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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34923/psn-pdf
    February 27, 2009 - failure-mode-and-effects-analysis-application-critical-care-medicine This article provides background on failure mode and effects analysis (FMEA) and reviews
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45265/psn-pdf
    July 13, 2016 - This article reviews insights from one hospital's unique program to encourage staff members to help
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35438/psn-pdf
    September 15, 2009 - Bagian, director of the National Center for Patient Safety (NCPS), reviews elements of a successful
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42160/psn-pdf
    April 03, 2013 - psnet.ahrq.gov/issue/perianesthesia-nurses-role-prevention-opioid-related-sentinel-events This commentary reviews
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46824/psn-pdf
    June 26, 2018 - https://psnet.ahrq.gov/issue/management-reasoning-beyond-diagnosis This commentary reviews five differences
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45005/psn-pdf
    May 04, 2016 - This book reviews the primary elements of high reliability organizations and describes how hospitals
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41293/psn-pdf
    June 01, 2012 - psnet.ahrq.gov/issue/developing-action-plan-patient-radiation-safety-adult-cardiovascular-medicine This report reviews
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46607/psn-pdf
    November 08, 2017 - This report reviews tools to help health care systems target eight areas of focus that have potential
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47435/psn-pdf
    November 07, 2018 - This commentary reviews examples of bias that commonly occur in medical practice and describes debiasing
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46553/psn-pdf
    October 25, 2017 - This commentary reviews the current state of telehealth practice, highlights how telehealth can enhance
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41629/psn-pdf
    January 03, 2017 - improving-team-performance-during-preprocedure-time-out-pediatric- interventional-radiology Audiovisual recordings, reviews
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43732/psn-pdf
    January 07, 2015 - Suggesting that such delays are not always due to error, this commentary reviews how diagnostic difficulty
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45512/psn-pdf
    October 05, 2016 - This magazine article reviews recent research on this issue and suggests several system approaches for
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47475/psn-pdf
    January 23, 2019 - The reviews highlight systems science, collaboration, leadership models, and patient experience as important
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40865/psn-pdf
    September 12, 2016 - review-current-and-emerging-approaches-address-failure-rescue Describing failure to rescue as a key area for improvement in patient safety, this piece reviews
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42291/psn-pdf
    September 12, 2016 - psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case This commentary reviews
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34015/psn-pdf
    December 22, 2008 - pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction- and-quality This article reviews
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41978/psn-pdf
    January 16, 2013 - surgical-complications-disclosing-adverse-events-and-medical-errors This commentary presents a scenario involving a possible retained surgical object and reviews
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45431/psn-pdf
    November 22, 2017 - https://psnet.ahrq.gov/issue/pediatric-chest-radiographs-common-and-less-common-errors This commentary reviews
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43562/psn-pdf
    September 24, 2014 - This article reviews evidenced-based recommendations and strategies to prevent alarm fatigue in nurses

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