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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47459/psn-pdf
    October 10, 2018 - psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification This newsletter article reviews
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45282/psn-pdf
    July 13, 2016 - This article reviews incidents submitted to a state reporting initiative where insufficient patient
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47461/psn-pdf
    December 27, 2018 - The first article reviews unsafe practices in care delivery as defined by inpatient clinicians.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46247/psn-pdf
    August 08, 2018 - This conference report reviews types of distractions in anesthesiology, their likelihood to introduce
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45566/psn-pdf
    October 19, 2016 - This report reviews the results of the second round of funded effort, which involved more than 1500
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44651/psn-pdf
    December 09, 2015 - This article reviews evidence on the topic to illustrate measurement challenges and includes a sociotechnical
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46582/psn-pdf
    February 14, 2018 - https://psnet.ahrq.gov/issue/technological-distractions-part-1-and-part-2 These paired systematic reviews
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46899/psn-pdf
    March 21, 2018 - medication-errors-mental-healthcare-systematic-review https://psnet.ahrq.gov/issue/pharmacist-medication-reviews-improve-safety-monitoring-primary-care-patients
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44076/psn-pdf
    May 19, 2018 - performance of a pediatric medication-focused trigger tool with a multifaceted method which relied on chart reviews
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43606/psn-pdf
    October 15, 2014 - This position paper describes why this problem is emerging, reviews evidence and policy to guide safe
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46097/psn-pdf
    August 09, 2017 - This commentary discusses nursing practice associated with high-alert medications and reviews tactics
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45149/psn-pdf
    September 19, 2016 - This commentary reviews the stages of recovery that such health care workers experience, determined
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45844/psn-pdf
    February 15, 2017 - This commentary reviews problems associated with this unintended consequence and suggests that enabling
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42862/psn-pdf
    January 15, 2014 - va-health-care-improvements-needed-processes-used-address-providers-actions-contribute https://psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-reviews-impact-quality-and-safety-us-hospitals
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35766/psn-pdf
    March 02, 2011 - The author reviews the epidemiology of medication errors and adverse drug events and shares a systems
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42912/psn-pdf
    December 12, 2014 - The author reviews evidence supporting vaccination as a preventive strategy, addresses barriers to mandatory
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44872/psn-pdf
    February 12, 2016 - safeguards to prevent system failures that can result in patient harm, this two-part newspaper article reviews
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35635/psn-pdf
    June 24, 2010 - While results were generated from retrospective chart reviews, this study represents the first population-based
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43870/psn-pdf
    January 28, 2015 - accountability-medical-error-moving-beyond-blame-advocacy https://psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-reviews-impact-quality-and-safety-us-hospitals
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45377/psn-pdf
    October 27, 2016 - This commentary discusses how hospitalists can prevent diagnostic errors and reviews opportunities for

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