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psnet.ahrq.gov/node/33894/psn-pdf
April 11, 2011 - prevention-medication-errors-pediatric-inpatient-setting
Key areas of recommendations to improve medication safety are reviewed
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psnet.ahrq.gov/node/35873/psn-pdf
April 18, 2011 - https://psnet.ahrq.gov/issue/non-technical-skills-intensive-care-unit
The authors reviewed studies on
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psnet.ahrq.gov/node/40633/psn-pdf
July 20, 2011 - /psnet.ahrq.gov/issue/report-burden-endemic-health-care-associated-infection-worldwide
This report reviewed
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psnet.ahrq.gov/node/43717/psn-pdf
December 03, 2014 - https://psnet.ahrq.gov/issue/medical-errors-neurosurgery
This study reviewed the literature describing
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psnet.ahrq.gov/node/860722/psn-pdf
January 17, 2024 - This study reviewed and categorized incident reports regarding in-hospital cardiac arrest (IHCA) at two
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psnet.ahrq.gov/node/860714/psn-pdf
January 17, 2024 - This large cohort study reviewed the
health records of 2,428 adult inpatients who were transferred to
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psnet.ahrq.gov/node/36196/psn-pdf
November 01, 2012 - https://psnet.ahrq.gov/issue/myths-and-realities-80-hour-work-week
The authors reviewed the literature
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psnet.ahrq.gov/node/36151/psn-pdf
September 29, 2010 - psnet.ahrq.gov/issue/communication-and-teamwork-patient-care-how-much-can-we-learn-aviation
The authors reviewed
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psnet.ahrq.gov/node/34603/psn-pdf
September 29, 2017 - policy-part-2-3
The process for crafting a policy to support effective disclosure initiatives is reviewed
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psnet.ahrq.gov/node/36456/psn-pdf
May 27, 2011 - psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician-order-entry-systems
The authors reviewed
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psnet.ahrq.gov/node/35806/psn-pdf
March 29, 2006 - follow-markedly-elevated-serum-potassium-results-ambulatory-setting-
implications-patient
The investigators reviewed
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psnet.ahrq.gov/node/37099/psn-pdf
October 04, 2011 - errors-mri-evaluation-musculoskeletal-tumors-and-tumorlike-lesions
In this study, experienced musculoskeletal radiologists re-reviewed
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psnet.ahrq.gov/node/35197/psn-pdf
December 09, 2008 - psnet.ahrq.gov/issue/analysis-errors-enacted-surgical-trainees-during-skills-training-courses
The authors reviewed
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psnet.ahrq.gov/node/36037/psn-pdf
June 25, 2009 - psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department
The authors retrospectively reviewed
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psnet.ahrq.gov/node/35891/psn-pdf
May 03, 2006 - https://psnet.ahrq.gov/issue/costs-and-benefits-health-information-technology
The authors reviewed the
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psnet.ahrq.gov/node/44820/psn-pdf
March 08, 2017 - information about the third cycle of an NQF patient safety project that solicited new
measures and reviewed
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psnet.ahrq.gov/node/39711/psn-pdf
July 28, 2010 - https://psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
This study reviewed more than 2400
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
May 01, 2006 - The consulting orthopedist reviewed the x-ray report then briefly examined the patient. … Prior to making an incision, the orthopedist reviewed the x-ray and was shocked to notice that it was … A preoperative verification process to ensure that all studies and records are available, have been reviewed … the last moment when the orthopedist discovered that the presumptive diagnosis was wrong
The surgeon reviewed
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - Having not received a verbal signout from the primary intern, the cross-covering intern reviewed the … services, the pharmacist provides a chart note with specific recommendations about dosing, which is then reviewed … nurse noticed that no warfarin order was written, as part of her scope of practice, she should have reviewed … The covering intern should have reviewed the laboratory results prior to ordering the medication. … Take-Home Points When a medication, especially a high-risk one, is not ordered, the chart should be 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