-
psnet.ahrq.gov/node/44167/psn-pdf
July 16, 2015 - The challenge of detecting and
managing acute stroke is discussed in an AHRQ WebM&M commentary.
-
psnet.ahrq.gov/node/41019/psn-pdf
December 18, 2014 - Unnecessary antibiotic prescribing can be associated with serious patient safety consequences, as
discussed
-
psnet.ahrq.gov/node/45558/psn-pdf
May 10, 2017 - Topics discussed include just culture, disclosure, and bias.
-
psnet.ahrq.gov/node/38012/psn-pdf
August 27, 2008 - An ultimately fatal case of an antibiotic adverse drug event is discussed in an
AHRQ WebM&M commentary
-
psnet.ahrq.gov/node/46788/psn-pdf
April 11, 2018 - preventing-newborn-falls-and-drops
Falls are a common patient safety concern for adults but are rarely discussed
-
psnet.ahrq.gov/node/46553/psn-pdf
October 25, 2017 - A previous
PSNet perspective discussed the impact of telemedicine on patient safety.
-
psnet.ahrq.gov/node/46494/psn-pdf
January 24, 2018 - Specific
areas of concern such as obstetrics and spinal surgery are also discussed.
-
psnet.ahrq.gov/node/37962/psn-pdf
September 12, 2016 - limitations of the failure to rescue measurement at identifying systemic problems in care delivery are
discussed
-
psnet.ahrq.gov/node/40208/psn-pdf
February 09, 2011 - A past AHRQ WebM&M commentary discussed radiographic errors
in the emergency department.
-
psnet.ahrq.gov/node/43555/psn-pdf
October 22, 2014 - patients lacked understanding of the reasons for these changes and often
reported that nobody had discussed
-
psnet.ahrq.gov/node/60029/psn-pdf
March 11, 2020 - Predictors of omission errors are discussed, including
administration route and medication type.
-
psnet.ahrq.gov/node/837434/psn-pdf
June 15, 2022 - Effective policy, training, system
variation, and vendor partnerships are elements discussed.
-
psnet.ahrq.gov/node/48051/psn-pdf
June 05, 2019 - An Annual Perspective discussed burnout and its effect on patient safety.
-
psnet.ahrq.gov/node/73197/psn-pdf
April 28, 2021 - A past WebM&M commentary discussed safety hazards
associated with productivity pressures in health care
-
psnet.ahrq.gov/node/61016/psn-pdf
October 14, 2020 - A previous WebM&M discussed a perioperative respiratory event in a pediatric
patient during intrahospital
-
psnet.ahrq.gov/node/47769/psn-pdf
May 11, 2019 - A WebM&M commentary discussed how pharmacist involvement can help improve medication
safety.
-
psnet.ahrq.gov/node/48173/psn-pdf
August 28, 2019 - Researchers describe
their analysis of more than 600 cases discussed at educational radiology conferences
-
psnet.ahrq.gov/node/47942/psn-pdf
July 01, 2019 - A past PSNet perspective discussed health IT usability design, including both
progress and remaining
-
psnet.ahrq.gov/node/836808/psn-pdf
March 30, 2022 - serious medication errors (e.g., inclusion of emergency
medicine pharmacists in patient care) are discussed
-
psnet.ahrq.gov/node/47496/psn-pdf
June 15, 2019 - A WebM&M commentary
discussed an incident involving a diagnostic error in which a patient was taken