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psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
March 03, 2021 - Individual communication styles, team dynamics , and policy were described as elements that influence
-
psnet.ahrq.gov/node/33922/psn-pdf
August 05, 2009 - The author reviews previously described CDRs, such as failures in perception and heuristics,
overconfidence
-
psnet.ahrq.gov/node/46272/psn-pdf
January 01, 2019 - Building on a previously described model, the institution developed a system to provide support
for
-
psnet.ahrq.gov/node/46974/psn-pdf
April 04, 2018 - The editorial is based on a case described in the related
article.
-
psnet.ahrq.gov/node/44745/psn-pdf
February 17, 2016 - Community nurses described their role in empowering patients,
but believed that they are often incapable
-
psnet.ahrq.gov/node/41400/psn-pdf
January 01, 2013 - conducting-efficient-proactive-risk-assessment-prior-cpoe-implementation-
intensive-care-unit
This study described
-
psnet.ahrq.gov/node/47616/psn-pdf
January 01, 2020 - A WebM&M commentary described how the cost of a diagnostic test led to a late
diagnosis of colon cancer
-
psnet.ahrq.gov/node/45502/psn-pdf
March 01, 2017 - This study described the development of a machine learning
algorithm to analyze free-text data in incident
-
psnet.ahrq.gov/node/38063/psn-pdf
February 23, 2009 - provider order entry systems despite the economic constraints and specific cultural
and social barriers described
-
psnet.ahrq.gov/node/44611/psn-pdf
November 04, 2015 - enhancing-patient-safety-pediatric-primary-care-implementing-patient-safety-
curriculum
Patient safety has been described
-
psnet.ahrq.gov/node/44547/psn-pdf
November 25, 2015 - The participants
described many barriers to patient safety in primary care and offered specific recommendations
-
psnet.ahrq.gov/node/44591/psn-pdf
March 15, 2016 - The injuries described in this case
series underscore the need to improve medical device design and
-
psnet.ahrq.gov/node/43726/psn-pdf
September 01, 2016 - differences-reasons-alert-overrides-contraindicated-co-prescriptions-admitting-
department
Alert fatigue is a well-described
-
psnet.ahrq.gov/node/45403/psn-pdf
September 21, 2016 - A PSNet perspective described one nurse's experience with MRSA as a
patient.
-
psnet.ahrq.gov/node/44627/psn-pdf
May 30, 2016 - importance of providing timely feedback to
physicians regarding prescription errors, but they also described
-
psnet.ahrq.gov/node/40547/psn-pdf
June 29, 2011 - what-context-features-might-be-important-determinants-effectiveness-patient-
safety-practice
Based on discussions from a 22-person expert panel, this study described
-
psnet.ahrq.gov/issue/patient-safety-16
January 21, 2015 - Patient safety has been described as an unmet need in physician training.
-
psnet.ahrq.gov/node/49540/psn-pdf
August 21, 2007 - Unfortunately, defibrillator user errors, such as the one described in this scenario, are not uncommon … These errors have been described in scholarly reviews as well.(11) Additionally, failure to
properly … years, led to further errors.(10,12) Finally,
mismatch of cables with specific defibrillators was described … With regard to
equipment usage and supply errors such as those described in this case, whenever possible … With regard to equipment problems such as those described by the case in question, a daily (or per shift
-
psnet.ahrq.gov/node/45989/psn-pdf
June 07, 2017 - procedures—were judged to be
more common than system factors, though only half of the incident reports described
-
psnet.ahrq.gov/node/45579/psn-pdf
November 01, 2017 - Individual communication styles, team dynamics, and policy were described as elements that influence