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psnet.ahrq.gov/node/840494/psn-pdf
November 30, 2022 - safety-anesthetic-and-perioperative-medication-practices
Medication use in the surgical environment is complex and high-risk
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psnet.ahrq.gov/node/46620/psn-pdf
January 30, 2018 - J Healthc Risk Manag. 2017;37(3):14-17.
doi:10.1002/jhrm.21285.
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psnet.ahrq.gov/node/60563/psn-pdf
June 03, 2020 - value-autopsies-era-high-tech-medicine-discrepant-findings-persist
https://psnet.ahrq.gov/issue/reducing-risk-diagnostic-error-covid
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psnet.ahrq.gov/node/39558/psn-pdf
May 26, 2010 - recasting-rca-improved-model-performing-root-cause-analyses
This article describes the adaptation of the Commercial Aviation Safety Team (CAST) risk
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psnet.ahrq.gov/node/38453/psn-pdf
January 02, 2017 - psnet.ahrq.gov/issue/statement-prevention-retained-foreign-bodies-after-surgery
https://psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery
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psnet.ahrq.gov/node/851660/psn-pdf
July 26, 2023 - This article discusses the use of checklists to systematize anesthesia and reduce risk in pediatric
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psnet.ahrq.gov/node/41085/psn-pdf
December 29, 2014 - errors with little discussion of potential solutions or steps patients could take to
minimize error risk
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psnet.ahrq.gov/node/47649/psn-pdf
January 09, 2019 - medication
prophylaxis is indicated and screening of all hospitalized patients for venous thromboembolism risk
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psnet.ahrq.gov/node/47511/psn-pdf
October 24, 2018 - subsequent overuse of medical care contributes to unnecessary financial,
psychological, and physical risk
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psnet.ahrq.gov/node/39708/psn-pdf
September 09, 2010 - adverse-drug-events-outpatient-setting-11-year-national-analysis
This study identified patient age and polypharmacy use as risk
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psnet.ahrq.gov/node/73078/psn-pdf
September 19, 2024 - risky-business-creating-connections
A core tenant of the patient safety improvement drawing from the experiences of various high-risk
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psnet.ahrq.gov/node/42651/psn-pdf
October 09, 2013 - https://psnet.ahrq.gov/issue/healthcare-cost-and-utilization-project-hcup
https://psnet.ahrq.gov/issue/risk-factors-hospital-admissions-associated-adverse-drug-events
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psnet.ahrq.gov/node/36288/psn-pdf
December 23, 2016 - /preventing-adverse-events-caused-emergency-electrical-power-system-
failures
This alert provides risk
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psnet.ahrq.gov/node/45261/psn-pdf
June 22, 2016 - https://psnet.ahrq.gov/issue/hospitals-mess-are-urged-confess
https://psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy
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psnet.ahrq.gov/node/40571/psn-pdf
February 24, 2012 - disclosure-unanticipated-outcomes-care-and-medical-errors-what-does-mean-
anesthesiologists
This review discusses how educating anesthesiologists about risk
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psnet.ahrq.gov/node/41334/psn-pdf
April 25, 2012 - of team error, this article proposes that human
factors and nontechnical skills training can reduce risk
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psnet.ahrq.gov/node/35413/psn-pdf
September 11, 2009 - medications in the emergency department is
prone to error and provides 10 suggestions for minimizing risk
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psnet.ahrq.gov/node/844762/psn-pdf
September 25, 2019 - /psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
Hospitalized patients are at risk
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psnet.ahrq.gov/node/47354/psn-pdf
November 21, 2018 - https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
https://psnet.ahrq.gov/issue/risk-and-event-assessment
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psnet.ahrq.gov/node/73480/psn-pdf
December 17, 2024 - This virtual
workshop will introduce HFE methods and discuss how they can be used to reduce risk through