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  1. psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
    February 21, 2024 - reasons for 31 incidents of retained surgical swabs reported in the United Kingdom’s National Health Service … October 1, 2024 A qualitative exploration of mental health service user and carer perspectives
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60040/psn-pdf
    March 11, 2020 - This report highlights weaknesses in the UK National Health Service (NHS) incident reporting program … psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among-137-english-national-health-service
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47904/psn-pdf
    April 24, 2019 - https://psnet.ahrq.gov/issue/air-pressure-human-factors-are-key-safer-flight-environment Air transport service … air-pressure-human-factors-are-key-safer-flight-environment https://psnet.ahrq.gov/issue/analyzing-communication-errors-air-medical-transport-service
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61003/psn-pdf
    October 07, 2020 - October 7, 2020 Manchester, UK: The Parliamentary and Health Service Ombudsman; July 15, 2020. … This report examined complaint handling at the United Kingdom National Health Service.
  5. psnet.ahrq.gov/issue/never-events-framework-200910
    January 31, 2018 - London, UK: National Reporting and Learning Service; 2010. … London, UK: National Reporting and Learning Service; 2010. … London, UK: National Reporting and Learning Service; 2010. … January 31, 2018 A qualitative exploration of mental health service user and carer perspectives
  6. psnet.ahrq.gov/issue/10-facts-patient-safety
    March 09, 2022 - Patient Safety and Risk Management Service Delivery and Safety. … Linkedin Copy URL June 27, 2018 Patient Safety and Risk Management Service … Patient Safety and Risk Management Service Delivery and Safety.
  7. psnet.ahrq.gov/issue/patients-do-not-always-complain-when-they-are-dissatisfied-implications-service-quality-and
    April 11, 2011 - Study Patients do not always complain when they are dissatisfied: implications for service … Patients do not always complain when they are dissatisfied: implications for service quality and patient … Patients do not always complain when they are dissatisfied: implications for service quality and patient
  8. psnet.ahrq.gov/issue/prospective-review-adverse-events-during-interhospital-transfers-neonates-dedicated-neonatal
    March 03, 2011 - review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service … review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service … review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service
  9. psnet.ahrq.gov/issue/telling-cultures-cultural-issues-staff-reporting-concerns-about-colleagues-uk-national-health
    July 08, 2015 - cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service … cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service … cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service
  10. psnet.ahrq.gov/issue/implementation-resident-work-hour-restrictions-associated-reduction-mortality-and-provider
    December 21, 2014 - restrictions is associated with a reduction in mortality and provider-related complications on the surgical service … restrictions is associated with a reduction in mortality and provider-related complications on the surgical service … restrictions is associated with a reduction in mortality and provider-related complications on the surgical service
  11. psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-adverse-event
    January 24, 2018 - organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service … organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service … organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service
  12. psnet.ahrq.gov/issue/hamilton-acute-pain-service-safety-study-using-root-cause-analysis-reduce-incidence-adverse
    January 12, 2011 - Study Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce … Hamilton acute pain service safety study: using root cause analysis to reduce the incidence of adverse … Hamilton acute pain service safety study: using root cause analysis to reduce the incidence of adverse
  13. psnet.ahrq.gov/issue/hospital-inpatient-nutrition-service-errors-and-patient-safety-interventions-scoping-review
    January 01, 2000 - Review Hospital inpatient nutrition service errors and patient safety interventions … Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. … Hospital inpatient nutrition service errors and patient safety interventions: a scoping review.
  14. psnet.ahrq.gov/issue/medicines-management-medication-errors-and-adverse-medication-events-older-people-referred
    January 06, 2016 - management, medication errors and adverse medication events in older people referred to a community nursing service … Management, Medication Errors and Adverse Medication Events in Older People Referred to a Community Nursing Service … Management, Medication Errors and Adverse Medication Events in Older People Referred to a Community Nursing Service
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43798/psn-pdf
    January 07, 2015 - This commentary reveals the development, implementation, and initial testing of a service managed by … By the end of the 19-month pilot program, the service enhanced the quality of final medication lists … impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study https://psnet.ahrq.gov/issue/implementation-telepharmacy-service-provide-round-clock-medication-order-review-pharmacists
  16. psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients
    March 16, 2016 - Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level … This study used root cause analysis to identify underlying causes of suicide among mental health service … Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48013/psn-pdf
    May 29, 2019 - outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service … Outcomes Associated with Safety Interventions by a Pharmacist-Adjudicated Prior Authorization Consult Service
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73575/psn-pdf
    August 04, 2021 - August 4, 2021 Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. … This report summarizes an investigation of 25 imaging failures in the British National Health Service
  19. psnet.ahrq.gov/issue/ems-helicopter-crashes-what-influences-fatal-outcome
    September 23, 2020 - The authors studied data on emergency medical service helicopter crashes and identified factors that … July 31, 2013 Analyzing communication errors in an air medical transport service.
  20. psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework
    January 31, 2018 -  Epsom, UK: National Health Service; March 21, 2023. … Epsom, UK: National Health Service; March 21, 2023. …  Epsom, UK: National Health Service; March 21, 2023. … April 18, 2018 A qualitative exploration of mental health service user and carer perspectives

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