-
psnet.ahrq.gov/node/38046/psn-pdf
September 10, 2008 - 100
This study discovered that autopsy-detected diagnostic errors occurred in 10% of cases examined, leading
-
psnet.ahrq.gov/node/46655/psn-pdf
December 13, 2017 - simulation study
found that respiratory therapists were more likely to speak up when the anesthesiologist leading
-
psnet.ahrq.gov/node/46412/psn-pdf
October 11, 2017 - psnet.ahrq.gov/issue/enhancing-surgical-performance-primer-non-technical-skills
https://psnet.ahrq.gov/issue/leading-article-how-can-i-optimise-my-role-leader-within-surgical-team
-
psnet.ahrq.gov/node/44809/psn-pdf
March 02, 2016 - seniors-managing-multiple-medications-using-mixed-methods-view-home-care-safety-lens
https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
-
psnet.ahrq.gov/node/33993/psn-pdf
March 02, 2011 - conversation-withdonald-m-berwick-md-mpp
https://psnet.ahrq.gov/issue/users-manual-ioms-quality-chasm-report
https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
-
psnet.ahrq.gov/node/35802/psn-pdf
January 02, 2017 - potential error, intercepted error), types of errors (eg, improper dose, wrong drug, wrong
time), and leading
-
psnet.ahrq.gov/node/44217/psn-pdf
November 10, 2015 - Five of the
triggers performed reasonably well for either detecting harm or leading to a change in care
-
psnet.ahrq.gov/node/39645/psn-pdf
August 03, 2010 - intensive care units in Michigan—powered by a checklist of
infection control measures—is one of the leading
-
psnet.ahrq.gov/node/43523/psn-pdf
October 29, 2014 - randomized-trial-improve-prescribing-safety-ambulatory-elderly-patients
https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
-
psnet.ahrq.gov/node/45445/psn-pdf
September 27, 2016 - equipped-overcoming-barriers-change-improve-quality-care-theories-change
https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
-
psnet.ahrq.gov/node/40079/psn-pdf
December 18, 2014 - adverse-events-cough-and-cold-medications-after-market-withdrawal-products-labeled-infants
https://psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children
-
psnet.ahrq.gov/node/35703/psn-pdf
July 13, 2010 - involved older and more ill patients, with respiratory depression being the most frequent occurrence leading
-
psnet.ahrq.gov/node/45563/psn-pdf
October 19, 2016 - psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment
https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
-
psnet.ahrq.gov/node/45452/psn-pdf
August 24, 2016 - errors-and-error-producing-conditions-during-simulated-prehospital-pediatric-cardiopulmonary
https://psnet.ahrq.gov/issue/confusion-about-epinephrine-dosing-leading-iatrogenic-overdose-life-threatening-problem
-
psnet.ahrq.gov/node/45217/psn-pdf
June 15, 2016 - drug-related-harms-hospitalized-medicare-beneficiaries-results-healthcare-cost-and
https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
-
psnet.ahrq.gov/node/35265/psn-pdf
February 03, 2011 - seemingly
routine full-term pregnancy that rapidly evolved into a course of complications, ultimately leading
-
psnet.ahrq.gov/node/34780/psn-pdf
March 28, 2005 - in early adopters, making early
adopter activity observable, trusting and enabling reinvention, and leading
-
psnet.ahrq.gov/node/44811/psn-pdf
March 15, 2016 - patient-safety-culture-and-association-safe-resident-care-nursing-homes
https://psnet.ahrq.gov/issue/ambulatory-care-adverse-events-and-preventable-adverse-events-leading-hospital-admission
-
psnet.ahrq.gov/node/45781/psn-pdf
July 02, 2017 - reduction-medication-errors-related-sliding-scale-insulin-introduction-standardized-order
https://psnet.ahrq.gov/issue/national-estimates-insulin-related-hypoglycemia-and-errors-leading-emergency-department
-
psnet.ahrq.gov/node/34662/psn-pdf
December 24, 2008 - patients,
functioning of microsystems and organizations, and environmental factors), and ultimately leading