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psnet.ahrq.gov/node/47693/psn-pdf
January 23, 2019 - A WebM&M
commentary discussed harm associated with alarm fatigue.
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psnet.ahrq.gov/node/45069/psn-pdf
June 01, 2016 - A recent PSNet interview discussed the CLER program and its impact on medical education.
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psnet.ahrq.gov/node/47659/psn-pdf
January 27, 2019 - A PSNet perspective discussed medical overuse as a patient safety problem.
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psnet.ahrq.gov/node/36837/psn-pdf
December 03, 2018 - A prior study also discussed the scandal’s implications for hospital
quality improvement efforts.
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psnet.ahrq.gov/node/46142/psn-pdf
June 14, 2017 - A recent PSNet interview discussed the weekend effect in
health care.
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psnet.ahrq.gov/node/35802/psn-pdf
January 02, 2017 - A past study also discussed practical
strategies for implementing medication reconciliation processes
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psnet.ahrq.gov/node/44163/psn-pdf
October 13, 2015 - A recent AHRQ WebM&M interview with John Birkmeyer discussed his video study that found a link
between
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psnet.ahrq.gov/node/46506/psn-pdf
October 11, 2017 - Tools and models discussed include Reason's Swiss cheese model and
Systems Engineering Initiative for
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psnet.ahrq.gov/node/44220/psn-pdf
June 10, 2015 - David Gaba discussed simulation as an educational approach.
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psnet.ahrq.gov/node/45482/psn-pdf
September 14, 2016 - A recent WebM&M commentary discussed strategies to safely manage medications in older patients
and highlighted
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psnet.ahrq.gov/node/46171/psn-pdf
April 18, 2018 - A recent PSNet
interview with Linda Aiken discussed what investments in the nursing workforce yield
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psnet.ahrq.gov/node/35817/psn-pdf
July 21, 2010 - A past study discussed patient and physician attitudes about the disclosure of medical
errors.
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psnet.ahrq.gov/node/35929/psn-pdf
February 24, 2011 - A past study discussed how to
improve patients' perceptions of safety in hospitals, including educational
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psnet.ahrq.gov/node/47249/psn-pdf
July 25, 2018 - A previous WebM&M commentary discussed a smart infusion pump error that resulted in
patient harm.
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psnet.ahrq.gov/node/47359/psn-pdf
October 10, 2018 - A WebM&M commentary discussed possible interventions to reduce errors and care
disruptions in July.
-
psnet.ahrq.gov/node/44162/psn-pdf
May 27, 2015 - A prior AHRQ WebM&M commentary discussed patient safety in long-term care.
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psnet.ahrq.gov/node/37646/psn-pdf
April 11, 2011 - A preventable error occurring in an elderly patient is discussed in an AHRQ WebM&M
commentary.
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psnet.ahrq.gov/node/47366/psn-pdf
October 31, 2018 - An Annual Perspective discussed novel approaches to engaging patients in their safety.
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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