-
psnet.ahrq.gov/node/46422/psn-pdf
November 29, 2017 - This
commentary reviews observational study techniques to provide a framework and interactions to consider
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psnet.ahrq.gov/node/45160/psn-pdf
May 18, 2016 - This newspaper article reviews several organizational
efforts that use claims data to determine factors
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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
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psnet.ahrq.gov/node/46736/psn-pdf
December 17, 2018 - The author
outlines elements of the protocol and reviews implementation strategies.
-
psnet.ahrq.gov/node/43033/psn-pdf
March 12, 2014 - This commentary reviews
safety challenges in this setting and describes how models used by NASA and
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psnet.ahrq.gov/node/46508/psn-pdf
November 22, 2017 - This commentary reviews the evidence on checklist use in health care, including research
supporting
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psnet.ahrq.gov/node/44300/psn-pdf
July 29, 2015 - Exploring NHS care in Scotland, this publication reviews weaknesses that
affect health service delivery
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psnet.ahrq.gov/node/45387/psn-pdf
August 15, 2016 - This commentary describes an
incident involving a medication error and reviews conditions in long-term
-
psnet.ahrq.gov/node/45936/psn-pdf
March 08, 2017 - This newsletter article reviews attribution biases that hinder
improvement and discusses recommendations
-
psnet.ahrq.gov/node/35193/psn-pdf
July 10, 2008 - study identified 100 cases of diagnostic error in internal medicine and conducted retrospective chart
reviews
-
psnet.ahrq.gov/node/46444/psn-pdf
December 19, 2017 - This case discussion reviews an
incident that occurred due to an NPO status order for a patient prior
-
psnet.ahrq.gov/node/47246/psn-pdf
September 19, 2018 - This discussion paper reviews
evidence-based characteristics of high-functioning teams and barriers
-
psnet.ahrq.gov/node/33922/psn-pdf
August 05, 2009 - The author reviews previously described CDRs, such as failures in perception and heuristics,
overconfidence
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psnet.ahrq.gov/node/43554/psn-pdf
June 21, 2015 - This commentary reviews different types of checklists, issues related to
their use, and elements to
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psnet.ahrq.gov/node/46921/psn-pdf
May 02, 2018 - This commentary
reviews three medication safety incidents involving school nurses and emotional difficulties
-
psnet.ahrq.gov/node/45332/psn-pdf
August 27, 2018 - This commentary
reviews guidance for perioperative nurses to reduce risks of this sentinel event.
-
psnet.ahrq.gov/node/44574/psn-pdf
October 21, 2015 - This review explores
medical errors in ambulatory pediatric care and reviews strategies to improve safety
-
psnet.ahrq.gov/node/43465/psn-pdf
February 18, 2015 - This commentary describes several successful programs aimed at reducing
readmissions and reviews pharmacy
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psnet.ahrq.gov/node/44612/psn-pdf
October 28, 2015 - consequences related to the mandate to implement electronic health
record systems, this commentary reviews
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psnet.ahrq.gov/node/45082/psn-pdf
April 27, 2016 - standards issued by the American College of
Surgeons to reduce risks associated with concurrent surgeries, reviews