-
psnet.ahrq.gov/node/46324/psn-pdf
August 09, 2017 - A past PSNet interview discussed joy in practice and
physician professional satisfaction.
-
psnet.ahrq.gov/node/47375/psn-pdf
November 02, 2018 - A past WebM&M commentary discussed the difficulties in disclosing
mistakes that originated from a different
-
psnet.ahrq.gov/node/47459/psn-pdf
October 10, 2018 - A WebM&M commentary
discussed an incident involving a wrong-patient order in an electronic record system
-
psnet.ahrq.gov/node/45736/psn-pdf
February 01, 2017 - identified intrapersonal,
organizational, and interpersonal factors that facilitate disruptive conduct and discussed
-
psnet.ahrq.gov/node/39990/psn-pdf
June 08, 2011 - The difficulty of calibrating alarm systems
was discussed in an AHRQ WebM&M interview with human factors
-
psnet.ahrq.gov/node/45282/psn-pdf
July 13, 2016 - A past PSNet perspective discussed the role of
health literacy in patient safety.
-
psnet.ahrq.gov/node/46482/psn-pdf
October 11, 2017 - An Annual Perspective discussed the opioid crisis as a patient safety
problem.
-
psnet.ahrq.gov/node/42085/psn-pdf
March 13, 2013 - The consequences of a missed delirium diagnosis are discussed in an AHRQ
WebM&M commentary.
-
psnet.ahrq.gov/node/45420/psn-pdf
December 04, 2016 - A recent WebM&M commentary discussed challenges to
implementing advance directives.
-
psnet.ahrq.gov/node/46038/psn-pdf
July 05, 2017 - This
study discussed how improvement efforts, including standardization and minimizing interruptions
-
psnet.ahrq.gov/node/39088/psn-pdf
September 01, 2015 - A past AHRQ
WebM&M perspective discussed preparing future pharmacists to promote a culture of safety
-
psnet.ahrq.gov/node/35402/psn-pdf
September 10, 2009 - The 14 preventive actions discussed were from a
list generated by an AHRQ publication as well as from
-
psnet.ahrq.gov/node/37385/psn-pdf
March 28, 2012 - cost-implications-actual-and-potential-adverse-events-prevented-interventions-
critical-care
Past studies have discussed
-
psnet.ahrq.gov/node/44662/psn-pdf
January 25, 2016 - Specific situations discussed include
lack of peer support, disruptive behavior, and production pressure
-
psnet.ahrq.gov/node/47230/psn-pdf
August 15, 2018 - An Annual Perspective discussed the limitations of root cause analysis and how this tool
can be improved
-
psnet.ahrq.gov/node/46961/psn-pdf
June 06, 2018 - A previous
WebM&M commentary discussed a preventable adverse event occurring in part due to less intensive
-
psnet.ahrq.gov/node/45670/psn-pdf
November 16, 2016 - However, heuristics can
contribute to error and are often discussed in the context of diagnostic missteps
-
psnet.ahrq.gov/node/47365/psn-pdf
January 01, 2019 - A recent commentary discussed the inherent limitations of incident
reporting systems and suggested ways
-
psnet.ahrq.gov/node/45499/psn-pdf
May 03, 2017 - This commentary summarizes
results of two workshops that discussed strategies for interdisciplinary
-
psnet.ahrq.gov/node/37168/psn-pdf
February 03, 2011 - A prior commentary discussed ways of identifying problem
physicians.