-
psnet.ahrq.gov/node/60045/psn-pdf
March 18, 2020 - It includes diagnostic errors, failure to rescue, sepsis,
infections due to multi-drug resistant organisms
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psnet.ahrq.gov/node/836851/psn-pdf
April 06, 2022 - The 2022 comparative data report includes data from 1,100 US medical offices and over
13,000 providers
-
psnet.ahrq.gov/node/73440/psn-pdf
June 30, 2021 - bridging-feedback-gap-sociotechnical-approach-informing-clinicians-patients-subsequent
https://psnet.ahrq.gov/issue/path-diagnostic-excellence-includes-feedback-calibrate-how-clinicians-think
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psnet.ahrq.gov/node/50872/psn-pdf
February 05, 2020 - behavior-perioperative
This study describes the impact of an upgraded patient safety reporting system that includes
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psnet.ahrq.gov/node/47975/psn-pdf
May 29, 2019 - It includes recommendations for auditing, cost assessment, and effectiveness review.
-
psnet.ahrq.gov/node/840146/psn-pdf
January 01, 2023 - resident-duty-hours-and-resident-and-patient-outcomes-systematic-review-
and-meta-analysis
The Accreditation Council for Graduate Medical Education (ACGME) includes
-
psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - To address the complexity of a patient’s case, STORM aims to provide a holistic intervention that includes … Resources Used and Skills Needed
VHA support for implementation includes training, technical assistance … overdose as the general population. 13
The Stratification Tool for Opioid Risk Mitigation (STORM) includes … Unlike previous risk identification strategies, the STORM predictive model includes chronic health conditions … Resources Used and Skills Needed
VHA support for implementation includes training, technical assistance
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psnet.ahrq.gov/node/42866/psn-pdf
January 22, 2014 - https://psnet.ahrq.gov/issue/patient-harm-when-attorney-wont-take-your-case
This news article includes
-
psnet.ahrq.gov/node/42275/psn-pdf
October 08, 2013 - close-calls-patient-safety-should-we-be-paying-closer-attention
This commentary highlights the value of analyzing near misses in preventing errors and includes
-
psnet.ahrq.gov/node/35336/psn-pdf
June 17, 2014 - medication-safety-issue-brief-bar-code-implementation-strategies
This brief addresses the role of bar coding in medication safety and includes
-
psnet.ahrq.gov/node/34603/psn-pdf
September 29, 2017 - Discussion includes
a summary of the key document elements and highlights legal considerations.
-
psnet.ahrq.gov/node/42461/psn-pdf
July 31, 2013 - mindless-mindful-practice-cognitive-bias-and-clinical-decision-making
Discussing how weaknesses in cognition contribute to flawed decision making, this commentary includes
-
psnet.ahrq.gov/node/38796/psn-pdf
April 04, 2011 - presentation describes a wrong-site surgery incident, provides perspectives from the
patient, clinician, and includes
-
psnet.ahrq.gov/node/43507/psn-pdf
September 10, 2014 - surgical-black-box-could-reduce-errors
This news article reports on the development a surgical black box, which includes
-
psnet.ahrq.gov/node/36773/psn-pdf
August 21, 2007 - https://psnet.ahrq.gov/issue/better-surgeons-notes-performance
This book includes essays on the social
-
psnet.ahrq.gov/node/36974/psn-pdf
February 05, 2014 - This article is part of a special issue that includes several papers on improving
safety culture.
-
psnet.ahrq.gov/node/35734/psn-pdf
May 04, 2015 - announcement alerts clinicians to reports of adverse events associated with benzocaine sprays
and includes
-
psnet.ahrq.gov/node/34126/psn-pdf
July 20, 2012 - Prevention (NCC MERP) coordinates a
nationwide campaign for medication error reporting and prevention which includes
-
psnet.ahrq.gov/node/37253/psn-pdf
January 10, 2017 - https://psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-0
This issue includes
-
psnet.ahrq.gov/node/34038/psn-pdf
December 22, 2008 - Discussion includes an eye toward the role that NASA's organizational culture and sharing of
knowledge