Results

Total Results: 9,160 records

Showing results for "discussed".

441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41814/psn-pdf
     March 04, 2015 - An autopsy diagnosis that was missed on an initial radiograph is discussed in this AHRQ WebM&M commentary

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47198/psn-pdf
     August 22, 2018 - A past WebM&M commentary discussed a case involving ambulatory test result management.

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47127/psn-pdf
     June 05, 2018 - A past PSNet perspective discussed integrating clinician decision support systems to improve medication

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34103/psn-pdf
     February 24, 2011 - The methods discussed include incident reporting systems, autopsies and morbidity and mortality conferences

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42980/psn-pdf
     February 17, 2017 - Albert Wu discussed the importance of disclosing adverse events.

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40128/psn-pdf
     January 12, 2011 - A PCA error with devastating clinical consequences is discussed in an AHRQ WebM&M commentary.

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34055/psn-pdf
     March 07, 2005 - Two past studies similarly discussed the business case for quality and safety.

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45532/psn-pdf
     September 28, 2016 - A PSNet perspective discussed the role of the physical environment in patient safety improvement.

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39772/psn-pdf
     December 21, 2014 - A case of suboptimal communication contributing to patient harm is discussed in this AHRQ WebM&M commentary

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45313/psn-pdf
     September 27, 2016 - A past WebM&M commentary discussed a case of liver injury caused by incorrect dosing of acetaminophen

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44515/psn-pdf
     February 23, 2018 - A previous WebM&M commentary discussed the utility of simulation training to ensure provider competency

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47482/psn-pdf
     December 05, 2018 - A WebM&M commentary discussed the human factors that led to an incident involving serious perinatal

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37378/psn-pdf
     February 24, 2011 - A past AHRQ WebM&M commentary discussed hand-offs and the need for systems to prevent errors in care

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44948/psn-pdf
     February 14, 2017 - A prior PSNet interview with Charles Vincent discussed his career as one of the founders of the patient

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42055/psn-pdf
     April 24, 2013 - Charles Vincent discussed patient safety in the NHS in a recent AHRQ WebM&M interview.

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36280/psn-pdf
     May 27, 2011 - A past study and commentary discussed the need for caution with implementation of CPOE systems in light

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46186/psn-pdf
     August 02, 2017 - A recent PSNet perspective discussed opioid overdose as a patient safety problem.

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34769/psn-pdf
     March 28, 2005 - the “normalization of deviance,” a phenomenon that shares many features with the “status quo bias” discussed

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42802/psn-pdf
     January 07, 2015 - A recent AHRQ WebM&M perspective discussed the opportunities and limitations of involving patients in

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45937/psn-pdf
     September 29, 2017 - opioid-prescribing-patterns-emergency-physicians-and-risk-long-term-use The opioid epidemic is currently one of the most pressing patient safety challenges, as discussed