-
psnet.ahrq.gov/node/50761/psn-pdf
December 18, 2019 - Initial insights
discussed include the lack of a safety culture at the Trust Hospital facilitating the
-
psnet.ahrq.gov/node/866731/psn-pdf
September 18, 2024 - System 1 and System 2 thinking, human factors, and cognitive biases are discussed.
-
psnet.ahrq.gov/node/853074/psn-pdf
February 06, 2024 - This October 2023 session
discussed how Consumer Assessment of Healthcare Providers and Systems (CAHPS
-
psnet.ahrq.gov/node/854259/psn-pdf
January 01, 2024 - information
(e.g., ordering blood cultures for sepsis, placing a patient on telemetry) compared to what was discussed
-
psnet.ahrq.gov/node/47751/psn-pdf
May 01, 2019 - A previous PSNet interview
with Charles Ornstein discussed the role of media in raising awareness of
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psnet.ahrq.gov/node/74730/psn-pdf
February 02, 2022 - Unintended consequences related to access to
and efficiency of care are discussed.
-
psnet.ahrq.gov/node/48074/psn-pdf
August 14, 2019 - A previous
WebM&M commentary discussed a fatal error involving an antipsychotic medication.
-
psnet.ahrq.gov/node/50744/psn-pdf
December 18, 2019 - Improvement strategies discussed include practice restrictions for EMT
personnel and use of less invasive
-
psnet.ahrq.gov/node/60628/psn-pdf
July 14, 2020 - This webinar discussed one large health
system’s professional liability claim analysis and the factors
-
psnet.ahrq.gov/node/60555/psn-pdf
January 01, 2021 - Potential strategies for overcoming barriers are also discussed,
such as adopting a blame-free climate
-
psnet.ahrq.gov/node/50428/psn-pdf
September 04, 2019 - A WebM&M commentary discussed an incident
involving life-threatening hemorrhage due to a broken surgical
-
psnet.ahrq.gov/node/48075/psn-pdf
June 19, 2019 - A WebM&M commentary discussed
problems associated with name similarities in the electronic patient record
-
psnet.ahrq.gov/node/45409/psn-pdf
May 17, 2021 - A past PSNet perspective
discussed medication safety in nursing homes.
-
psnet.ahrq.gov/node/60589/psn-pdf
June 23, 2020 - This webinar discussed process alterations that have the potential to
impact safe medication administration
-
psnet.ahrq.gov/node/74724/psn-pdf
February 02, 2022 - Challenges,
facilitators, and lessons learned are discussed.
-
psnet.ahrq.gov/node/866905/psn-pdf
October 09, 2024 - dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-
expertise
Diagnostic reasoning is frequently discussed
-
psnet.ahrq.gov/node/865723/psn-pdf
June 18, 2024 - Presenters discussed the survey results, how SOPS
resources were used, and their focus on initiatives
-
psnet.ahrq.gov/node/47789/psn-pdf
March 06, 2019 - A previous WebM&M commentary discussed a suicide attempt on an inpatient medical
unit.
-
psnet.ahrq.gov/node/50799/psn-pdf
January 15, 2020 - role-organizational-and-professional-cultures-medication-safety-scoping-
review-literature
This scoping review discussed
-
psnet.ahrq.gov/node/60196/psn-pdf
April 01, 2020 - This news story discussed the
shortage of protective masks for pharmacists and the potential unintended