-
psnet.ahrq.gov/node/41796/psn-pdf
January 18, 2013 - A case of a death possibly related to
a retained surgical sponge is discussed in an AHRQ WebM&M commentary
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psnet.ahrq.gov/node/43309/psn-pdf
August 02, 2015 - A case of a wrong-side thoracentesis that resulted in the death of a
patient is discussed in a previous
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psnet.ahrq.gov/node/37750/psn-pdf
May 07, 2008 - A case of disruptive behavior affecting patient care was discussed in
a prior AHRQ WebM&M commentary
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psnet.ahrq.gov/node/40561/psn-pdf
March 23, 2012 - Each of these principles is discussed and sets the background for a recommendation to shift current
-
psnet.ahrq.gov/node/34794/psn-pdf
November 18, 2015 - The model
discussed focuses on two types of failures, which share equal importance in analysis but distinguish
-
psnet.ahrq.gov/node/37975/psn-pdf
February 15, 2011 - Issues of safe prescribing in the outpatient arena are discussed in a recent
commentary.
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psnet.ahrq.gov/node/45392/psn-pdf
August 17, 2016 - A previous WebM&M commentary discussed a case of diagnostic error.
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psnet.ahrq.gov/node/36768/psn-pdf
July 14, 2010 - A prior commentary discussed the need for dynamic leadership to tackle the
challenge of improving health
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psnet.ahrq.gov/node/46450/psn-pdf
August 20, 2018 - A
PSNet perspective discussed challenges and opportunities regarding diagnostic error.
-
psnet.ahrq.gov/node/47153/psn-pdf
October 12, 2018 - The authors determined where process errors occurred, reviewed what
factors were involved, and discussed
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psnet.ahrq.gov/node/40776/psn-pdf
September 14, 2011 - An AHRQ WebM&M commentary discussed quality and safety issues in the nursing
home setting.
-
psnet.ahrq.gov/node/38243/psn-pdf
November 26, 2008 - A past AHRQ WebM&M commentary
discussed the key components of a time out.
-
psnet.ahrq.gov/node/40441/psn-pdf
July 02, 2014 - A past AHRQ
WebM&M commentary discussed the importance of reporting and creating a safe environment
-
psnet.ahrq.gov/node/36007/psn-pdf
February 02, 2011 - Other studies have also discussed unintended consequences from
safety-driven solutions, such as implemenation
-
psnet.ahrq.gov/node/47448/psn-pdf
October 10, 2018 - Recommendation highlights include a renewed focus on history-
taking and physician examination, as discussed
-
psnet.ahrq.gov/node/39297/psn-pdf
January 22, 2017 - A case of a suicide attempt on a
medical unit is discussed in an AHRQ WebM&M commentary.
-
psnet.ahrq.gov/node/45891/psn-pdf
October 11, 2017 - A
recent WebM&M commentary discussed how cognition can influence diagnostic decision making.
-
psnet.ahrq.gov/node/41703/psn-pdf
November 08, 2012 - Medical error disclosure is discussed by Dr. Allen Kachalia in an AHRQ
WebM&M perspective.
-
psnet.ahrq.gov/node/39579/psn-pdf
June 11, 2014 - An outpatient medication error
due to a pharmacy dispensing error is discussed in an AHRQ WebM&M commentary
-
psnet.ahrq.gov/node/45754/psn-pdf
September 01, 2018 - A previous PSNet perspective discussed how research may help
improve the malpractice system.