-
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/node/36006/psn-pdf
November 15, 2011 - Participants also described their emotions and satisfaction levels, which varied depending on the clinical
-
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/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/47640/psn-pdf
March 20, 2019 - determined to be approaching high reliability using the High Reliability Health Care Maturity
model described
-
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/43280/psn-pdf
November 30, 2016 - strength: 83% of offices reported having fully
implemented electronic medical records, and respondents described
-
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/47547/psn-pdf
February 13, 2019 - An
Annual Perspective discussed the extent of harm associated with opioid prescribing and described
-
psnet.ahrq.gov/node/45652/psn-pdf
June 29, 2017 - A previous WebM&M commentary described a fatal opioid overdose.
-
psnet.ahrq.gov/node/36163/psn-pdf
September 29, 2010 - consequences of BCMA,
a past commentary shared its support for widespread implementation, and a case study described