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Showing results for "discussed".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36046/psn-pdf
    June 21, 2006 - Issues discussed include overcrowding, fragmentation of care, a shortage of on-call specialists, a lack

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47187/psn-pdf
    September 05, 2018 - Albert Wu discussed ways that organizations can support second victims.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43644/psn-pdf
    April 22, 2015 - A past AHRQ WebM&M perspective discussed a widely-publicized incident involving a patient who died due

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34075/psn-pdf
    December 23, 2008 - Another related past study discussed patients' and physicians' attitudes regarding the disclosure of

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35934/psn-pdf
    February 24, 2011 - A past study discussed one of these methods, Morbidity and Mortality Conferences, as a place to discuss

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38491/psn-pdf
    January 31, 2011 - An AHRQ WebM&M perspective discussed cognitive biases that lead to diagnostic error.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34993/psn-pdf
    June 22, 2009 - Each of these barriers is discussed with thoughtful perspective on both the associated historical and

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45399/psn-pdf
    November 01, 2017 - also expressed concern about the greater number of handoffs, echoing the ongoing duty-hours debate discussed

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46318/psn-pdf
    August 02, 2017 - Bryan Sexton, discussed resilience, burnout, and safety culture.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47356/psn-pdf
    September 05, 2018 - A past WebM&M commentary discussed a task interruption due to texting.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45967/psn-pdf
    July 05, 2017 - A recent Annual Perspective discussed ongoing problems with the root cause analysis process and described

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39895/psn-pdf
    September 21, 2011 - Mark Chassin, the president of the Joint Commission, discussed the organization's approach to improving

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34774/psn-pdf
    June 02, 2010 - and dangers inherent in medical progress, from adverse drug reactions to unnecessary surgery, are discussed

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38543/psn-pdf
    April 27, 2010 - Two cases of preventable readmissions are discussed in this AHRQ WebM&M commentary.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45900/psn-pdf
    June 07, 2017 - An error associated with a mislabeled blood sample is discussed in a past WebM&M commentary.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41068/psn-pdf
    September 29, 2017 - A case of a misunderstood verbal order that led to a serious error is discussed in this AHRQ WebM&M

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44818/psn-pdf
    February 24, 2018 - A PSNet perspective on the business case for patient safety discussed health care–associated infections

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34013/psn-pdf
    December 22, 2008 - While the intensive care unit represents the contextual background for this review, a past study also discussed

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38940/psn-pdf
    November 25, 2009 - A case of an inadvertent medication overdose in an infant due to inadequate parental education is discussed

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44618/psn-pdf
    February 10, 2016 - A prior WebM&M commentary discussed tall man lettering as one strategy for improving the safety of look-alike
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