-
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
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psnet.ahrq.gov/node/42831/psn-pdf
October 31, 2014 - Rebecca Smith-Bindman discussed radiation safety and the implications of increasing use of CT scans.
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psnet.ahrq.gov/node/37542/psn-pdf
February 23, 2018 - A past PSNet perspective discussed the application
of human factors engineering concepts.
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psnet.ahrq.gov/node/34703/psn-pdf
December 24, 2008 - events in the hospital, regardless of whether they were
subsequently recorded in the medical record or discussed
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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
-
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/41777/psn-pdf
April 05, 2013 - The benefits and limitations of the CMS policy are discussed in an AHRQ WebM&M
interview with Dr.
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psnet.ahrq.gov/node/38581/psn-pdf
August 27, 2013 - The limitations of using PSIs as a performance measure have been
discussed in a prior study and AHRQ
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psnet.ahrq.gov/node/43593/psn-pdf
May 06, 2015 - Charles Vincent discussed a case of a wrong-site procedure.
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psnet.ahrq.gov/node/37975/psn-pdf
February 15, 2011 - Issues of safe prescribing in the outpatient arena are discussed in a recent
commentary.
-
psnet.ahrq.gov/node/45392/psn-pdf
August 17, 2016 - A previous WebM&M commentary discussed a case of diagnostic error.
-
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.
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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
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psnet.ahrq.gov/node/47448/psn-pdf
October 10, 2018 - Recommendation highlights include a renewed focus on history-
taking and physician examination, as discussed