-
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/42341/psn-pdf
June 19, 2013 - A previous
AHRQ WebM&M perspective discussed workarounds on the front lines of health care.
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psnet.ahrq.gov/node/37113/psn-pdf
March 24, 2011 - To date, published literature has not
documented the desired effect, as discussed in a recent commentary
-
psnet.ahrq.gov/node/44774/psn-pdf
June 21, 2016 - /association-safety-culture-surgical-site-infection-outcomes
Safety culture is widely measured and discussed
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psnet.ahrq.gov/node/47379/psn-pdf
November 14, 2018 - A recent interview with Michael Cohen, President of the Institute for Safe Medication
Practices, discussed
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psnet.ahrq.gov/node/43502/psn-pdf
September 10, 2014 - The intersection between patient
safety and the malpractice system was discussed by Dr.
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psnet.ahrq.gov/node/42238/psn-pdf
July 02, 2014 - A difficult case of error disclosure is discussed in an AHRQ WebM&M commentary.
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psnet.ahrq.gov/node/34710/psn-pdf
February 18, 2011 - Specific challenges, including
behavioral and cultural shifts as well as potential economic impact, are discussed
-
psnet.ahrq.gov/node/43957/psn-pdf
June 21, 2015 - of preparation, facilitator responsibilities during the session, and
considerations for the content discussed
-
psnet.ahrq.gov/node/34814/psn-pdf
January 01, 2015 - Factors thought to contribute to adverse drug events are discussed, including multiple drug therapy,
-
psnet.ahrq.gov/node/35832/psn-pdf
August 04, 2009 - A past commentary more broadly
discussed the role of physician specialty board certification status
-
psnet.ahrq.gov/node/43319/psn-pdf
July 23, 2014 - A past AHRQ WebM&M
perspective discussed how expanding the role of pharmacists has the potential to
-
psnet.ahrq.gov/node/36088/psn-pdf
September 28, 2010 - Lucian Leape also discussed the issue of problem doctors and disruptive behavior
from a systems standpoint
-
psnet.ahrq.gov/node/41958/psn-pdf
April 17, 2013 - An incident of wrong-site surgery is
discussed in an AHRQ WebM&M commentary.
-
psnet.ahrq.gov/node/47204/psn-pdf
July 18, 2018 - A PSNet perspective discussed opioid overdose as a patient safety
problem.
-
psnet.ahrq.gov/node/44688/psn-pdf
February 23, 2018 - An Annual Perspective discussed advances in
the field of diagnostic error.
-
psnet.ahrq.gov/node/42964/psn-pdf
May 10, 2014 - what-learning-review-safety-literature-define-learning-incidents-accidents-and-
disasters
Health care has discussed
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psnet.ahrq.gov/node/45247/psn-pdf
August 15, 2016 - A recent PSNet interview discussed handoffs and the implementation and findings of the
landmark I-PASS
-
psnet.ahrq.gov/node/44716/psn-pdf
April 15, 2016 - disabilities, such as impaired hearing or speech, are at risk for adverse events
while hospitalized, as discussed
-
psnet.ahrq.gov/node/37659/psn-pdf
March 02, 2011 - difficulty of interpreting and applying evidence from clinical trials to
patient safety efforts, as discussed