-
psnet.ahrq.gov/node/837210/psn-pdf
May 25, 2022 - This approach
discussed should consider both human factors and organizational design strategies to reduce
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psnet.ahrq.gov/node/60050/psn-pdf
March 18, 2020 - Four key elements required for successful systems
change resulting in safety improvements are discussed
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psnet.ahrq.gov/node/47343/psn-pdf
April 16, 2019 - An Annual Perspective discussed the need to
revisit processes for root cause analysis.
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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
-
psnet.ahrq.gov/node/48066/psn-pdf
July 24, 2019 - A
WebM&M commentary discussed an incident involving a diagnostic delay in the emergency department.
-
psnet.ahrq.gov/node/47409/psn-pdf
April 16, 2019 - In
a past WebM&M commentary, two hospital leaders discussed their approach to an unprofessional action
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psnet.ahrq.gov/node/74077/psn-pdf
November 17, 2021 - Additional contributory factors and
recommendations for improvement are also discussed.
-
psnet.ahrq.gov/node/838173/psn-pdf
September 28, 2022 - association between
burnout and patient satisfaction, patient safety, and professionalism is also discussed
-
psnet.ahrq.gov/node/838633/psn-pdf
October 19, 2022 - psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals-0
https://psnet.ahrq.gov/issue/less-discussed-consequence-healthcares-labor-shortage
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psnet.ahrq.gov/node/48108/psn-pdf
July 10, 2019 - A PSNet perspective discussed how to address the opioid crisis through a patient safety lens.
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psnet.ahrq.gov/node/50795/psn-pdf
January 15, 2020 - Potential interventions to address these contributors are briefly discussed.
-
psnet.ahrq.gov/node/74263/psn-pdf
January 19, 2022 - identified
and implications for policy makers, administrators, frontline clinicians, and researchers are discussed
-
psnet.ahrq.gov/node/60293/psn-pdf
May 06, 2020 - Approaches discussed include
administrative restructuring to leverage a team-of-teams approach, changes
-
psnet.ahrq.gov/node/61119/psn-pdf
November 11, 2020 - A previous WebM&M commentary
discussed an incident involving diagnostic delay in the emergency department
-
psnet.ahrq.gov/node/60210/psn-pdf
April 08, 2020 - Strategies
for managing these behaviors are discussed, as well as core competencies for delivering care
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psnet.ahrq.gov/node/35608/psn-pdf
July 05, 2013 - Part I of this series discussed the inevitability of error in medicine.
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psnet.ahrq.gov/node/33939/psn-pdf
January 17, 2012 - The strategies discussed incorporate
the use of root cause analysis, a tool designed to understand and
-
psnet.ahrq.gov/node/39771/psn-pdf
August 18, 2010 - bearing-witness-ethics-practice-storying-physicians-medical-mistake-narratives
This study used in-depth interviews with physicians to analyze how they discussed
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psnet.ahrq.gov/node/35343/psn-pdf
October 12, 2005 - even though patients prefer to be told about incidents,
fewer than 30% of harmful errors are ever discussed
-
psnet.ahrq.gov/node/35287/psn-pdf
June 30, 2009 - nineteenth-century Australia, the authors draw parallels with how
medical mistakes and accountability are discussed