-
psnet.ahrq.gov/node/44542/psn-pdf
December 22, 2018 - Such events have been described as silent misdiagnoses and may be
classified as medical errors.
-
psnet.ahrq.gov/node/37908/psn-pdf
June 10, 2010 - radiofrequency detection systems, intraoperative radiographic screening, and bar coding have been
described
-
psnet.ahrq.gov/node/45730/psn-pdf
December 14, 2016 - Investigators used an innovative approach to rank the problems and solutions described by the 113
clinician
-
psnet.ahrq.gov/node/41779/psn-pdf
September 28, 2016 - a non–work-related text message on a smartphone that interrupted an
important medication order is described
-
psnet.ahrq.gov/node/46829/psn-pdf
July 23, 2018 - Researchers examined 25,000 prescriptions sent to a retail
pharmacy chain and described variation in
-
psnet.ahrq.gov/node/38611/psn-pdf
February 15, 2011 - In this cluster-randomized trial, a previously described
electronic medication list that required input
-
psnet.ahrq.gov/node/45395/psn-pdf
August 10, 2016 - A
PSNet interview described the challenges associated with EHR transitions.
-
psnet.ahrq.gov/node/45425/psn-pdf
December 22, 2018 - A recent WebM&M commentary described a
medication overdose related to alert fatigue.
-
psnet.ahrq.gov/node/45319/psn-pdf
September 01, 2018 - Another article described how efforts to reduce perinatal
harm, largely through standardization of best
-
psnet.ahrq.gov/node/40412/psn-pdf
March 23, 2012 - infections has been decreasing nationwide, the effects of
these infections can be devastating—as vividly described
-
psnet.ahrq.gov/node/37114/psn-pdf
October 04, 2011 - A prior article described how one
residency program redesigned M&M to focus on patient safety and learning
-
psnet.ahrq.gov/node/46173/psn-pdf
August 20, 2018 - A past PSNet perspective described how evidence-based improvements to the medical liability
system could
-
psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - of electrolytes, and absence of clinical decision support, almost certainly contributed to the error described … 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/39679/psn-pdf
January 19, 2011 - , few
studies addressed coping strategies for affected professionals, and those that did generally described
-
psnet.ahrq.gov/node/45893/psn-pdf
August 28, 2017 - A past WebM&M commentary described a medication error related to
electronic prescribing.
-
psnet.ahrq.gov/node/39721/psn-pdf
September 20, 2011 - behaviors in medical school predict unprofessional behavior, efforts to teach these skills have been
described
-
psnet.ahrq.gov/node/45858/psn-pdf
March 24, 2017 - An earlier article described Johns Hopkins' success at
achieving consistently high performance on accountability
-
psnet.ahrq.gov/node/41941/psn-pdf
February 11, 2013 - The detailed steps for performing an RCA are described in an AHRQ WebM&M commentary.
-
psnet.ahrq.gov/node/42639/psn-pdf
November 08, 2013 - This program, which was described in a 2009 AHRQ WebM&M interview, consists of
a tiered approach that
-
psnet.ahrq.gov/node/45541/psn-pdf
September 28, 2016 - A WebM&M commentary described a change in diagnosis following a second opinion.