-
psnet.ahrq.gov/node/60519/psn-pdf
May 27, 2020 - communication)
and state/federal guidance around testing and monitoring diagnostic performance are also discussed
-
psnet.ahrq.gov/node/849601/psn-pdf
May 31, 2023 - Challenges associated
with the COVID-19 pandemic are also discussed.
-
psnet.ahrq.gov/node/48040/psn-pdf
July 24, 2019 - A WebM&M
commentary discussed strategies for safer medication management for older patients.
-
psnet.ahrq.gov/node/855095/psn-pdf
November 08, 2023 - Participants discussed several challenges, such as patient location (particularly
for patients in isolation
-
psnet.ahrq.gov/node/48011/psn-pdf
May 29, 2019 - A WebM&M
commentary discussed an incident of harm associated with robotic-assisted surgery.
-
psnet.ahrq.gov/node/50703/psn-pdf
December 04, 2019 - A prior PSNet WebM&M also discussed
medication errors that can arise during transitions between hospital
-
psnet.ahrq.gov/node/47858/psn-pdf
July 10, 2019 - A
WebM&M commentary discussed tactics to more safely manage older patients' medications.
-
psnet.ahrq.gov/node/74066/psn-pdf
November 10, 2021 - The experts discussed several high-profile misconduct and systemic failure
incidents, suggested that
-
psnet.ahrq.gov/node/850173/psn-pdf
June 07, 2023 - Board concept, the proposed agency would collect
data on facilities where errors occurred, which is discussed
-
psnet.ahrq.gov/node/48158/psn-pdf
July 24, 2019 - A prior PSNet perspective
discussed how to change a safety culture.
-
psnet.ahrq.gov/node/47438/psn-pdf
June 02, 2019 - A past Annual Perspective discussed the many
ways patients and families can make their care safer.
-
psnet.ahrq.gov/node/46870/psn-pdf
March 14, 2018 - An Annual Perspective
discussed the opioid crisis as a patient safety concern.
-
psnet.ahrq.gov/node/33921/psn-pdf
October 10, 2018 - ashp-guidelines-preventing-medication-errors-hospitals
Strategies to prevent inpatient medication errors are discussed
-
psnet.ahrq.gov/node/863219/psn-pdf
February 28, 2024 - Respondents discussed
the importance of communication, effective leadership, and building systems that
-
psnet.ahrq.gov/node/36889/psn-pdf
May 28, 2024 - An AHRQ WebM&M perspective discussed how to establish a safety culture.
-
psnet.ahrq.gov/node/50942/psn-pdf
February 26, 2020 - Data, management, and behavioral barriers are
discussed, such as the need to standardize measurement
-
psnet.ahrq.gov/node/60681/psn-pdf
January 01, 2022 - Effective tools and interventions which can be
implemented during each timepoint are discussed, including
-
psnet.ahrq.gov/node/60050/psn-pdf
March 18, 2020 - Four key elements required for successful systems
change resulting in safety improvements are discussed
-
psnet.ahrq.gov/node/47343/psn-pdf
April 16, 2019 - An Annual Perspective discussed the need to
revisit processes for root cause analysis.
-
psnet.ahrq.gov/node/48161/psn-pdf
January 01, 2021 - A previous WebM&M commentary
discussed an incident involving a technology interruption that led to serious