-
psnet.ahrq.gov/node/47108/psn-pdf
June 06, 2018 - curriculum, this commentary provides an introduction to how cognitive bias affects health care
delivery and reviews
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psnet.ahrq.gov/node/47499/psn-pdf
November 07, 2018 - This
commentary reviews factors that contribute to defensive medicine, underscores the role the blame
-
psnet.ahrq.gov/node/46324/psn-pdf
August 09, 2017 - This white paper highlights the importance of enabling joy at work, reviews
examples of organizations
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psnet.ahrq.gov/node/45282/psn-pdf
July 13, 2016 - This article reviews incidents submitted to a
state reporting initiative where insufficient patient
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psnet.ahrq.gov/node/47461/psn-pdf
December 27, 2018 - The first article reviews unsafe practices
in care delivery as defined by inpatient clinicians.
-
psnet.ahrq.gov/node/45566/psn-pdf
October 19, 2016 - This
report reviews the results of the second round of funded effort, which involved more than 1500
-
psnet.ahrq.gov/node/47459/psn-pdf
October 10, 2018 - psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
This newsletter article reviews
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psnet.ahrq.gov/node/46862/psn-pdf
February 21, 2018 - This article reviews the use of systems thinking models to address failure and discusses how
small problems
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psnet.ahrq.gov/node/45727/psn-pdf
August 03, 2017 - They describe a plan to conduct systematic reviews to inform future guidelines.
-
psnet.ahrq.gov/node/45818/psn-pdf
September 29, 2017 - This commentary reviews a national plan to curb adverse drug events and applies those
recommendations
-
psnet.ahrq.gov/node/46445/psn-pdf
December 19, 2017 - This commentary
reviews the evidence applied to determine ACGME work hour policies.
-
psnet.ahrq.gov/node/47080/psn-pdf
May 02, 2018 - trainees who learn in
environments where patients receive unsafe care may perpetuate poor practices and reviews
-
psnet.ahrq.gov/node/46099/psn-pdf
May 31, 2017 - This quality improvement report
reviews the results of an initiative that used plan-do-study-act cycles
-
psnet.ahrq.gov/node/44799/psn-pdf
July 11, 2017 - This special issue includes studies, commentaries, and reviews
exploring consequences of health IT,
-
psnet.ahrq.gov/node/44844/psn-pdf
March 02, 2016 - Quality
Chasm—which launched 15 years of focus on systems-oriented approaches to patient safety—and reviews
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psnet.ahrq.gov/node/43413/psn-pdf
October 20, 2014 - morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric-
intensive-care
In this study, applying standardized chart reviews
-
psnet.ahrq.gov/node/44216/psn-pdf
April 25, 2016 - This
commentary reviews challenges to safe medication use and recommends ways to reduce risks, including
-
psnet.ahrq.gov/node/47693/psn-pdf
January 23, 2019 - This commentary reviews a single-
center project that used smartphone technology to enhance cardiac
-
psnet.ahrq.gov/node/44105/psn-pdf
April 29, 2015 - This commentary reviews a process to guide evaluation teams in developing a
collective understanding
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psnet.ahrq.gov/node/44163/psn-pdf
October 13, 2015 - characterising-near-miss-events-complex-laparoscopic-surgery-through-video-
analysis
This series of blinded video reviews