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  1. Psn-Pdf (pdf file)

    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.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50664/psn-pdf
    November 13, 2019 - pharmaceutical industry-level quality improvement strategies designed to address systemic weaknesses are reviewed
  3. 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
  4. 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.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867530/psn-pdf
    January 15, 2025 - This qualitative metasynthesis reviewed 15 studies to explore nurses’ experiences of speaking up.
  6. 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.
  7. 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
  8. 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
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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
  11. 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
  12. Psn-Pdf (pdf file)

    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.
  13. 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
  14. 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.
  15. 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
  16. 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
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73894/psn-pdf
    February 22, 2022 - This workshop reviewed the evidence base examining challenges in cancer diagnosis, discussed suggestions
  18. Psn-Pdf (pdf file)

    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
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44835/psn-pdf
    January 01, 2019 - https://psnet.ahrq.gov/issue/potential-twitter-data-source-patient-safety These researchers reviewed
  20. Psn-Pdf (pdf file)

    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

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