-
psnet.ahrq.gov/node/35089/psn-pdf
August 05, 2009 - The patient safety curriculum described targeted third-year medical students with a 4-hour session that
-
psnet.ahrq.gov/node/38057/psn-pdf
September 10, 2008 - The strategy described builds on existing efforts to develop health
literacy interventions for improving
-
psnet.ahrq.gov/node/42918/psn-pdf
February 05, 2014 - ascension-healths-demonstration-full-disclosure-protocol-unexpected-events-
during-labor-and
Full disclosure of medical errors has been described
-
psnet.ahrq.gov/node/37903/psn-pdf
May 09, 2013 - now become one of the clearest success stories in the patient safety movement, although some have
described
-
psnet.ahrq.gov/node/45698/psn-pdf
January 11, 2017 - This study described the
development of a mobile health application for patient safety managers to enable
-
psnet.ahrq.gov/node/45528/psn-pdf
October 26, 2016 - This
study described the implementation of a peer support program for second victims.
-
psnet.ahrq.gov/node/47525/psn-pdf
October 31, 2018 - This paper described two interventions that effectively increased student nurses' self-
efficacy in
-
psnet.ahrq.gov/node/47121/psn-pdf
August 08, 2018 - This review described formal programs to reduce mistreatment of physician learners.
-
psnet.ahrq.gov/node/43592/psn-pdf
November 23, 2016 - parents-and
In this study, health care providers and parents of children in a pediatric intensive care unit described
-
psnet.ahrq.gov/node/36494/psn-pdf
August 29, 2016 - medication-prescribing-errors-involving-route-administration
Error in medication prescribing is a well-described
-
psnet.ahrq.gov/issue/ahrq-webmm-morbidity-mortality-rounds-web
December 24, 2008 - The site features expert analysis and discussion of anonymously submitted cases where an error was described
-
psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - electrolytes,
and absence of clinical decision support, almost certainly contributed to the error described … advising that processes for TPN management should be standardized.13 Many
of the TPN management processes described … safety and reduced medication errors across
clinical settings.15,16
To avoid errors such as the one described … staffing, for both day and night
shifts, is critical to help prevent medication errors such as the one described … resolution of such issues.25-29 Similar measures could be implemented at the hospital where the event
described
-
psnet.ahrq.gov/node/46618/psn-pdf
June 25, 2018 - A PSNet perspective described how surgical safety has evolved as a field.
-
psnet.ahrq.gov/node/44688/psn-pdf
February 23, 2018 - The authors also acknowledge potential challenges to
implementing the systems and process changes described
-
psnet.ahrq.gov/node/47334/psn-pdf
November 14, 2018 - This ethnographic
study described the safety experience of 26 medically complex British adults.
-
psnet.ahrq.gov/node/37984/psn-pdf
August 13, 2008 - included having students shadow ICU nurses and also conduct a root cause analysis of
an error, are described
-
psnet.ahrq.gov/node/46665/psn-pdf
June 19, 2018 - The authors described various types of patient engagement in medication
management as sources of system
-
psnet.ahrq.gov/node/45500/psn-pdf
September 28, 2016 - This study described an iterative
consensus-building process which identified 12 indicators of potentially
-
psnet.ahrq.gov/node/45962/psn-pdf
April 24, 2018 - In this study, researchers described lessons learned
from creating a leadership role that bridges quality
-
psnet.ahrq.gov/node/38721/psn-pdf
June 25, 2009 - Past studies have
described workarounds and a near miss after similar implementations.