-
psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge
February 07, 2024 - The authors recommend strategies to reduce medication-related harm, including discharge communication
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psnet.ahrq.gov/issue/management-reasoning-beyond-diagnosis
June 26, 2019 - The authors recommend areas of research needed to further understand patient management reasoning.
-
psnet.ahrq.gov/issue/how-talk-about-patient-safety
June 24, 2019 - The authors urge patient involvement with a focus on concrete activities, but they recommend avoiding
-
psnet.ahrq.gov/issue/growth-mindset-approach-preparing-trainees-medical-error
August 19, 2020 - The authors recommend strategies to embed this mindset at the organizational level and they advocate
-
psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors
March 14, 2022 - implementation of a voluntary reporting system that allowed a multidisciplinary team to evaluate and recommend
-
psnet.ahrq.gov/issue/student-observed-surgical-safety-practices-across-urban-regional-health-authority
August 12, 2020 - Based on observed adherence rates, the authors recommend adopting a checklist -based preoperative briefing
-
psnet.ahrq.gov/issue/impact-electronic-health-records-diagnosis
May 19, 2019 - The authors recommend ways to safely use health IT to improve diagnosis .
-
psnet.ahrq.gov/issue/emotional-impact-medical-error-involvement-physicians-call-leadership-and-organisational
June 14, 2023 - The authors recommend increased organizational emphasis on supporting these professionals.
-
psnet.ahrq.gov/issue/education-and-reporting-diagnostic-errors-among-physicians-internal-medicine-training
July 17, 2019 - The authors recommend improving training in order to enhance reporting and communication about diagnostic
-
psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns
March 04, 2020 - The authors recommend follow-up studies to determine the reproducibility of these results.
-
psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve-patients-outcomes
July 10, 2024 - The authors recommend a cultural shift away from focusing on technical performance to one that incorporates
-
psnet.ahrq.gov/issue/crowdsourcing-diagnosis-patients-undiagnosed-illnesses-evaluation-crowdmed
November 13, 2024 - A majority of patients felt the service was useful and about half would recommend the program.
-
psnet.ahrq.gov/node/47701/psn-pdf
January 16, 2019 - The authors recommend routine monitoring of alert override comments to
identify errors related to clinical
-
psnet.ahrq.gov/node/34735/psn-pdf
June 16, 2014 - Kingdom’s National Health Service (NHS) system, examine how the NHS
might learn from those failures, and recommend
-
psnet.ahrq.gov/node/45862/psn-pdf
February 08, 2017 - The authors recommend a framework to
guide behaviors consistently across the NHS to improve the timeliness
-
psnet.ahrq.gov/node/45784/psn-pdf
April 03, 2017 - The authors recommend developing and
implementing a consistent event analysis process across clinical
-
psnet.ahrq.gov/node/37960/psn-pdf
September 24, 2010 - that disruptive behavior
adversely affects patient safety and the quality of care, and the authors recommend
-
psnet.ahrq.gov/node/36721/psn-pdf
May 05, 2010 - The authors recommend further research to
determine the combination of triggers that most accurately
-
psnet.ahrq.gov/node/36549/psn-pdf
March 21, 2017 - The
authors recommend incorporating such patient views into patient-centered safety programs.
-
psnet.ahrq.gov/node/38758/psn-pdf
July 08, 2009 - The authors discuss the types of errors that may occur at each stage of radiotherapy and
recommend error