-
psnet.ahrq.gov/node/34923/psn-pdf
February 27, 2009 - failure-mode-and-effects-analysis-application-critical-care-medicine
This article provides background on failure mode and effects analysis (FMEA) and reviews
-
psnet.ahrq.gov/node/45265/psn-pdf
July 13, 2016 - This article reviews
insights from one hospital's unique program to encourage staff members to help
-
psnet.ahrq.gov/node/35438/psn-pdf
September 15, 2009 - Bagian, director of the National Center for Patient Safety (NCPS), reviews elements of a successful
-
psnet.ahrq.gov/node/42160/psn-pdf
April 03, 2013 - psnet.ahrq.gov/issue/perianesthesia-nurses-role-prevention-opioid-related-sentinel-events
This commentary reviews
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psnet.ahrq.gov/node/46824/psn-pdf
June 26, 2018 - https://psnet.ahrq.gov/issue/management-reasoning-beyond-diagnosis
This commentary reviews five differences
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psnet.ahrq.gov/node/45005/psn-pdf
May 04, 2016 - This book reviews the primary elements
of high reliability organizations and describes how hospitals
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psnet.ahrq.gov/node/41293/psn-pdf
June 01, 2012 - psnet.ahrq.gov/issue/developing-action-plan-patient-radiation-safety-adult-cardiovascular-medicine
This report reviews
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psnet.ahrq.gov/node/46607/psn-pdf
November 08, 2017 - This report reviews tools to help
health care systems target eight areas of focus that have potential
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psnet.ahrq.gov/node/47435/psn-pdf
November 07, 2018 - This commentary reviews
examples of bias that commonly occur in medical practice and describes debiasing
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psnet.ahrq.gov/node/46553/psn-pdf
October 25, 2017 - This commentary reviews the
current state of telehealth practice, highlights how telehealth can enhance
-
psnet.ahrq.gov/node/41629/psn-pdf
January 03, 2017 - improving-team-performance-during-preprocedure-time-out-pediatric-
interventional-radiology
Audiovisual recordings, reviews
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psnet.ahrq.gov/node/43732/psn-pdf
January 07, 2015 - Suggesting that such
delays are not always due to error, this commentary reviews how diagnostic difficulty
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psnet.ahrq.gov/node/45512/psn-pdf
October 05, 2016 - This magazine article reviews recent research on this
issue and suggests several system approaches for
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psnet.ahrq.gov/node/47475/psn-pdf
January 23, 2019 - The reviews highlight systems science, collaboration, leadership models, and patient experience as
important
-
psnet.ahrq.gov/node/40865/psn-pdf
September 12, 2016 - review-current-and-emerging-approaches-address-failure-rescue
Describing failure to rescue as a key area for improvement in patient safety, this piece reviews
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psnet.ahrq.gov/node/42291/psn-pdf
September 12, 2016 - psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
This commentary reviews
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psnet.ahrq.gov/node/34015/psn-pdf
December 22, 2008 - pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-
and-quality
This article reviews
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psnet.ahrq.gov/node/41978/psn-pdf
January 16, 2013 - surgical-complications-disclosing-adverse-events-and-medical-errors
This commentary presents a scenario involving a possible retained surgical object and reviews
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psnet.ahrq.gov/node/45431/psn-pdf
November 22, 2017 - https://psnet.ahrq.gov/issue/pediatric-chest-radiographs-common-and-less-common-errors
This commentary reviews
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psnet.ahrq.gov/node/43562/psn-pdf
September 24, 2014 - This article reviews evidenced-based recommendations and strategies to prevent alarm fatigue in nurses