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psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting
November 21, 2012 - June 15, 2022
WebM&M Cases
Saline Flush Leads to Acute
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psnet.ahrq.gov/issue/day-joy-died
August 20, 2018 - WebM&M Cases
Uterine Artery Injury during Cesarean Delivery Leads
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psnet.ahrq.gov/issue/disclosure-medical-errors-right-thing-do
September 13, 2010 - November 30, 2016
A medical error leads to tragedy: how do we inform the patient?
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psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
February 09, 2011 - November 4, 2015
When diagnostic testing leads to harm: a new outcomes-based approach
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psnet.ahrq.gov/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew-complications
May 02, 2018 - June 24, 2020
Fear of Covid-19 leads other patients to decline critical treatment.
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psnet.ahrq.gov/issue/covid-19-bears-down-doctors-confront-difficult-choices-elective-surgeries
March 31, 2010 - June 17, 2020
Fear of Covid-19 leads other patients to decline critical treatment.
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psnet.ahrq.gov/issue/teaching-about-diagnostic-errors-through-virtual-patient-cases-pilot-exploration
September 18, 2013 - March 2, 2022
WebM&M Cases
"Superficial" Report Leads
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psnet.ahrq.gov/issue/explaining-unexplainable-impact-physicians-attitude-towards-litigation-their-incident
March 26, 2014 - March 26, 2014
How health care complexity leads to cooperation and affects the autonomy
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psnet.ahrq.gov/issue/identifying-organizational-cultures-promote-patient-safety
June 16, 2011 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads
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psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety
May 26, 2014 - Implementing an interprofessional patient safety learning initiative: insights from participants, project leads
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psnet.ahrq.gov/issue/comparison-broselow-tape-measurements-versus-physician-estimations-pediatric-weights
November 15, 2017 - August 29, 2011
Error in body weight estimation leads to inadequate parenteral anticoagulation
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psnet.ahrq.gov/issue/novel-approach-implementation-quality-and-safety-programmes-anaesthesiology
January 15, 2014 - March 1, 2011
An anesthesiology department leads culture change at a hospital system
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psnet.ahrq.gov/issue/leadership-initiative-improve-communication-and-enhance-safety
March 11, 2009 - June 13, 2011
An anesthesiology department leads culture change at a hospital system
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psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors
November 06, 2013 - March 30, 2011
An anesthesiology department leads culture change at a hospital system
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psnet.ahrq.gov/issue/good-catch-campaign-improving-perioperative-culture-safety
April 24, 2018 - June 9, 2021
WebM&M Cases
Lack of Sepsis Recognition Leads
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psnet.ahrq.gov/issue/need-risk-profiling-patient-safety
August 08, 2010 - August 20, 2014
When diagnostic testing leads to harm: a new outcomes-based approach
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psnet.ahrq.gov/issue/practising-safely-foundation-years
February 04, 2015 - March 2, 2011
An anesthesiology department leads culture change at a hospital system
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psnet.ahrq.gov/issue/conditions-influence-impact-malpractice-litigation-risk-physicians-behavior-regarding-patient
January 07, 2015 - January 7, 2015
How health care complexity leads to cooperation and affects the autonomy
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psnet.ahrq.gov/issue/taking-closer-look-medication-errors-involve-oxytocin
July 18, 2018 - June 10, 2018
Misprogramming PCA concentration leads to dosing errors.
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psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
April 22, 2009 - March 26, 2014
When diagnostic testing leads to harm: a new outcomes-based approach for