-
psnet.ahrq.gov/node/34704/psn-pdf
December 24, 2008 - medical liability
claims in a review of 15,000 hospital discharges in Utah and Colorado in 1992, a sample … Of the 18 malpractice claims in the sample, 14 were made in the
absence of any negligence.
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psnet.ahrq.gov/node/44305/psn-pdf
January 22, 2016 - Using the Nationwide Inpatient Sample, a representative sample of hospitalizations
maintained by AHRQ's
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psnet.ahrq.gov/issue/using-preprinted-medication-order-forms-improve-safety-investigational-drug-use
April 24, 2024 - authors advise on how to minimize medication errors when dispensing investigational drugs and provide a sample
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psnet.ahrq.gov/issue/quality-improvement-decrease-specimen-mislabeling-transfusion-medicine
September 11, 2024 - September 29, 2021
Electronic patient identification for sample labeling reduces wrong … December 24, 2008
WebM&M Cases
Right Patient, Wrong Sample
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psnet.ahrq.gov/issue/ismp-medication-safety-alertr-nurse-advise-err
January 26, 2023 - Sample articles are available at the site.
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psnet.ahrq.gov/node/43080/psn-pdf
March 26, 2014 - psnet.ahrq.gov/issue/reducing-adverse-events-blood-transfusion
https://psnet.ahrq.gov/web-mm/right-patient-wrong-sample
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psnet.ahrq.gov/issue/using-snowball-sampling-method-nurses-understand-medication-administration-errors
August 02, 2011 - Study
Using snowball sampling method with nurses to understand medication administration errors.
Citation Text:
Sheu S-J, Wei I-L, Chen C-H, et al. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs. 2009;18(4):559-69. doi:10.1111/j.1…
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psnet.ahrq.gov/issue/take-charge-your-hospital-stay-avoid-medical-mistakes
April 08, 2020 - Sample tips are to obtain copies of important records and carefully consider timing when scheduling
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psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
November 27, 2018 - The text includes a sample sentinel event root cause analysis form and a glossary.
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psnet.ahrq.gov/node/34719/psn-pdf
December 23, 2008 - Learning from samples of one or fewer.
December 23, 2008
March JG, Sproull LS, Tamuz M. Org Sci.1991;2:1-13. (reprinted in: Qual Saf Health Care 2003;12:465-
472.)
https://psnet.ahrq.gov/issue/learning-samples-one-or-fewer
Organizations learn from experience. However, learning from rare events is challenging becau…
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psnet.ahrq.gov/issue/patient-safety-toolbox
July 08, 2015 - December 19, 2009
National Academy for State Health Policy
This online toolkit provides sample
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psnet.ahrq.gov/issue/transfusion-safety-nature-and-outcomes-errors-patient-registration
December 16, 2020 - A national random sample survey about "truth-telling practices" in the perioperative setting in the United … June 14, 2019
Electronic patient identification for sample labeling reduces wrong blood
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psnet.ahrq.gov/issue/emergency-departments-are-higher-risk-locations-wrong-blood-tube-errors
November 17, 2021 - February 10, 2021
Electronic patient identification for sample labeling reduces wrong … Transfusion Event
January 29, 2020
Electronic patient identification for sample
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psnet.ahrq.gov/node/34010/psn-pdf
June 20, 2019 - Sample articles are available at
the site.
-
psnet.ahrq.gov/node/35241/psn-pdf
September 11, 2018 - https://psnet.ahrq.gov/issue/team-communication-operating-room
The author presents sample cases from
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psnet.ahrq.gov/node/36253/psn-pdf
November 28, 2018 - provides background on the medication reconciliation process and tips for its application, along
with sample
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psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety
May 13, 2020 - February 15, 2010
WebM&M Cases
Right Patient, Wrong Sample
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psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
January 05, 2017 - June 13, 2011
Sample to sample carryover: a source of analytical laboratory error and
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psnet.ahrq.gov/issue/medication-reconciliation-handbook-2nd-edition
May 04, 2015 - provides background on the medication reconciliation process and tips for its application, along with sample
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psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results
February 11, 2015 - Helpful resources such as checklists , sample control plans, and review exercises are also included.