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psnet.ahrq.gov/node/38333/psn-pdf
January 14, 2009 - Of note, OIG expanded the study of never events to the broader topic of adverse events in their
analysis
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psnet.ahrq.gov/issue/check-your-medicines-tips-taking-medicines-safely
September 04, 2018 - December 24, 2014
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Patients
Pharmacy
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psnet.ahrq.gov/node/46445/psn-pdf
December 19, 2017 - appeal-evidence-based-resident-duty-hours-reform
The impact of reductions in resident duty hours has been a topic
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psnet.ahrq.gov/node/35089/psn-pdf
August 05, 2009 - Findings
suggested that the experience was useful and increased awareness about the topic area as desired
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - explanation for the lack of attention paid to diagnostic errors may lie with the historic interest in the topic … The 5 years since then have seen a gradual increase in publications on the topic. … I was a junior investigator, if there was an opportunity to write a first author paper on a related topic … important to improve patient care, it's generally not a good idea to try to venture into every hot topic … Advancing and contributing to a research agenda for a topic so fundamentally important is one factor,
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psnet.ahrq.gov/node/73135/psn-pdf
April 14, 2021 - Debrief it all: a tool for inclusion of Safety-II.
April 14, 2021
Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul
(Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3.
https://psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
Debriefing is a c…
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psnet.ahrq.gov/node/34736/psn-pdf
October 24, 2017 - Considering the
fundamental importance of clinical reasoning, the topic has received surprisingly little
-
psnet.ahrq.gov/node/35934/psn-pdf
February 24, 2011 - These factors were grouped as topic
areas, which included awareness of error, factors influencing learner
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psnet.ahrq.gov/issue/iatrogenic-disease
March 19, 2008 - June 25, 2008
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Labor and Delivery
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-36
December 30, 2014 - June 16, 2019
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Hospitals
Pharmacists
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psnet.ahrq.gov/node/845632/psn-pdf
March 08, 2023 - Pharmacists reducing medication risk in medical
outpatient clinics: a retrospective study of 18 clinics.
March 8, 2023
Snoswell CL, De Guzman KR, Barras M. Pharmacists reducing medication risk in medical outpatient
clinics: a retrospective study of 18 clinics. Intern Med J. 2023;53(1):95-103. doi:10.1111/imj.15504.…
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psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
November 02, 2016 - Current observations suggest there are select patient safety topic areas that warrant further attention … SENs often target more focused research topic areas that have been recognized by the agency, whereas … integrated into several AHRQ-sponsored contracts, a funding vehicle that can also be used for other topic … September 24, 2017
ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic … Be Surprised Again
November 1, 2006
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psnet.ahrq.gov/issue/imperfect-practice-makes-perfect-error-management-training-improves-transfer-learning
May 19, 2019 - February 29, 2012
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Hospitals
Educators
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-33
June 16, 2019 - December 30, 2014
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Health Care Providers
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psnet.ahrq.gov/issue/acog-committee-opinion-464-patient-safety-surgical-environment
July 18, 2019 - February 15, 2006
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Operating Room
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-19
June 16, 2019 - June 16, 2019
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Pharmacists
Hospital
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psnet.ahrq.gov/issue/sentinel-event-alert-63-optimizing-smart-infusion-pump-safety-ders
March 22, 2023 - December 30, 2014
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Hospitals
Quality
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psnet.ahrq.gov/issue/special-issue-teamwork
March 23, 2022 - August 22, 2007
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Hospitals
Medicine
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psnet.ahrq.gov/issue/when-bullying-affects-patient-safety
March 13, 2019 - May 26, 2010
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Operating Room
Nurses
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psnet.ahrq.gov/issue/guideline-summary-medication-safety
July 05, 2023 - February 13, 2008
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Operating Room