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psnet.ahrq.gov/node/46281/psn-pdf
January 01, 2021 - Pain and infection were the most
common types of adverse events in the cases reviewed.
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psnet.ahrq.gov/node/50664/psn-pdf
November 13, 2019 - pharmaceutical industry-level quality improvement strategies designed to address systemic weaknesses
are reviewed
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psnet.ahrq.gov/issue/disclosure-unanticipated-events-creating-effective-patient-communication-policy-part-2-3
January 13, 2016 - Management; ASHRM
The process for crafting a policy to support effective disclosure initiatives is reviewed
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-lvhhn-patient-safety-video-patients-partners-safe-care
January 02, 2017 - The development process for a patient safety educational video is reviewed.
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psnet.ahrq.gov/node/867530/psn-pdf
January 15, 2025 - This qualitative metasynthesis reviewed 15 studies to explore nurses’ experiences of
speaking up.
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psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
June 01, 2022 - Gaps in uptake were reviewed and recommendations for improvement shared.
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psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows
October 21, 2020 - address the problem such as training and use of patient survey data to motivate individual action are reviewed
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psnet.ahrq.gov/issue/drug-shortages-root-causes-and-potential-solutions
January 13, 2021 - pharmaceutical industry-level quality improvement strategies designed to address systemic weaknesses are reviewed
-
psnet.ahrq.gov/node/60965/psn-pdf
September 30, 2020 - https://psnet.ahrq.gov/issue/data-collection-adverse-events-reporting-us-dental-schools
This study reviewed
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psnet.ahrq.gov/node/73101/psn-pdf
April 07, 2021 - This session discussed risk factors in children with
complex care needs and reviewed existing strategies
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psnet.ahrq.gov/issue/patient-safety-trauma-maximal-impact-management-errors-level-i-trauma-center
February 19, 2020 - In this study, all deaths occurring on a trauma service were reviewed in order to determine the number
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psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 - https://psnet.ahrq.gov/primer/rapid-response-systems
PSNet primers are regularly reviewed and updated … Last reviewed in 2024.
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psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and-financial-loss
July 18, 2018 - The session reviewed how examining liability results can proactively focus organizational training and
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psnet.ahrq.gov/issue/cedars-sinai-doctors-cling-pen-and-paper-transition-electronic-medical-records-proves
June 15, 2005 - A high-profile misstep in implementing computerized provider order entry is reviewed.
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psnet.ahrq.gov/issue/duration-anesthesia-indicator-morbidity-and-mortality-office-based-facial-plastic-surgery
March 19, 2018 - The investigators reviewed records of patients having greater or less than 4 hours of anesthesia in an
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psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
December 16, 2014 - In this AHRQ-funded study, the authors reviewed elements of the hospital discharge process and defined
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psnet.ahrq.gov/node/73894/psn-pdf
February 22, 2022 - This
workshop reviewed the evidence base examining challenges in cancer diagnosis, discussed suggestions
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psnet.ahrq.gov/node/74128/psn-pdf
December 01, 2021 - While most research on falls focus on the in-
patient setting, this study reviewed research evidence
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psnet.ahrq.gov/node/44835/psn-pdf
January 01, 2019 - https://psnet.ahrq.gov/issue/potential-twitter-data-source-patient-safety
These researchers reviewed
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psnet.ahrq.gov/node/865310/psn-pdf
March 27, 2024 - In this study, researchers observed M&M conferences, interviewed leadership, and reviewed M&M
policies