-
psnet.ahrq.gov/node/45652/psn-pdf
June 29, 2017 - A previous WebM&M commentary described a fatal opioid overdose.
-
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/39489/psn-pdf
June 11, 2010 - are a known patient safety hazard, but similar events between
ambulatory clinic visits are poorly described
-
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
-
psnet.ahrq.gov/node/38621/psn-pdf
February 18, 2011 - https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
Diagnostic errors have been described
-
psnet.ahrq.gov/node/36013/psn-pdf
September 22, 2010 - A past
survey study described physician perception of hospital safety and barriers to incident reporting
-
psnet.ahrq.gov/node/43081/psn-pdf
July 28, 2014 - Prior research has
described cancer patients' perspectives related to communication breakdowns, but
-
psnet.ahrq.gov/node/45870/psn-pdf
March 25, 2017 - This study described how applying Lean methodology, enhancing frontline
provider engagement, and redesigning
-
psnet.ahrq.gov/node/46827/psn-pdf
March 14, 2018 - A prior WebM&M
commentary described a case in which a medication error led to serious patient harm.
-
psnet.ahrq.gov/node/43007/psn-pdf
December 12, 2014 - In turn, staff
described disillusionment with the lack of follow-up on their concerns.
-
psnet.ahrq.gov/node/45641/psn-pdf
October 11, 2017 - This
implementation study described a peer-to-peer assessment program adapted from the nuclear power
-
psnet.ahrq.gov/node/45329/psn-pdf
April 24, 2018 - A WebM&M commentary described risks
related to prescribing opioids for patients with chronic pain.
-
psnet.ahrq.gov/node/35935/psn-pdf
June 16, 2011 - The same authors
recently described using the SAQ as a tool to evaluate safety culture in surgical settings
-
psnet.ahrq.gov/node/41176/psn-pdf
March 02, 2012 - /issue/weekend-hospitalization-and-additional-risk-death-analysis-inpatient-data
Past studies have described
-
psnet.ahrq.gov/node/49766/psn-pdf
August 21, 2016 - The
radiologist in the case described above did not know how to access the call schedule to find out … Furthermore, those who might need
to page a provider—for example, the radiologist described in the case—might … If the case of the patient described above were to take place at our hospital today, the radiologist
-
psnet.ahrq.gov/node/49700/psn-pdf
February 01, 2014 - In the case
described above, a patient who underwent percutaneous coronary intervention developed a … Most episodes of NSVT, like the one described above, are just a few beats in duration. … overemphasized.(7) Nursing units and health care teams
that care for high-risk patients (such as the one described
-
psnet.ahrq.gov/issue/explicitly-addressing-implicit-bias-inpatient-rounds-student-and-faculty-reflections
November 11, 2020 - The piece introduces a four-step framework through which to examine the origins of bias, how its described
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psnet.ahrq.gov/issue/attitudes-nursing-students-and-clinical-instructors-towards-reporting-irregular-incidents
June 01, 2019 - Underreporting of safety events and near misses in the health care setting has been well described and
-
psnet.ahrq.gov/issue/human-factors-anaesthesia-narrative-review
March 01, 2023 - Research is described as it relates to the hierarchy of controls model: design , barriers, mitigations
-
psnet.ahrq.gov/issue/embracing-multiple-aims-healthcare-improvement-and-innovation
June 24, 2020 - Four principles of managing multiple aims and five key strategies for practical action are described.