-
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
-
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/855003/psn-pdf
November 01, 2023 - hospital-ran-out-her-childs-cancer-drug-now-shes-fighting-end-shortages
Drug shortages, while often discussed
-
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/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/45409/psn-pdf
May 17, 2021 - A past PSNet perspective
discussed medication safety in nursing homes.
-
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/73657/psn-pdf
September 01, 2021 - Methods to improve perioperative communication are
discussed.
-
psnet.ahrq.gov/node/836994/psn-pdf
April 27, 2022 - Participants
discussed common mitigation strategies, such as employing a “diagnostic pause.”
-
psnet.ahrq.gov/node/73570/psn-pdf
January 01, 2022 - Barriers and facilitators were
also discussed.
-
psnet.ahrq.gov/node/60266/psn-pdf
April 29, 2020 - This session discussed diagnostic challenges and insights to drive improvements in
COVID-19 identification
-
psnet.ahrq.gov/node/74078/psn-pdf
November 17, 2021 - Organizational and informal safety training and learning are discussed.