Results

Total Results: 9,160 records

Showing results for "discussed".

281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46038/psn-pdf
     July 05, 2017 - This study discussed how improvement efforts, including standardization and minimizing interruptions

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39088/psn-pdf
     September 01, 2015 - A past AHRQ WebM&M perspective discussed preparing future pharmacists to promote a culture of safety

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35402/psn-pdf
     September 10, 2009 - The 14 preventive actions discussed were from a list generated by an AHRQ publication as well as from

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37385/psn-pdf
     March 28, 2012 - cost-implications-actual-and-potential-adverse-events-prevented-interventions- critical-care Past studies have discussed

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44662/psn-pdf
     January 25, 2016 - Specific situations discussed include lack of peer support, disruptive behavior, and production pressure

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47230/psn-pdf
     August 15, 2018 - An Annual Perspective discussed the limitations of root cause analysis and how this tool can be improved

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46961/psn-pdf
     June 06, 2018 - A previous WebM&M commentary discussed a preventable adverse event occurring in part due to less intensive

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45670/psn-pdf
     November 16, 2016 - However, heuristics can contribute to error and are often discussed in the context of diagnostic missteps

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47365/psn-pdf
     January 01, 2019 - A recent commentary discussed the inherent limitations of incident reporting systems and suggested ways

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45499/psn-pdf
     May 03, 2017 - This commentary summarizes results of two workshops that discussed strategies for interdisciplinary

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47503/psn-pdf
     October 24, 2018 - Amy Starmer discussed the implementation and findings of the landmark I-PASS study.

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43855/psn-pdf
     April 15, 2016 - Other studies have found similar disappointing results, the implications of which are discussed in a

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39298/psn-pdf
     June 11, 2010 - medication-error-reporting-nursing-homes-identifying-targets-patient-safety- improvement North Carolina law requires all nursing homes to report medication errors, as discussed

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47271/psn-pdf
     August 08, 2018 - An Annual Perspective discussed the impact of the opioid epidemic on patient safety.

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43053/psn-pdf
     May 26, 2014 - Paul Shekelle discussed this gap between recommended processes and actual clinical practice.

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47488/psn-pdf
     December 21, 2018 - A WebM&M commentary discussed weight-based dosing medication errors in pediatric populations.

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45844/psn-pdf
     February 15, 2017 - A WebM&M commentary discussed a case involving an electronic prescribing error.

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39256/psn-pdf
     November 14, 2011 - prior report provided data on adherence to the National Patient Safety Goals, these measures were not discussed

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44861/psn-pdf
     February 17, 2016 - A prior PSNet perspective discussed incident reporting systems and the importance of not only increasing

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34697/psn-pdf
     December 08, 2010 - This story is also discussed in the video Beyond Blame.