnet.ahrq.gov/issue/examining-nurses-decision-process-medication-management-home-care
December 21, 2018 - In this AHRQ-funded study, the investigators reviewed the medication management process for home care
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psnet.ahrq.gov/node/36368/psn-pdf
July 08, 2008 - https://psnet.ahrq.gov/issue/systematic-review-medication-errors-pediatric-patients
The authors reviewed
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psnet.ahrq.gov/node/867590/psn-pdf
January 22, 2025 - Each of the four case-finding
strategies was used, 703 cases were reviewed, and 32% of cases had at
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psnet.ahrq.gov/node/866249/psn-pdf
July 10, 2024 - In this study, twelve months of health information technology (HIT) incidents were retrospectively
reviewed
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psnet.ahrq.gov/node/865484/psn-pdf
April 03, 2024 - In this study, records of patients with incidental imaging findings (IIF) were
reviewed to determine
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psnet.ahrq.gov/node/866744/psn-pdf
September 18, 2024 - care-concerns-and-deficiencies-facility-leaders-and-staffs-responses-following-
medical
This investigation from the VA Office of Inspector General (OIG) reviewed
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psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit
December 15, 2011 - The authors reviewed anonymous adverse event reports from an intensive care unit and analyzed the systemic
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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - substantially in the PACS/digital environment.( 8 ) Before the advent of PACS, a radiologist typically reviewed … separation of the report (EHR) from the images (PACS) has increased the frequency with which reports are reviewed … by clinicians without the images (as in this case) and images are reviewed without the report. … In this case, the gynecologist should have reviewed the images personally before entering the OR for … quickly and efficiently launch the EHR and find pertinent information based on the imaging study being reviewed
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psnet.ahrq.gov/node/35727/psn-pdf
February 22, 2006 - psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution
The authors reviewed
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psnet.ahrq.gov/node/35592/psn-pdf
June 17, 2010 - noise-levels-johns-hopkins-hospital
The investigators conducted a noise survey at Johns Hopkins Hospital and reviewed
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psnet.ahrq.gov/node/35457/psn-pdf
January 05, 2017 - examining-nurses-decision-process-medication-management-home-care
In this AHRQ-funded study, the investigators reviewed
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psnet.ahrq.gov/node/844547/psn-pdf
February 15, 2023 - In this study, an expert panel
reviewed existing definitions of ‘second victim’ in the literature and
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psnet.ahrq.gov/node/836852/psn-pdf
April 06, 2022 - and mortality
to patients and play a role in malpractice claims. 498 closed malpractice claims were reviewed
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psnet.ahrq.gov/node/836987/psn-pdf
April 27, 2022 - To evaluate its RR system, one hospital’s pediatric
department reviewed all REACT (Rapid Escalation