-
psnet.ahrq.gov/node/43053/psn-pdf
May 26, 2014 - Paul Shekelle discussed this gap between recommended processes and actual clinical
practice.
-
psnet.ahrq.gov/node/47488/psn-pdf
December 21, 2018 - A WebM&M
commentary discussed weight-based dosing medication errors in pediatric populations.
-
psnet.ahrq.gov/node/45844/psn-pdf
February 15, 2017 - A WebM&M commentary discussed a case involving an electronic prescribing
error.
-
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
-
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
-
psnet.ahrq.gov/node/34697/psn-pdf
December 08, 2010 - This story is also
discussed in the video Beyond Blame.
-
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/38224/psn-pdf
February 18, 2011 - A recent AHRQ WebM&M perspective discussed hospital
readmissions as well as methods to reduce them,