Results

Total Results: 9,163 records

Showing results for "discussed".

281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39990/psn-pdf
     June 08, 2011 - The difficulty of calibrating alarm systems was discussed in an AHRQ WebM&M interview with human factors

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45282/psn-pdf
     July 13, 2016 - A past PSNet perspective discussed the role of health literacy in patient safety.

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46482/psn-pdf
     October 11, 2017 - An Annual Perspective discussed the opioid crisis as a patient safety problem.

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42085/psn-pdf
     March 13, 2013 - The consequences of a missed delirium diagnosis are discussed in an AHRQ WebM&M commentary.

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45420/psn-pdf
     December 04, 2016 - A recent WebM&M commentary discussed challenges to implementing advance directives.

286. 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

287. 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

288. 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

289. 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

290. 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

291. 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

292. 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

293. 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

294. 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

295. 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

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37168/psn-pdf
     February 03, 2011 - A prior commentary discussed ways of identifying problem physicians.

297. 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.

298. 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

299. 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

300. 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.