-
psnet.ahrq.gov/node/45913/psn-pdf
March 01, 2017 - This commentary reviews mastery
learning theory at the individual and system levels and suggests that
-
psnet.ahrq.gov/node/42082/psn-pdf
January 24, 2019 - strategies-improve-patient-safety-evidence-base-matures
This editorial introduces a special supplement of systematic reviews
-
psnet.ahrq.gov/node/47387/psn-pdf
September 12, 2018 - This commentary reviews factors that contribute to poor communication
behaviors among perioperative
-
psnet.ahrq.gov/node/46316/psn-pdf
August 02, 2017 - overview of surgical fires,
explains elements of the operating room environment that increase risks, and reviews
-
psnet.ahrq.gov/node/40918/psn-pdf
November 09, 2011 - va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-
should-take
This report reviews
-
psnet.ahrq.gov/node/46333/psn-pdf
June 25, 2018 - The author
reviews actions associated with high reliability organization characteristics, such as willingness
-
psnet.ahrq.gov/node/46557/psn-pdf
November 22, 2017 - This commentary reviews
handover behaviors, tools that can enhance handover quality, and how to engage
-
psnet.ahrq.gov/node/45236/psn-pdf
June 15, 2016 - This consensus report reviews the types of errors associated with cataract surgery and discusses
evidence-based
-
psnet.ahrq.gov/node/44262/psn-pdf
November 17, 2016 - This commentary reviews insights from a multidisciplinary group of experts that discussed challenges
-
psnet.ahrq.gov/node/42984/psn-pdf
February 26, 2014 - delivering-truth-challenges-and-opportunities-error-disclosure-obstetrics
This commentary discusses unique barriers that affect error disclosure in obstetric care and reviews
-
psnet.ahrq.gov/node/45012/psn-pdf
September 28, 2016 - This study
reviews data from a recent study on medication safety in critical access hospitals and recommends
-
psnet.ahrq.gov/node/34869/psn-pdf
April 04, 2005 - This
study reviews the challenges in assessing and reporting on national patient safety performance
-
psnet.ahrq.gov/node/45918/psn-pdf
May 24, 2017 - This commentary
reviews how hospitals have applied design thinking to develop new processes to enhance
-
psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
June 01, 2014 - look-alike medications, always providing patient counseling, and performing comprehensive medication reviews … Performing medication reviews with the patient allows the pharmacist to check for drug interactions, … Perform medication reviews for patients who are older adults, taking multiple medications, and/or experiencing … Implementation of medication reviews in community pharmacies and their effect on potentially inappropriate
-
psnet.ahrq.gov/node/46880/psn-pdf
April 25, 2018 - This commentary reviews individual and
organizational tactics to address incivility in nursing.
-
psnet.ahrq.gov/node/43274/psn-pdf
September 27, 2016 - The author reviews strategies to limit distractions, including applying
sterile cockpit principles,
-
psnet.ahrq.gov/node/46422/psn-pdf
November 29, 2017 - This
commentary reviews observational study techniques to provide a framework and interactions to consider
-
psnet.ahrq.gov/node/45160/psn-pdf
May 18, 2016 - This newspaper article reviews several organizational
efforts that use claims data to determine factors
-
psnet.ahrq.gov/node/44531/psn-pdf
September 30, 2015 - This report reviews the results of
a consensus effort to determine a list of never events for hospital
-
psnet.ahrq.gov/node/46736/psn-pdf
December 17, 2018 - The author
outlines elements of the protocol and reviews implementation strategies.