-
psnet.ahrq.gov/node/42941/psn-pdf
February 12, 2014 - risk-and-safety-management-infertility-and-assisted-reproductive-technology
Introduction of assisted reproductive technology has led
-
psnet.ahrq.gov/node/36993/psn-pdf
September 15, 2011 - transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-
cases
The author proposes that nurse-led
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psnet.ahrq.gov/node/36922/psn-pdf
June 22, 2015 - fluorouracil-incident-root-cause-analysis-report
This report shares findings from a root cause analysis of a medication error incident that led
-
psnet.ahrq.gov/node/39508/psn-pdf
May 10, 2010 - impact-senior-clinical-review-patient-disposition-emergency-department
This study discovered that real-time review of cases by a senior physician led
-
psnet.ahrq.gov/node/34844/psn-pdf
February 24, 2011 - issue/communication-factors-follow-abnormal-mammograms
This study describes communication gaps that led
-
psnet.ahrq.gov/node/41728/psn-pdf
January 18, 2013 - whos-covering-our-loved-ones-surprising-barriers-sign-out-process
This study found that implementation of standardized guidelines for patient signout led
-
psnet.ahrq.gov/node/39522/psn-pdf
May 12, 2010 - Pennsylvania hospitals resulted in increased
reporting rates, but it was unclear if the increase in reports led
-
psnet.ahrq.gov/node/42370/psn-pdf
June 19, 2013 - psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition
https://psnet.ahrq.gov/issue/resident-led-institutional-patient-safety-and-quality-improvement-process
-
psnet.ahrq.gov/node/37181/psn-pdf
October 06, 2011 - Agreement between reviewers on what factors led to the error was poor.
-
psnet.ahrq.gov/node/36180/psn-pdf
September 29, 2010 - investigators used a simulated scenario to analyze communication problems among nursing teams
that led
-
psnet.ahrq.gov/node/40973/psn-pdf
November 30, 2011 - clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
This commentary describes a formal assessment, consultation, and follow-up initiative led
-
psnet.ahrq.gov/node/43739/psn-pdf
December 03, 2014 - The father's quest to understand what happened
led to a comprehensive inquiry that revealed regulatory
-
psnet.ahrq.gov/node/36879/psn-pdf
June 13, 2011 - medication-safety-and-hospital-referrals-report-health-and-disability-
commissioner
This report analyzes an incident of medication error that led
-
psnet.ahrq.gov/node/44873/psn-pdf
March 21, 2016 - Analyzing more than 7000 cases in
which communication breakdowns led to patient harm, this report explores
-
psnet.ahrq.gov/node/38292/psn-pdf
May 21, 2009 - psnet.ahrq.gov/issue/effect-medication-errors-pharmacists-charting-medication-emergency-
department
Pharmacist-led
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psnet.ahrq.gov/node/41926/psn-pdf
January 02, 2013 - she-lay-dying-how-i-fought-stop-medical-errors-killing-my-mom
A physician whose mother experienced a treatment delay that led
-
psnet.ahrq.gov/node/38607/psn-pdf
January 02, 2017 - pharmacists-medication-reconciliation-related-clinical-interventions-childrens-
hospital
A pharmacist-led
-
psnet.ahrq.gov/node/38469/psn-pdf
March 11, 2009 - post-discharge-medication-reviews-patients-heart-failure-pilot-study
A medication reconciliation system led
-
psnet.ahrq.gov/node/40584/psn-pdf
July 25, 2011 - applied a checklist to address 12 commonly identified operating room crises, and found that the
tool led
-
psnet.ahrq.gov/node/45237/psn-pdf
June 15, 2016 - medication-reconciliation-oncological-patients-randomized-clinical-trial
This randomized trial found that a pharmacist-led