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psnet.ahrq.gov/node/838633/psn-pdf
October 19, 2022 - psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals-0
https://psnet.ahrq.gov/issue/less-discussed-consequence-healthcares-labor-shortage
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psnet.ahrq.gov/node/48108/psn-pdf
July 10, 2019 - A PSNet perspective discussed how to address the opioid crisis through a patient safety lens.
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psnet.ahrq.gov/node/50795/psn-pdf
January 15, 2020 - Potential interventions to address these contributors are briefly discussed.
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psnet.ahrq.gov/node/74263/psn-pdf
January 19, 2022 - identified
and implications for policy makers, administrators, frontline clinicians, and researchers are discussed
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psnet.ahrq.gov/node/60293/psn-pdf
May 06, 2020 - Approaches discussed include
administrative restructuring to leverage a team-of-teams approach, changes
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psnet.ahrq.gov/node/61119/psn-pdf
November 11, 2020 - A previous WebM&M commentary
discussed an incident involving diagnostic delay in the emergency department
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psnet.ahrq.gov/node/60210/psn-pdf
April 08, 2020 - Strategies
for managing these behaviors are discussed, as well as core competencies for delivering care
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psnet.ahrq.gov/node/35608/psn-pdf
July 05, 2013 - Part I of this series discussed the inevitability of error in medicine.
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psnet.ahrq.gov/node/33939/psn-pdf
January 17, 2012 - The strategies discussed incorporate
the use of root cause analysis, a tool designed to understand and
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psnet.ahrq.gov/node/39771/psn-pdf
August 18, 2010 - bearing-witness-ethics-practice-storying-physicians-medical-mistake-narratives
This study used in-depth interviews with physicians to analyze how they discussed
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psnet.ahrq.gov/node/35343/psn-pdf
October 12, 2005 - even though patients prefer to be told about incidents,
fewer than 30% of harmful errors are ever discussed
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psnet.ahrq.gov/node/35287/psn-pdf
June 30, 2009 - nineteenth-century Australia, the authors draw parallels with how
medical mistakes and accountability are discussed
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psnet.ahrq.gov/node/33897/psn-pdf
January 25, 2016 - Patients at risk, types of
medical errors, and ways to improve and promote patient safety are discussed
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psnet.ahrq.gov/node/35014/psn-pdf
August 17, 2011 - The model was tested on a health care team, and results are discussed.
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psnet.ahrq.gov/node/37268/psn-pdf
December 16, 2011 - A prior AHRQ WebM&M commentary also
discussed this topic.
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psnet.ahrq.gov/node/43476/psn-pdf
June 27, 2018 - Areas discussed include expanding the focus of safety to investigate public health concerns, enhancing
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psnet.ahrq.gov/node/49411/psn-pdf
July 01, 2003 - The
reversible nature of this patient’s illness was not discussed. … The
resident had discussed the case briefly with the intern (including her interpretation that the patient … wished
to be a DNR), but neither the resident nor the attending had discussed code status with the … Furthermore, the issue had never been
discussed with an attending physician, and no DNR order was written … have a financial arrangement or other relationship with the manufacturers of any commercial
products discussed
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psnet.ahrq.gov/node/49789/psn-pdf
April 01, 2017 - The (dis)utility of these specific documents has been previously
discussed. … conversations.(7) Most of
the older patients surveyed (76%) had thought about end-of-life care and 89% had discussed … However, of patients who had discussed their wishes with
others, only 30% had done so with their family … When asked why they had not discussed these matters with their doctors,
patients and families essentially … has a financial arrangement or other relationship with the manufacturers of any commercial products
discussed
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psnet.ahrq.gov/node/34880/psn-pdf
April 04, 2005 - caveats and barriers to successfully launching technological solutions to minimize medical error are
discussed
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psnet.ahrq.gov/node/44167/psn-pdf
July 16, 2015 - The challenge of detecting and
managing acute stroke is discussed in an AHRQ WebM&M commentary.