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  1. psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-overdose
    January 04, 2017 - Download Citation Save Save to your library Print Download PDF Share … The authors share lessons learned from reviewing an adverse event with a rarely used medication and … citation Available at Save Save to your library Print Download PDF Share
  2. psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-food-and-drug-administration-1998-2005
    June 07, 2016 - Download Citation Save Save to your library Print Download PDF Share … increased markedly from 1998-2005, with a small proportion of drugs accounting for a disproportionate share … citation Free full text Save Save to your library Print Download PDF Share
  3. psnet.ahrq.gov/issue/improving-oversight-graduate-medical-education-enterprise-one-institutions-strategies-and
    September 21, 2009 - Download Citation Save Save to your library Print Download PDF Share … They share lessons learned from the first 3 years of the project, as well as opportunities for growth … citation Free full text Save Save to your library Print Download PDF Share
  4. psnet.ahrq.gov/issue/auto-identification-technology-and-its-impact-patient-safety-operating-room-future
    June 22, 2009 - Download Citation Save Save to your library Print Download PDF Share … The authors share their experiences with various automatic identification technologies and conclude that … citation Available at Save Save to your library Print Download PDF Share
  5. psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-reduce-errors
    February 04, 2015 - Copy Citation Save Save to your library Print Download PDF Share … The authors share steps taken to support success which include case selection, nonjudgmental culture … citation Available at Save Save to your library Print Download PDF Share
  6. psnet.ahrq.gov/issue/identification-patient-information-corruption-intensive-care-unit-using-scoring-tool-direct
    August 04, 2021 - Download Citation Save Save to your library Print Download PDF Share … The authors share their tool and advocate its use as a screening method to identify areas for improvement … citation Available at Save Save to your library Print Download PDF Share
  7. psnet.ahrq.gov/issue/effects-computerized-clinical-decision-support-systems-practitioner-performance-and-patient
    October 19, 2022 - Download Citation Save Save to your library Print Download PDF Share … of computerized clinical decision support systems (CDSS) and their impact on patient care seem to share … citation Available at Save Save to your library Print Download PDF Share
  8. psnet.ahrq.gov/primers-0
    March 15, 2025 - UC Davis PSNet Editorial Team | March 15, 2025 Save to Library Share … UC Davis PSNet Editorial Team | March 15, 2025 Save to Library Share … UC Davis PSNet Editorial Team | March 15, 2025 Save to Library Share … UC Davis PSNet Editorial Team | March 15, 2025 Save to Library Share … Electronic Health Records December 15, 2024 Save to Library Share
  9. psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety
    April 08, 2008 - Download Citation Save Save to your library Print Download PDF Share … Subsequent root cause analyses identified system factors that contributed to the errors, and the authors share … citation Free full text Save Save to your library Print Download PDF Share
  10. psnet.ahrq.gov/issue/improving-bar-coded-medication-administration-system-department-veterans-affairs
    November 18, 2009 - Download Citation Save Save to your library Print Download PDF Share … a series that describes approaches to true management problems in health systems as a mechanism to share … citation Available at Save Save to your library Print Download PDF Share
  11. psnet.ahrq.gov/training-catalog
    June 01, 2025 - Surgery Trends 2025: Redefining Surgical Excellence Conference Save to Library Share … IHI Patient Safety and Quality for Emerging Leaders Save to Library Share … NIOSH Training for Nurses on Shift Work and Long Work Hours Save to Library Share … www.asahq.org/shop-asa/E024S00W00 CARe Forum Save to Library Share … Medical Mistakes and What Doctors Can Learn From Pilots Save to Library Share
  12. psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds
    January 02, 2017 - Download Citation Save Save to your library Print Download PDF Share … The authors share the experiences of their institution in implementing this activity in nearly 50 clinical … at Related Web site Save Save to your library Print Download PDF Share
  13. psnet.ahrq.gov/issue/use-unsolicited-patient-observations-identify-surgeons-increased-risk-postoperative
    July 10, 2019 - Download Citation Save Save to your library Print Download PDF Share … Prior studies have shown that a small proportion of physicians account for a disproportionate share of … Related news article Save Save to your library Print Download PDF Share
  14. psnet.ahrq.gov/issue/cost-quality-academic-health-centers-annual-costs-its-quality-and-patient-safety
    October 14, 2020 - Download Citation Save Save to your library Print Download PDF Share … of gross clinical revenues were devoted to quality improvement and safety efforts, but the largest share … citation Free full text Save Save to your library Print Download PDF Share
  15. psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
    March 17, 2011 - Copy Citation Save Save to your library Print Download PDF Share … The authors share 4 primary concerns and recommendations to address the alert compliance gaps that … Free full text (PDF) Save Save to your library Print Download PDF Share
  16. psnet.ahrq.gov/clinical-areas
    March 24, 2025 - Save to Library Share Facebook Twitter Linkedin Copy URL … Save to Library Share Facebook Twitter Linkedin Copy URL … Save to Library Share Facebook Twitter Linkedin Copy URL … Save to Library Share Facebook Twitter Linkedin Copy URL … Save to Library Share Facebook Twitter Linkedin Copy URL
  17. psnet.ahrq.gov/shared-libraries
    May 19, 2025 - Introducing PSNet's New Shared Libraries Feature Registered PSNet users can create private libraries to house collections of PSNet content for easy reference. The new Shared Libraries feature allows you to add other users to any of your libraries to create a collaborative experience. Login or Registe…
  18. psnet.ahrq.gov/curated-library/medicationdrug-errors
    March 12, 2021 - Curated Libraries Subscribed Medication/Drug Errors  Download  Share … Save to Library Share Facebook Twitter Linkedin Copy URL … Save to Library Share Facebook Twitter Linkedin Copy URL … Save to Library Share Facebook Twitter Linkedin Copy URL … Save to Library Share Facebook Twitter Linkedin Copy URL
  19. psnet.ahrq.gov/issue/reducing-adverse-drug-events
    August 09, 2017 - Copy Citation Save Save to your library Print Download PDF Share … More than 40 organizations share their collective learning experience, from planning for improvement, … Information Save Save to your library Print Download PDF Share
  20. psnet.ahrq.gov/issue/safe-use-opioids-hospitals
    February 28, 2018 - Download Citation Save Save to your library Print Download PDF Share … medications are frequently used to treat acute pain in the hospital, opioids account for a disproportionate share … citation Information Save Save to your library Print Download PDF Share

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