-
psnet.ahrq.gov/node/34695/psn-pdf
June 26, 2015 - Errors were infrequently discussed with supervising physicians, patients, or
patients’ families.
-
psnet.ahrq.gov/node/38824/psn-pdf
March 04, 2011 - A past AHRQ WebM&M
commentary discussed a case of a failed signout process that contributed to a delay
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psnet.ahrq.gov/node/46316/psn-pdf
August 02, 2017 - A past WebM&M commentary discussed operating room fires and strategies to
prevent them.
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psnet.ahrq.gov/node/38640/psn-pdf
January 18, 2012 - A case in which a
nurse was discouraged from reporting an adverse drug event was discussed in an AHRQ
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psnet.ahrq.gov/node/44262/psn-pdf
November 17, 2016 - This commentary reviews insights from a multidisciplinary group of experts that discussed challenges
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psnet.ahrq.gov/node/44931/psn-pdf
February 24, 2016 - A recent PSNet interview
discussed physician professional satisfaction, including its relationship to
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psnet.ahrq.gov/node/46349/psn-pdf
August 16, 2017 - A past PSNet perspective
discussed the role of health literacy in patient safety.
-
psnet.ahrq.gov/node/842779/psn-pdf
January 12, 2011 - This textbook
discussed concepts foundational to instilling resilience engineering concepts into workplace
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psnet.ahrq.gov/node/43699/psn-pdf
November 26, 2014 - A recent AHRQ WebM&M interview and
perspective discussed overuse of medical care as a patient safety
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psnet.ahrq.gov/node/40205/psn-pdf
April 14, 2011 - A past AHRQ WebM&M commentary discussed potential
pitfalls in providing medical advice by telephone.
-
psnet.ahrq.gov/node/41105/psn-pdf
December 16, 2013 - Proposed roles for patients in patient safety are discussed in
more detail in this Patient Safety Primer
-
psnet.ahrq.gov/node/42720/psn-pdf
November 13, 2013 - An AHRQ WebM&M commentary discussed how a physician reacted negatively after
a nurse spoke up about
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psnet.ahrq.gov/node/37556/psn-pdf
November 21, 2016 - Also discussed are key aspects of physician self-care following errors, a topic
highlighted in a recent
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psnet.ahrq.gov/node/44413/psn-pdf
October 07, 2015 - A
postdischarge medication error involving warfarin was discussed in a previous AHRQ WebM&M
commentary
-
psnet.ahrq.gov/node/46071/psn-pdf
March 20, 2018 - A WebM&M
commentary discussed situation awareness and patient safety.
-
psnet.ahrq.gov/node/46614/psn-pdf
November 29, 2017 - A previous PSNet perspective discussed approaches to measuring and improving hand
hygiene, including
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psnet.ahrq.gov/node/44300/psn-pdf
July 29, 2015 - issue/learning-serious-failings-care-main-report
Substantive reports of failures have transparently discussed
-
psnet.ahrq.gov/node/34071/psn-pdf
February 18, 2011 - A similar past commentary also discussed the issue of accountability in
health care.
-
psnet.ahrq.gov/node/34599/psn-pdf
January 30, 2008 - Lessons discussed here can be applied to health care as it seeks to learn from accident
investigation
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psnet.ahrq.gov/node/47337/psn-pdf
November 14, 2018 - A WebM&M commentary discussed
challenges associated with medication shortages.