-
psnet.ahrq.gov/node/41019/psn-pdf
December 18, 2014 - Unnecessary antibiotic prescribing can be associated with serious patient safety consequences, as
discussed
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psnet.ahrq.gov/node/45558/psn-pdf
May 10, 2017 - Topics discussed include just culture, disclosure, and bias.
-
psnet.ahrq.gov/node/38012/psn-pdf
August 27, 2008 - An ultimately fatal case of an antibiotic adverse drug event is discussed in an
AHRQ WebM&M commentary
-
psnet.ahrq.gov/node/46788/psn-pdf
April 11, 2018 - preventing-newborn-falls-and-drops
Falls are a common patient safety concern for adults but are rarely discussed
-
psnet.ahrq.gov/node/46553/psn-pdf
October 25, 2017 - A previous
PSNet perspective discussed the impact of telemedicine on patient safety.
-
psnet.ahrq.gov/node/46494/psn-pdf
January 24, 2018 - Specific
areas of concern such as obstetrics and spinal surgery are also discussed.
-
psnet.ahrq.gov/node/37962/psn-pdf
September 12, 2016 - limitations of the failure to rescue measurement at identifying systemic problems in care delivery are
discussed
-
psnet.ahrq.gov/node/40208/psn-pdf
February 09, 2011 - A past AHRQ WebM&M commentary discussed radiographic errors
in the emergency department.
-
psnet.ahrq.gov/node/43555/psn-pdf
October 22, 2014 - patients lacked understanding of the reasons for these changes and often
reported that nobody had discussed
-
cds.ahrq.gov/sites/default/files/workgroups/216/jan-2017-cholesterol-wg-notes.docx
January 01, 2017 - On the ACC/AHA 10 Year ASCVD Risk Assessment artifact:
· The WG discussed appropriate scenarios for … Discuss Longitudinal Risk Assessment Tool Metadata, CDS Creation, and Shared Decision Making
The WG discussed … Determine Next Artifacts for Development
The WG briefly discussed artifacts in queue for development,
-
psnet.ahrq.gov/node/39742/psn-pdf
August 09, 2013 - Vincent was interviewed for
AHRQ WebM&M in 2012, and discussed his career as well as the current state
-
psnet.ahrq.gov/node/47477/psn-pdf
November 14, 2018 - Factors
discussed include overreliance on poorly functioning technology, communication failures, and
-
psnet.ahrq.gov/node/41612/psn-pdf
August 22, 2012 - team-safety-and-innovation-learning-errors-long-term-care-settings
This study explores factors contributing to safety culture in long-term care settings, an issue discussed
-
psnet.ahrq.gov/node/46385/psn-pdf
October 23, 2018 - Strategies discussed include artificial intelligence, lessons learned initiatives,
and data-tracking
-
psnet.ahrq.gov/node/39844/psn-pdf
November 02, 2010 - A past AHRQ WebM&M commentary discussed a death that resulted from
unsafe intrahospital transport.
-
psnet.ahrq.gov/node/35788/psn-pdf
March 05, 2008 - A recent Agency for Healthcare
Research and Quality (AHRQ) WebM&M perspective also discussed disclosure
-
psnet.ahrq.gov/node/45933/psn-pdf
March 08, 2017 - A past PSNet perspective discussed physical space
redesign as a patient safety strategy.
-
psnet.ahrq.gov/node/39178/psn-pdf
December 16, 2009 - A case in which a medical student failed to report an error is discussed in this AHRQ
WebM&M commentary
-
psnet.ahrq.gov/node/40747/psn-pdf
September 07, 2011 - diagnostic-processes
The various types of cognitive biases that can lead to diagnostic errors are discussed
-
psnet.ahrq.gov/node/37588/psn-pdf
February 15, 2011 - A past
AHRQ WebM&M commentary discussed the unintended consequences of achieving a good report card