-
psnet.ahrq.gov/node/40688/psn-pdf
November 16, 2016 - psnet.ahrq.gov/issue/guide-infection-prevention-outpatient-settings-minimum-expectations-safe-care
This report suggests
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psnet.ahrq.gov/node/38462/psn-pdf
June 24, 2010 - care-transitions-and-home-health-care
This article reviews the literature on transitions of care, discusses interventions, and suggests
-
psnet.ahrq.gov/node/40611/psn-pdf
July 20, 2011 - normalization-deviance-threat-patient-safety
This commentary describes normalization of deviance and suggests
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psnet.ahrq.gov/node/40938/psn-pdf
November 16, 2011 - Safety Authority Reporting System, this commentary
identifies contributing factors to readmissions and suggests
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psnet.ahrq.gov/node/38244/psn-pdf
November 26, 2008 - event-reporting-value-nonpunitive-approach
This article discusses ways to minimize failure by understanding human error and suggests
-
psnet.ahrq.gov/node/35893/psn-pdf
May 03, 2006 - instances of accidental infusion into an IV or peripherally inserted central catheter
(PICC) line and suggests
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psnet.ahrq.gov/node/38775/psn-pdf
April 16, 2018 - beyond-count-preventing-retention-foreign-objects
This piece identifies risk factors associated with retention of foreign objects and suggests
-
psnet.ahrq.gov/node/35306/psn-pdf
July 14, 2009 - https://psnet.ahrq.gov/issue/iatrogenic-harm-cost-equation-and-new-technology
The author suggests that
-
psnet.ahrq.gov/node/38393/psn-pdf
October 03, 2017 - adverse-health-care-events-reporting-system-what-have-we-learned
Through a qualitative evaluation of the Minnesota statewide reporting initiative, this report suggests
-
psnet.ahrq.gov/node/40514/psn-pdf
June 08, 2011 - spread-remains-challenge-patient-safety-improvement
Discussing challenges to expanding the use of patient safety practices, this article suggests
-
psnet.ahrq.gov/node/36775/psn-pdf
July 14, 2010 - new-patient-safety-officer-lifeline-patients-life-jacket-ceos
The author interviews patient safety leaders on the role of the "patient safety officer" and suggests
-
psnet.ahrq.gov/node/38370/psn-pdf
August 22, 2009 - monitoring-medication-errors-outpatient-settings
This review analyzes the literature on medication errors in outpatient dermatology and suggests
-
psnet.ahrq.gov/node/40761/psn-pdf
September 12, 2016 - https://psnet.ahrq.gov/issue/failure-rescue-neonatal-care
This commentary suggests numerous strategies
-
psnet.ahrq.gov/node/37027/psn-pdf
September 12, 2007 - In this op-ed piece, the author suggests that this urban hospital is unable
to provide reliable and
-
psnet.ahrq.gov/node/38303/psn-pdf
December 17, 2008 - https://psnet.ahrq.gov/issue/errors-and-analysis-errors
This article suggests elements of an effective
-
psnet.ahrq.gov/node/40632/psn-pdf
July 20, 2011 - limiting-resident-physicians-work-hours-save-lives
This editorial discusses the 2011 resident duty-hours and suggests
-
psnet.ahrq.gov/node/35743/psn-pdf
July 15, 2010 - ://psnet.ahrq.gov/issue/acog-committee-opinion-327-do-not-use-abbreviations
This committee opinion suggests
-
psnet.ahrq.gov/node/34937/psn-pdf
June 23, 2009 - approach to patient safety, one that views health care as a complex
and vulnerable living system, and suggests
-
psnet.ahrq.gov/node/35613/psn-pdf
June 22, 2010 - comments on the conditions that allow for confirmation bias in emergency medicine decision
making and suggests
-
psnet.ahrq.gov/node/35810/psn-pdf
December 15, 2009 - discusses why health care boards are not fully engaged in the patient safety improvement
process and suggests