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Total Results: 9,163 records

Showing results for "discussed".

381. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36700/psn-pdf
     July 20, 2011 - A previous commentary discussed the role of preventable and non-preventable patient errors in contributing

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37411/psn-pdf
     March 28, 2012 - A past AHRQ WebM&M commentary also discussed professionalism and the challenges it raises in training

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47027/psn-pdf
     June 19, 2018 - Tactics discussed include clear articulation of the problem and contributing factors, use of theory-driven

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44596/psn-pdf
     December 04, 2016 - A previous AHRQ WebM&M interview discussed the importance of health literacy for patient safety.

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45922/psn-pdf
     April 19, 2017 - A past PSNet perspective discussed an approach to reduce interruptions.

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47523/psn-pdf
     December 05, 2018 - A past Annual Perspective discussed how robust handoffs may improve safety outcomes.

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45966/psn-pdf
     April 05, 2017 - A past WebM&M commentary discussed operating room fires and how to prevent them.

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44742/psn-pdf
     January 06, 2016 - A previous PSNet interview discussed the second victim phenomenon.

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45340/psn-pdf
     August 17, 2016 - A past PSNet Annual Perspective discussed safety and medical education.

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47031/psn-pdf
     December 19, 2018 - A WebM&M commentary discussed an incident involving a patient-detected medication error.

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36046/psn-pdf
     June 21, 2006 - Issues discussed include overcrowding, fragmentation of care, a shortage of on-call specialists, a lack

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47187/psn-pdf
     September 05, 2018 - Albert Wu discussed ways that organizations can support second victims.

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43644/psn-pdf
     April 22, 2015 - A past AHRQ WebM&M perspective discussed a widely-publicized incident involving a patient who died due

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34075/psn-pdf
     December 23, 2008 - Another related past study discussed patients' and physicians' attitudes regarding the disclosure of

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35934/psn-pdf
     February 24, 2011 - A past study discussed one of these methods, Morbidity and Mortality Conferences, as a place to discuss

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38491/psn-pdf
     January 31, 2011 - An AHRQ WebM&M perspective discussed cognitive biases that lead to diagnostic error.

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34993/psn-pdf
     June 22, 2009 - Each of these barriers is discussed with thoughtful perspective on both the associated historical and

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45399/psn-pdf
     November 01, 2017 - also expressed concern about the greater number of handoffs, echoing the ongoing duty-hours debate discussed

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46318/psn-pdf
     August 02, 2017 - Bryan Sexton, discussed resilience, burnout, and safety culture.

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47356/psn-pdf
     September 05, 2018 - A past WebM&M commentary discussed a task interruption due to texting.