-
psnet.ahrq.gov/node/37051/psn-pdf
February 24, 2011 - A previous commentary discussed the potential
positive and negative aspects of increased oversight by
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psnet.ahrq.gov/node/35771/psn-pdf
May 27, 2011 - A past commentary discussed the benefits, costs, and issues related to CPOE for
organizations considering
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psnet.ahrq.gov/node/46874/psn-pdf
March 21, 2018 - A PSNet perspective discussed the appropriate
balance between autonomy and supervision for training
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psnet.ahrq.gov/node/47118/psn-pdf
August 08, 2018 - A WebM&M commentary discussed an incident involving a
wrong-site nerve block.
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psnet.ahrq.gov/node/46325/psn-pdf
November 30, 2018 - An Annual Perspective discussed the relationship between
burnout and patient safety and reviewed strategies
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psnet.ahrq.gov/node/35840/psn-pdf
May 27, 2011 - A past article discussed the role of The Leapfrog Group in the health care
market.
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psnet.ahrq.gov/node/37219/psn-pdf
June 16, 2011 - A prior systematic review discussed the strengths and weaknesses of other existing safety
culture surveys
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psnet.ahrq.gov/node/41920/psn-pdf
October 08, 2013 - A case of a preventable adverse event due to suboptimal handover is discussed in this AHRQ
WebM&M commentary
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psnet.ahrq.gov/node/44680/psn-pdf
February 24, 2018 - A PSNet interview with Hardeep Singh discussed issues of measurement in
diagnosis.
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psnet.ahrq.gov/node/43173/psn-pdf
June 04, 2014 - A past AHRQ
WebM&M commentary discussed a serious error that occurred after a liposuction procedure
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psnet.ahrq.gov/node/37480/psn-pdf
January 23, 2008 - A past AHRQ WebM&M perspective discussed the experiences and success of the Minnesota adverse
health
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psnet.ahrq.gov/node/38690/psn-pdf
April 07, 2010 - A past AHRQ WebM&M
commentary discussed how an unclear VO led to administration of the wrong drug.
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psnet.ahrq.gov/node/42682/psn-pdf
January 01, 2015 - A past AHRQ WebM&M commentary discussed communication failures between providers and
highlighted a need
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psnet.ahrq.gov/node/45928/psn-pdf
April 24, 2018 - The performance and recent
challenges faced by the VA system were discussed in a 2014 editorial.
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psnet.ahrq.gov/node/35839/psn-pdf
March 28, 2011 - A past study similarly discussed patient and physician attitudes regarding the disclosure of
medical
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psnet.ahrq.gov/node/37655/psn-pdf
September 24, 2010 - A case of a
warfarin-related adverse event is discussed in an AHRQ WebM&M commentary.
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psnet.ahrq.gov/node/39009/psn-pdf
April 08, 2011 - A case of parental error in
administering medication to an infant is discussed in this AHRQ WebM&M commentary
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psnet.ahrq.gov/node/46871/psn-pdf
July 14, 2018 - Hardeep Singh, discussed the evolving diagnostic error field in a PSNet
perspective.
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psnet.ahrq.gov/node/46431/psn-pdf
November 22, 2017 - An Annual
Perspective discussed the opioid epidemic as a patient safety problem.
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psnet.ahrq.gov/node/42322/psn-pdf
June 05, 2013 - A serious medication error due to incorrect dosing of warfarin is discussed in
an AHRQ WebM&M commentary