-
psnet.ahrq.gov/node/34727/psn-pdf
July 13, 2016 - Chapters include
the Foreword by James Reason, Lucian Leape’s chapter on the preventability of medical
-
psnet.ahrq.gov/node/46086/psn-pdf
August 30, 2017 - Topics covered include nurses as leaders, teamwork, and
patient-centered care.
-
psnet.ahrq.gov/node/46079/psn-pdf
June 28, 2017 - Recommendations for pharmacies to reduce
opportunities for error include independent double-checks and
-
psnet.ahrq.gov/node/40446/psn-pdf
July 02, 2014 - greater work hour restrictions on the horizon, strategies to manage indirect patient care activities may
include
-
psnet.ahrq.gov/node/44942/psn-pdf
September 29, 2017 - Key barriers
to utilizing electronic health record data to inform improvement work include restricted
-
psnet.ahrq.gov/node/44059/psn-pdf
April 22, 2015 - These recommendations
include sets of specific actions for the overall health care system and for frontline
-
psnet.ahrq.gov/node/44470/psn-pdf
October 13, 2015 - workplace-training-senior-trainees-systematic-review-and-narrative-synthesis-
current
This systematic review found little evidence about how to include
-
psnet.ahrq.gov/node/44080/psn-pdf
September 27, 2017 - As in other care
settings, missed nursing care is significant, and reasons include interruptions, urgent
-
psnet.ahrq.gov/node/44183/psn-pdf
November 03, 2015 - Recommendations to avoid risks include
evaluating drug information databases, adding comorbid conditions
-
psnet.ahrq.gov/node/43943/psn-pdf
December 04, 2015 - Companion materials available include an analysis exploring equality considerations
and a table revealing
-
psnet.ahrq.gov/node/35786/psn-pdf
May 07, 2007 - Finally, the comprehensive report offers several appendices that include
recommendations and a case
-
psnet.ahrq.gov/node/34644/psn-pdf
December 23, 2008 - Findings include a marked
increase in the number of errors from 1987 to 1995, including increases in
-
psnet.ahrq.gov/node/47205/psn-pdf
July 25, 2018 - Topics include organizational support for a team
environment, teamwork as a fall-reduction strategy,
-
psnet.ahrq.gov/node/45530/psn-pdf
October 19, 2016 - explores individual, team, and care environment characteristics that encourage speaking up, which
include
-
psnet.ahrq.gov/node/846761/psn-pdf
September 29, 2018 - Examples include evaluating how an intervention is received by
participants or assessing feasibility
-
psnet.ahrq.gov/node/46719/psn-pdf
December 20, 2017 - Tactics suggested
that could facilitate improvement include participation in safety huddles and raising
-
psnet.ahrq.gov/node/46503/psn-pdf
January 31, 2018 - Strategies to avoid decision-making errors include cognitive debiasing and
heuristic examination.
-
psnet.ahrq.gov/node/46808/psn-pdf
February 14, 2018 - The authors argue that the current focus on individual practice
vigilance be expanded to include an
-
psnet.ahrq.gov/node/38172/psn-pdf
October 29, 2008 - the continuing challenges of engaging providers to use reporting
systems, and their willingness to include
-
psnet.ahrq.gov/node/36528/psn-pdf
January 20, 2010 - framework is based on a previously published method for
evaluating safety interventions; the key elements include