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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/morris-cj-et
January 01, 2023 - Outcome measures: Issues discussed at the multidisciplinary discussion forum and ideas generated by practices … Results: A number of clinical issues were raised by the practices and ideas for moving them forward were discussed
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psnet.ahrq.gov/node/60634/psn-pdf
January 01, 2021 - huddles, team-based
approaches, and debriefing and their applications to the COVID-19 pandemic are discussed
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psnet.ahrq.gov/node/73970/psn-pdf
October 21, 2021 - This webinar discussed how patients and families feel about
support mechanisms after they have experienced
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psnet.ahrq.gov/node/838916/psn-pdf
October 26, 2022 - This commentary discussed the important, yet largely invisible, role of the hospital cleaning
workforce
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psnet.ahrq.gov/node/840492/psn-pdf
November 30, 2022 - respect for the concerns of mothers, inadequate
attention to research, and poor patient education are discussed
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psnet.ahrq.gov/node/836759/psn-pdf
April 06, 2022 - This webinar discussed the impact of drug diversion at a system level and
outlined steps an organization
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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
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psnet.ahrq.gov/node/38938/psn-pdf
July 26, 2023 - An error
due to sound-alike medications is discussed in this AHRQ WebM&M commentary.
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psnet.ahrq.gov/node/838031/psn-pdf
September 13, 2022 - This session discussed how criminal actions against
clinicians who err, challenge the balance needed
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psnet.ahrq.gov/node/73365/psn-pdf
June 09, 2021 - Specific interventions are discussed, including family
involvement, leadership communication, and simulation
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psnet.ahrq.gov/node/838192/psn-pdf
September 28, 2022 - While no harm
was noted in the case discussed, the actions by the patient’s family to initiate an examination
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psnet.ahrq.gov/node/866731/psn-pdf
September 18, 2024 - System 1 and System 2 thinking, human factors, and cognitive biases are discussed.
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psnet.ahrq.gov/node/863765/psn-pdf
March 06, 2024 - patient-safety-and-artificial-intelligence-clinical-care
Artificial intelligence (AI) is being widely discussed
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psnet.ahrq.gov/node/853074/psn-pdf
February 06, 2024 - This October 2023 session
discussed how Consumer Assessment of Healthcare Providers and Systems (CAHPS
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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
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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.
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psnet.ahrq.gov/node/48074/psn-pdf
August 14, 2019 - A previous
WebM&M commentary discussed a fatal error involving an antipsychotic medication.
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psnet.ahrq.gov/node/50744/psn-pdf
December 18, 2019 - Improvement strategies discussed include practice restrictions for EMT
personnel and use of less invasive
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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