-
psnet.ahrq.gov/node/40040/psn-pdf
December 21, 2014 - A case of recurrent falls is discussed in an AHRQ
WebM&M commentary.
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psnet.ahrq.gov/node/39000/psn-pdf
September 01, 2016 - The
challenges of implementing effective medication decision support systems are discussed in an AHRQ
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psnet.ahrq.gov/node/44556/psn-pdf
December 23, 2016 - The role of the physical environment
as a risk for falls and the use of post-fall huddles are discussed
-
psnet.ahrq.gov/node/43349/psn-pdf
July 16, 2014 - In a past AHRQ WebM&M interview, Peter Pronovost
discussed utilizing checklists as a tool to improve
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psnet.ahrq.gov/node/45872/psn-pdf
April 13, 2017 - An Annual Perspective discussed the challenges
associated with diagnostic error.
-
psnet.ahrq.gov/node/44904/psn-pdf
June 01, 2016 - A recent PSNet interview
discussed diagnostic errors and how to reduce them.
-
psnet.ahrq.gov/node/36634/psn-pdf
March 03, 2011 - An Agency for Healthcare Research and Quality (AHRQ) WebM&M commentary
discussed the inherent challenges
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psnet.ahrq.gov/node/46823/psn-pdf
August 20, 2018 - A previous PSNet perspective discussed how to identify and manage problem behaviors.
-
psnet.ahrq.gov/node/39917/psn-pdf
October 13, 2010 - computerized provider order entry
for preventing medication prescribing errors, an example of which is discussed
-
psnet.ahrq.gov/node/37849/psn-pdf
March 23, 2011 - The potential
impact of patient safety interventions is discussed in light of these findings.
-
psnet.ahrq.gov/node/36902/psn-pdf
June 09, 2010 - A prior
news article discussed this and other examples of incorporating techniques from other industries
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psnet.ahrq.gov/node/38533/psn-pdf
January 31, 2011 - The merits of the CMS error payment policy were discussed in a prior editorial.
-
psnet.ahrq.gov/node/34063/psn-pdf
September 18, 2011 - A case
discussing an error of a retained sponge and a preventable death was discussed in an AHRQ WebM
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psnet.ahrq.gov/node/41211/psn-pdf
January 03, 2017 - A near
miss caused by a patient identification error is discussed in detail in this AHRQ WebM&M commentary
-
psnet.ahrq.gov/node/44699/psn-pdf
December 16, 2015 - A previous WebM&M commentary discussed suicide after discharge.
-
psnet.ahrq.gov/node/47283/psn-pdf
January 27, 2019 - A PSNet
perspective discussed the factors that contributed to the opioid epidemic and proposed solutions
-
psnet.ahrq.gov/node/47561/psn-pdf
February 22, 2019 - A recent PSNet interview with Rebecca Lawton, lead investigator on
the PRASE study, discussed her experience
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psnet.ahrq.gov/node/47550/psn-pdf
November 21, 2018 - A PSNet interview with Linda Aiken discussed how nurse staffing and the work
environment can affect
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psnet.ahrq.gov/node/43309/psn-pdf
August 02, 2015 - A case of a wrong-side thoracentesis that resulted in the death of a
patient is discussed in a previous
-
psnet.ahrq.gov/node/34769/psn-pdf
March 28, 2005 - the “normalization of deviance,” a phenomenon that shares many features with the “status quo bias”
discussed