-
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/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/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/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/44834/psn-pdf
January 27, 2016 - sustaining-reliability-accountability-measures-johns-hopkins-hospital
This study updates the previously 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/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
-
cds.ahrq.gov/sites/default/files/cds/artifact/711/Anthrax_Post_Exposure_Prophylaxis_CDS_Validation_Report.pdf
October 17, 2018 - While the artifact is described in detail elsewhere [3], for the purposes
of this report, it is helpful … While the outputs of the CDS are described elsewhere [8], for reference a summary has been
included … However, there are several important differences between the two, which are described in more
detail … Synthetic Pilot Outcomes
This section describes the outcomes from the synthetic pilot described in … This means that desired CDS functionality was first described in an automated test, and
then just enough
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs023390-overby-final-report-2017.pdf
January 01, 2017 - Project Officer: Bryan Kim, bryan.kim@ahrq.hhs.gov
Acknowledgement of Agency Support: The project described … The primary data sources we used
are described in the Table below. … These two pieces of
information, along with the translation methods described in step #2, should theoretically … Each haplotype, including the reference haplotype (*1) is described in
terms of the variants (or lack … Each possible variant is either described in terms of its rs number (dbSNP accession
number) or is described
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs021301-miller-final-report-2015.pdf
January 01, 2015 - Following the research methodology described … We have also created measures
of hospital IT adoption, using the same methodology described above … we first obtained access to the Healthcare Cost
and Utilization Project (HCUP) inpatient databases described