-
psnet.ahrq.gov/node/39880/psn-pdf
September 29, 2010 - Most
nurses who were interviewed described their decision as fulfilling their role as an advocate for
-
psnet.ahrq.gov/node/853618/psn-pdf
September 20, 2023 - Participants described positive changes in workflow, professional standards, and smoother and
controlled
-
psnet.ahrq.gov/node/50778/psn-pdf
January 08, 2020 - This mixed-methods study examined teamwork-SMMs during discharge and described the
differences of discharge
-
psnet.ahrq.gov/node/849334/psn-pdf
May 24, 2023 - Using four clinical vignettes that described the same case in the Emergency Department but differed with
-
psnet.ahrq.gov/node/60223/psn-pdf
January 01, 2021 - The authors also described the accuracy of a risk prediction model to identify high-risk
patients for
-
psnet.ahrq.gov/node/60188/psn-pdf
January 01, 2021 - uncertain-diagnoses-childrens-hospital-patient-characteristics-and-outcomes
Diagnostic uncertainty has been described
-
psnet.ahrq.gov/node/844541/psn-pdf
February 15, 2023 - Staff at high safety climate facilities described open
communication and leadership responsiveness as
-
psnet.ahrq.gov/node/47655/psn-pdf
March 27, 2019 - increased desire to punish the surgeons and provide
greater financial compensation to the patients described
-
psnet.ahrq.gov/node/848318/psn-pdf
May 03, 2023 - Nurses in this study described four themes that contributed to missed nursing care: teamwork in nursing
-
psnet.ahrq.gov/node/851352/psn-pdf
July 12, 2023 - describes which events organizations most frequently identify
as never events, and which are most commonly described
-
psnet.ahrq.gov/issue/icn-position-statement-patient-safety
March 09, 2022 - Tactics described target, governmental, organizational, and individual actions for improvement.
-
psnet.ahrq.gov/node/858163/psn-pdf
December 13, 2023 - Respondents described critical incidents across a spectrum, from organizational processes
to medical
-
psnet.ahrq.gov/node/857444/psn-pdf
December 06, 2023 - The authors identified several methodological challenges and described how study design modifications
-
psnet.ahrq.gov/node/41231/psn-pdf
March 21, 2012 - junior-doctors-reflections-patient-safety
This study used written portfolios to capture reflective learning that trainees described
-
psnet.ahrq.gov/node/49787/psn-pdf
March 01, 2017 - Dozens of biases have been
described in the medical literature (11); Table 1 lists several prevalent … strategies
have not yet been proven to directly reduce errors in practice, many strategies (including some described … They frequently result
from cognitive biases that are well described in the medical literature. … effect
The susceptibility of diagnosticians to be disproportionately influenced by how a problem
is described … , by whom it is described, or even the environment where an encounter
takes place
Hindsight bias
Knowing
-
psnet.ahrq.gov/node/33946/psn-pdf
July 26, 2010 - The site features expert analysis and discussion of anonymously submitted cases
where an error was described
-
psnet.ahrq.gov/node/45741/psn-pdf
November 16, 2018 - This study
described the development and testing of a tool to help neurologists assess their diagnostic
-
psnet.ahrq.gov/node/34925/psn-pdf
February 27, 2009 - medication-errors-and-professional-practice-registered-nurses
This Australian study identified and described
-
psnet.ahrq.gov/node/60029/psn-pdf
March 11, 2020 - prevalence-nature-and-predictors-omitted-medication-doses-mental-health-
hospitals-multi
This study described
-
psnet.ahrq.gov/node/48123/psn-pdf
August 28, 2019 - A previous
WebM&M commentary described an adverse event related to a patient handoff.