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psnet.ahrq.gov/issue/measuring-harm-and-informing-quality-improvement-welsh-nhs-longitudinal-welsh-national
October 12, 2016 - This publication compared the use of the Global Trigger Tool with a two-stage retrospective review process
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psnet.ahrq.gov/issue/medication-errors-reported-us-family-physicians-and-their-office-staff
June 11, 2008 - Most reported errors occurred at the prescribing stage (e.g., prescribing an incorrect dose), and nearly
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psnet.ahrq.gov/issue/making-surgery-safe-it-should-be-qualitative-study
July 02, 2014 - Participants highlight the role of NTS during the pre-, intra-, and post-operative stage, such as developing
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psnet.ahrq.gov/issue/consumer-involvement-design-and-development-medication-safety-interventions-or-services
August 30, 2023 - Review
Consumer involvement in the design and development of medication safety interventions or services in primary care: a scoping review.
Citation Text:
DelDot M, Lau E, Rayner N, et al. Consumer involvement in the design and development of medication safety interventions or services i…
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psnet.ahrq.gov/primer/never-events
June 15, 2024 - death or serious injury associated with a fall while being cared for in a healthcare setting Any stage … 3, stage 4, and unstageable pressure ulcers acquired after admission/presentation to a healthcare setting
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psnet.ahrq.gov/issue/medication-manager-results-medication-bedside-pilot-pediatric-teaching-institution
December 20, 2023 - May 3, 2017
Guidance for health care leaders during the recovery stage of the COVID-19
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psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - – Recognition: birthing facilities should actively manage the third stage of labor,
define early … hemorrhage risk at the time of delivery due to her emergent
cesarean delivery while in the second stage … success, ultimately contributing to quality improvement.9, 10
• The Joint Commission also recommends stage-based
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psnet.ahrq.gov/issue/association-face-face-handoffs-and-outcomes-hospitalized-internal-medicine-patients
March 12, 2025 - August 17, 2018
Guidance for health care leaders during the recovery stage of the COVID
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psnet.ahrq.gov/node/49810/psn-pdf
November 01, 2017 - The Case
An 83-year-old man with chronic kidney disease and end-stage congestive heart failure (CHF) … Dying of end-stage heart failure and renal failure can be relatively peaceful, but it may also require … Palliative care in end-stage renal disease: illness trajectories, communication, and hospice
use. … The use of opioid analgesia in end-
stage renal disease patients managed without dialysis: recommendations
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psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-emergency-department-teams-communication-and-lessons-crew
April 26, 2023 - Commentary
Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management.
Citation Text:
Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …
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psnet.ahrq.gov/issue/state-healthcare-2008
March 28, 2018 - June 17, 2014
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/product-related-issues-make-error-potential-enormous-investigational-drugs
May 07, 2018 - May 7, 2018
Anticoagulant safety takes center stage in 2007.
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psnet.ahrq.gov/issue/fair-and-reliable-medical-justice-act
March 06, 2005 - October 31, 2012
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease
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psnet.ahrq.gov/issue/socio-cultural-perspective-patient-safety
August 06, 2016 - June 17, 2014
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/digital-clinical-safety-strategy
March 01, 2023 - April 14, 2021
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/oversight-hearing-recent-patient-safety-issues
November 06, 2019 - November 6, 2019
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease
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psnet.ahrq.gov/issue/national-patient-safety-agency-combining-stories-statistics-minimise-harm
November 18, 2020 - July 29, 2015
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/patient-options-safe-and-effective-disposal-unused-opioids
March 06, 2019 - September 29, 2017
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/examining-status-vas-electronic-health-record-modernization-program
November 10, 2021 - July 22, 2020
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease
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psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
September 27, 2023 - April 18, 2018
Guidance for health care leaders during the recovery stage of the COVID