-
psnet.ahrq.gov/node/45151/psn-pdf
May 18, 2016 - A WebM&M commentary discussed a serious medication
error arising from a language barrier.
-
psnet.ahrq.gov/node/44737/psn-pdf
December 16, 2015 - The limitations of incident reporting were discussed in a previous PSNet perspective.
-
psnet.ahrq.gov/node/46522/psn-pdf
October 29, 2017 - A PSNet perspective discussed accountability in
patient safety.
-
psnet.ahrq.gov/node/43835/psn-pdf
February 11, 2015 - Albert Wu discussed the second victim
phenomenon in a past AHRQ WebM&M interview.
-
psnet.ahrq.gov/node/42156/psn-pdf
April 03, 2013 - included in the
handoff, but on average, only about half of the checklist items were specifically discussed
-
psnet.ahrq.gov/node/47277/psn-pdf
August 08, 2018 - students-have-key-role-culture-safety-analysis-student-associated-medication-
incidents
Previous studies have discussed
-
psnet.ahrq.gov/node/43665/psn-pdf
November 20, 2015 - This study provides further evidence for introducing patient safety concepts in medical
education, as discussed
-
psnet.ahrq.gov/node/45130/psn-pdf
July 18, 2018 - A past WebM&M commentary
discussed surgical fires and how to prevent them.
-
psnet.ahrq.gov/node/47583/psn-pdf
December 05, 2018 - A WebM&M commentary discussed a failure to rescue and system-level
means to address the adverse outcome
-
psnet.ahrq.gov/node/46556/psn-pdf
November 01, 2017 - A past PSNet interview discussed the patient safety
implications of diagnostic radiology overuse.
-
psnet.ahrq.gov/node/36069/psn-pdf
May 11, 2014 - A past report from the Institute of Medicine
examined the field of health literacy broadly and discussed
-
psnet.ahrq.gov/node/47338/psn-pdf
September 19, 2018 - A
WebM&M commentary discussed a case involving a patient who had a pressure ulcer and sepsis in long
-
psnet.ahrq.gov/node/45811/psn-pdf
May 08, 2017 - This webinar discussed voice-generated
electronic records as a strategy to augment clinical documentation
-
psnet.ahrq.gov/node/46324/psn-pdf
August 09, 2017 - A past PSNet interview discussed joy in practice and
physician professional satisfaction.
-
psnet.ahrq.gov/node/45282/psn-pdf
July 13, 2016 - A past PSNet perspective discussed the role of
health literacy in patient safety.
-
psnet.ahrq.gov/node/37168/psn-pdf
February 03, 2011 - A prior commentary discussed ways of identifying problem
physicians.
-
psnet.ahrq.gov/node/46482/psn-pdf
October 11, 2017 - An Annual Perspective discussed the opioid crisis as a patient safety
problem.
-
psnet.ahrq.gov/node/47459/psn-pdf
October 10, 2018 - A WebM&M commentary
discussed an incident involving a wrong-patient order in an electronic record system
-
psnet.ahrq.gov/node/34657/psn-pdf
June 14, 2011 - Factors
discussed include the role of the patient and family, the need for executive leadership, root
-
psnet.ahrq.gov/node/40045/psn-pdf
May 25, 2011 - A past AHRQ WebM&M perspective discussed solutions to preventing health care–acquired
urinary tract