-
psnet.ahrq.gov/node/44535/psn-pdf
September 30, 2015 - There was variation in the diagnostic process, including testing methods and types of
practitioners involved
-
psnet.ahrq.gov/node/39799/psn-pdf
December 29, 2014 - disclosure, highlighting the opportunity for improved
policies, increased support of professionals involved
-
psnet.ahrq.gov/node/45540/psn-pdf
November 01, 2016 - //psnet.ahrq.gov/issue/performing-wrong-procedure
Describing an incorrect procedure incident which involved
-
psnet.ahrq.gov/node/36323/psn-pdf
November 14, 2018 - our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going
This second part of this series discusses the three types of behavior involved
-
psnet.ahrq.gov/node/43233/psn-pdf
June 17, 2014 - The exercise involved having students assess adverse event scenarios to uncover
contributing factors
-
psnet.ahrq.gov/node/39783/psn-pdf
August 25, 2010 - provides an overview of oversight of quality
improvement initiatives and the ethical considerations involved
-
psnet.ahrq.gov/node/41913/psn-pdf
December 12, 2012 - victim
phenomenon and explore the range of emotions and coping mechanisms clinicians use after being
involved
-
psnet.ahrq.gov/node/39616/psn-pdf
February 02, 2011 - The most common lapses involved using a single-dose medication vial for more than one patient
and failure
-
psnet.ahrq.gov/node/43838/psn-pdf
September 12, 2016 - Reporting on
the drug shortage problem, this magazine article explores underlying causes, economic factors involved
-
psnet.ahrq.gov/node/46368/psn-pdf
October 31, 2017 - This commentary describes a physician's
experience being sued for malpractice, which involved a pediatric
-
psnet.ahrq.gov/node/42651/psn-pdf
October 09, 2013 - report presents data from the Healthcare Cost and Utilization Project on classes of the medications
involved
-
psnet.ahrq.gov/node/34823/psn-pdf
April 06, 2011 - study found that approximately one third of incidents triggering medical
emergency team (MET) calls involved
-
psnet.ahrq.gov/node/37533/psn-pdf
April 22, 2011 - medication
This study used direct observation of pharmacists and other health care professionals involved
-
psnet.ahrq.gov/node/42284/psn-pdf
May 22, 2013 - licensing boards pursue disciplinary action, such as license suspension, against
pharmacists who are involved
-
psnet.ahrq.gov/node/44269/psn-pdf
July 01, 2015 - accidental-overdoses-involving-fluorouracil-infusions
Describing three accidental overdoses of the antineoplastic drug fluorouracil which involved
-
psnet.ahrq.gov/node/40592/psn-pdf
July 06, 2011 - commentary discusses issues surrounding inpatient transitions and offers recommendations for
nurses involved
-
psnet.ahrq.gov/node/44510/psn-pdf
October 08, 2016 - wisdom-medicine-what-helps-physicians-after-medical-error
https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/35271/psn-pdf
June 29, 2009 - for warfarin therapy,
pharmacist review of the trigger events, and interventions with the providers involved
-
psnet.ahrq.gov/node/38892/psn-pdf
August 26, 2009 - cases and near misses reported to the Pennsylvania Patient Safety
Authority found that many cases involved
-
psnet.ahrq.gov/node/43520/psn-pdf
July 16, 2015 - https://psnet.ahrq.gov/issue/relationship-adverse-events-and-support-rn-burnout
Nurses involved in medical