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Showing results for "discussed".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47503/psn-pdf
    October 24, 2018 - Amy Starmer discussed the implementation and findings of the landmark I-PASS study.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43855/psn-pdf
    April 15, 2016 - Other studies have found similar disappointing results, the implications of which are discussed in a

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39298/psn-pdf
    June 11, 2010 - medication-error-reporting-nursing-homes-identifying-targets-patient-safety- improvement North Carolina law requires all nursing homes to report medication errors, as discussed

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47271/psn-pdf
    August 08, 2018 - An Annual Perspective discussed the impact of the opioid epidemic on patient safety.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43053/psn-pdf
    May 26, 2014 - Paul Shekelle discussed this gap between recommended processes and actual clinical practice.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47488/psn-pdf
    December 21, 2018 - A WebM&M commentary discussed weight-based dosing medication errors in pediatric populations.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45844/psn-pdf
    February 15, 2017 - A WebM&M commentary discussed a case involving an electronic prescribing error.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39256/psn-pdf
    November 14, 2011 - prior report provided data on adherence to the National Patient Safety Goals, these measures were not discussed

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44861/psn-pdf
    February 17, 2016 - A prior PSNet perspective discussed incident reporting systems and the importance of not only increasing

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34697/psn-pdf
    December 08, 2010 - This story is also discussed in the video Beyond Blame.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45151/psn-pdf
    May 18, 2016 - A WebM&M commentary discussed a serious medication error arising from a language barrier.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44737/psn-pdf
    December 16, 2015 - The limitations of incident reporting were discussed in a previous PSNet perspective.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46522/psn-pdf
    October 29, 2017 - A PSNet perspective discussed accountability in patient safety.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43835/psn-pdf
    February 11, 2015 - Albert Wu discussed the second victim phenomenon in a past AHRQ WebM&M interview.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42156/psn-pdf
    April 03, 2013 - included in the handoff, but on average, only about half of the checklist items were specifically discussed

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47277/psn-pdf
    August 08, 2018 - students-have-key-role-culture-safety-analysis-student-associated-medication- incidents Previous studies have discussed

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43665/psn-pdf
    November 20, 2015 - This study provides further evidence for introducing patient safety concepts in medical education, as discussed

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45130/psn-pdf
    July 18, 2018 - A past WebM&M commentary discussed surgical fires and how to prevent them.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47583/psn-pdf
    December 05, 2018 - A WebM&M commentary discussed a failure to rescue and system-level means to address the adverse outcome

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46556/psn-pdf
    November 01, 2017 - A past PSNet interview discussed the patient safety implications of diagnostic radiology overuse. 
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