-
psnet.ahrq.gov/node/33775/psn-pdf
December 01, 2014 - Following a rapid consultation, APPS applied a "learn and
do" approach in six hospital partnerships involving … During this phase, France also began to support APPS hospital
partnerships involving five additional … The first such
partnerships involving hospitals in the United States such as Rush in Chicago and Johns … Borderless
capacity building for patient safety improvement involving frontline health workers can contribute
-
psnet.ahrq.gov/node/40729/psn-pdf
October 04, 2011 - critical-incident-reports-concerning-anaesthetic-equipment-analysis-uk-
national-reporting-and
Analysis of critical incidents involving
-
psnet.ahrq.gov/node/43552/psn-pdf
December 16, 2014 - submitted to the Pennsylvania Patient Safety Authority, this article
analyzes the 722 safety events involving
-
psnet.ahrq.gov/node/40058/psn-pdf
January 22, 2017 - This piece describes a
checklist to support involving infection control professionals as leaders in
-
psnet.ahrq.gov/node/40205/psn-pdf
April 14, 2011 - patient-safety-out-hours-primary-care-review-patient-records
This study found a low rate of patient safety incidents involving
-
psnet.ahrq.gov/node/38498/psn-pdf
September 27, 2016 - nursing-time-devoted-medication-administration-long-term-care-clinical-safety-and-resource
https://psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
-
psnet.ahrq.gov/node/43240/psn-pdf
February 21, 2015 - Using a case study involving an iatrogenic burn injury and disclosure, this review relates how
three
-
psnet.ahrq.gov/node/45949/psn-pdf
July 11, 2017 - Recommendations include involving the patient in
reconciliation and clarifying which provider is responsible
-
psnet.ahrq.gov/node/44413/psn-pdf
October 07, 2015 - A
postdischarge medication error involving warfarin was discussed in a previous AHRQ WebM&M
commentary
-
psnet.ahrq.gov/node/47585/psn-pdf
December 05, 2018 - medical-device-safety-action-plan-protecting-patients-promoting-public-health
https://psnet.ahrq.gov/issue/safer-healthcare-home-detecting-correcting-and-learning-incidents-involving-infusion-devices
-
psnet.ahrq.gov/node/44900/psn-pdf
April 22, 2016 - Discussing a case involving a
surgeon discovering a serious mistake made by a colleague, this commentary
-
psnet.ahrq.gov/node/47299/psn-pdf
March 20, 2019 - The authors conclude that multicomponent strategies to prevent
incidents involving retained foreign
-
psnet.ahrq.gov/node/39887/psn-pdf
September 29, 2010 - high-alert-medications-shared-accountability-risk-identification-and-error-
prevention
This article describes how lack of communication around a near miss involving
-
psnet.ahrq.gov/node/39875/psn-pdf
January 22, 2017 - mobile-situ-obstetric-emergency-simulation-and-teamwork-training-improve-
maternal-fetal
This article describes the development of a teamwork training program involving
-
psnet.ahrq.gov/node/40162/psn-pdf
December 29, 2014 - psnet.ahrq.gov/primer/computerized-provider-order-entry
https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
-
psnet.ahrq.gov/node/44095/psn-pdf
May 13, 2015 - Nearly one-third of incidents
involving retained foreign objects were reported after gastrointestinal
-
psnet.ahrq.gov/node/45387/psn-pdf
August 15, 2016 - This commentary describes an
incident involving a medication error and reviews conditions in long-term
-
psnet.ahrq.gov/node/44879/psn-pdf
February 10, 2016 - in
prehospital emergency care as a safety concern in the United Kingdom and describes an incident involving
-
psnet.ahrq.gov/node/34117/psn-pdf
December 23, 2016 - Since 1998, The Joint Commission has issued sentinel event alerts in response to unexpected incidents
involving
-
psnet.ahrq.gov/node/42359/psn-pdf
September 01, 2016 - clinical-case-electronic-health-record-drug-alert-fatigue-consequences-patient-
outcome
This commentary describes an incident involving