-
psnet.ahrq.gov/issue/racism-derails-black-mens-health-even-education-levels-rise
May 28, 2014 - This situation is described as one that devalues this patient population and degrades the care received
-
psnet.ahrq.gov/node/46766/psn-pdf
January 17, 2018 - Even interviewees who supported decision support in
principle described challenges related to technical
-
psnet.ahrq.gov/node/37586/psn-pdf
March 05, 2008 - national-surveillance-emergency-department-visits-outpatient-adverse-drug-
events-children-and
Medication misadventures leading to emergency department visits have been described
-
psnet.ahrq.gov/node/36006/psn-pdf
November 15, 2011 - Participants also described their emotions and satisfaction levels, which varied depending on the clinical
-
psnet.ahrq.gov/node/45959/psn-pdf
June 29, 2017 - A recent Annual
Perspective discussed the extent of harm associated with opioid prescribing and described
-
psnet.ahrq.gov/node/38343/psn-pdf
December 09, 2014 - This study
uses a previously described database to compare liability profiles in obstetric anesthesia
-
psnet.ahrq.gov/node/45277/psn-pdf
July 01, 2017 - A past PSNet interview described the application of CRM to health care.
-
psnet.ahrq.gov/node/42721/psn-pdf
December 12, 2014 - A past AHRQ WebM&M perspective described a widely known incident of chemotherapy medication
overdose
-
psnet.ahrq.gov/node/45610/psn-pdf
November 01, 2017 - A past WebM&M commentary
described a medication discrepancy that led to an adverse drug event.
-
psnet.ahrq.gov/node/42787/psn-pdf
January 19, 2014 - A previous AHRQ WebM&M perspective
described the importance of thoughtful application of CDSS for medication
-
psnet.ahrq.gov/node/36208/psn-pdf
January 05, 2017 - This approach is
described as an "intermediate step" to improve safety without incurring the expense
-
psnet.ahrq.gov/node/46547/psn-pdf
April 16, 2018 - Experts have described how the hidden
curriculum often runs counter to a culture of safety and standards
-
psnet.ahrq.gov/node/36909/psn-pdf
January 05, 2017 - Implementation and evaluation of the programs are
described in detail, along with examples of projects
-
psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-versus-draining-swamp
January 31, 2024 - A recent Annual Perspective discussed ongoing problems with the root cause analysis process and described
-
psnet.ahrq.gov/issue/monitoring-diagnostic-process-inpatient-neurology-service
November 03, 2015 - This study described the development and testing of a tool to help neurologists assess their diagnostic
-
psnet.ahrq.gov/node/47760/psn-pdf
February 06, 2019 - A past WebM&M commentary highlighted the clinical significance of HACs and described an
incident involving
-
psnet.ahrq.gov/node/46660/psn-pdf
October 18, 2018 - While the networks described focus on pediatric care, they suggest that the same principles and processes
-
psnet.ahrq.gov/node/39499/psn-pdf
January 03, 2017 - Early
learnings from a second victim RRS are described, including training of "clinician lifeguards"
-
psnet.ahrq.gov/node/46267/psn-pdf
December 21, 2017 - Bailey, described the implications of limited health literacy
on patient safety in a past PSNet perspective
-
psnet.ahrq.gov/node/44834/psn-pdf
January 27, 2016 - sustaining-reliability-accountability-measures-johns-hopkins-hospital
This study updates the previously described