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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
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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
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psnet.ahrq.gov/node/46850/psn-pdf
July 11, 2018 - A previous
WebM&M commentary discussed harm that resulted from interrupting a nurse.
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psnet.ahrq.gov/node/45362/psn-pdf
January 23, 2017 - A previous WebM&M commentary discussed risks
inherent in lack of system interoperability.
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psnet.ahrq.gov/node/43039/psn-pdf
August 24, 2016 - A prior AHRQ WebM&M perspective discussed
diagnostic errors and provided advice for reducing cognitive
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psnet.ahrq.gov/node/44205/psn-pdf
June 21, 2015 - A past AHRQ WebM&M commentary discussed disruptive behavior as a
contributor to safety issues in surgery
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psnet.ahrq.gov/node/47759/psn-pdf
February 06, 2019 - An Annual Perspective discussed the patient safety aspects of the opioid
epidemic.
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psnet.ahrq.gov/node/34742/psn-pdf
July 20, 2016 - clearly includes those
interested in error reduction in health care, and many of the cases and vignettes discussed
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psnet.ahrq.gov/node/43660/psn-pdf
November 12, 2014 - panel, convened as part of a broad-based
obstetric medication safety improvement initiative, which discussed
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psnet.ahrq.gov/node/44642/psn-pdf
September 29, 2017 - anniversaries since To Err Is Human and Crossing the Quality Chasm were
published, this symposium discussed
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psnet.ahrq.gov/node/46925/psn-pdf
March 07, 2018 - A past
WebM&M commentary discussed an adverse event related to a procedure at an outpatient center.
-
psnet.ahrq.gov/node/47194/psn-pdf
August 22, 2018 - A PSNet perspective discussed opioid misuse as a patient safety
problem.
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psnet.ahrq.gov/node/37903/psn-pdf
May 09, 2013 - Atul Gawande discussed the history of checklists as
a quality and safety tool in his book, The Checklist
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psnet.ahrq.gov/node/45456/psn-pdf
October 27, 2016 - A recent Annual
Perspective discussed the relationship between safety and burnout.
-
psnet.ahrq.gov/node/46377/psn-pdf
October 29, 2017 - A recent WebM&M commentary discussed risks related to
overdiagnosis and medical overuse.
-
psnet.ahrq.gov/node/44798/psn-pdf
November 02, 2016 - This study examined
online reviews of hospitals and found concerns discussed in narratives that would
-
psnet.ahrq.gov/node/37631/psn-pdf
May 18, 2015 - Berwick discussed his career in
patient safety in an AHRQ WebM&M conversation in 2005.
-
psnet.ahrq.gov/node/41606/psn-pdf
February 01, 2019 - A
serious case of opioid overdose is discussed in this AHRQ WebM&M commentary.
-
psnet.ahrq.gov/node/47673/psn-pdf
January 09, 2019 - A previous
WebM&M commentary discussed diagnostic delay in the emergency department.
-
psnet.ahrq.gov/node/47366/psn-pdf
October 31, 2018 - An Annual Perspective discussed novel approaches to engaging patients in their safety.