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psnet.ahrq.gov/node/44361/psn-pdf
November 20, 2015 - Communication in healthcare: a narrative review of the
literature and practical recommendations.
November 20, 2015
Vermeir P, Vandijck D, Degroote S, et al. Communication in healthcare: a narrative review of the literature
and practical recommendations. Int J Clin Pract. 2015;69(11):1257-67. doi:10.1111/ijcp.12686.…
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psnet.ahrq.gov/node/46782/psn-pdf
January 24, 2019 - Patient perspectives on how physicians communicate
diagnostic uncertainty: an experimental vignette study.
January 24, 2019
Bhise V, Meyer AND, Menon S, et al. Patient perspectives on how physicians communicate diagnostic
uncertainty: An experimental vignette study. Int J Qual Health Care. 2018;30(1):2-8.
doi:10.1…
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psnet.ahrq.gov/node/33658/psn-pdf
October 01, 2007 - Just culture provides some of the
answers by controlling the system design and making it safe.
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - SPOTLIGHT CASE
What Happened on Telemetry?
Citation Text:
Sandau KE, Funk M. What Happened on Telemetry?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/44189/psn-pdf
September 09, 2015 - Variation in printed handoff documents: results and
recommendations from a multicenter needs assessment.
September 9, 2015
Rosenbluth G, Bale JF, Starmer AJ, et al. Variation in printed handoff documents: Results and
recommendations from a multicenter needs assessment. J Hosp Med. 2015;10(8):517-24.
doi:10.1002/jh…
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psnet.ahrq.gov/node/34763/psn-pdf
March 07, 2005 - The Limits of Safety: Organizations, Accidents and
Nuclear Weapons.
March 7, 2005
Sagan SD. Princeton NJ: Princeton University Press; 1993. ISBN: 9780691032214.
https://psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
Two competing paradigms dominate the study of the hazards associate…
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psnet.ahrq.gov/issue/how-built-environment-impacts-resilient-healthcare-systems
January 24, 2024 - January 17, 2018
Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers
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psnet.ahrq.gov/node/33747/psn-pdf
March 01, 2013 - The Literature on Health Care Simulation Education: What
Does It Show?
March 1, 2013
Cook DA. The Literature on Health Care Simulation Education: What Does It Show? PSNet [internet].
2013.
https://psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
Perspective
The education o…
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psnet.ahrq.gov/issue/medication-safety-program
November 30, 2023 - Multi-use Website
Medication Safety Program.
Citation Text:
Medication Safety Program. Atlanta, GA: Centers for Disease Control and Prevention.
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psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
February 26, 2025 - RW : In some ways there's a tension even in your answers as to whether or not we're talking about an … Yet organizations need to move forward coming up with answers to complex questions around culpability
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psnet.ahrq.gov/issue/diagnostic-errors
March 21, 2024 - Review
Diagnostic errors.
Citation Text:
Diagnostic errors. Raffel K, Ranji S. UpToDate. February 8, 2024.
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psnet.ahrq.gov/node/40048/psn-pdf
December 01, 2010 - Temporal trends in rates of patient harm resulting from
medical care.
December 1, 2010
Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical
care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJMsa1004404.
https://psnet.ahrq.gov/issue/temporal-trends-rates-pati…
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psnet.ahrq.gov/node/33754/psn-pdf
September 01, 2013 - RW: In some ways there's a tension even in your answers as to whether or not we're talking about an … Yet organizations need to move forward coming up with answers to
complex questions around culpability
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psnet.ahrq.gov/issue/sepsis-smart
May 03, 2023 - Multi-use Website
Sepsis Smart.
Citation Text:
Sepsis Smart. Massachusetts Sepsis Consortium.
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October 30, 2019
Massachusett…
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psnet.ahrq.gov/issue/connecticut-center-patient-safety
May 03, 2023 - Multi-use Website
Connecticut Center for Patient Safety.
Citation Text:
Connecticut Center for Patient Safety. Connecticut Center for Patient Safety
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psnet.ahrq.gov/issue/indiana-patient-safety-center
January 08, 2020 - Multi-use Website
Indiana Patient Safety Center.
Citation Text:
Indiana Patient Safety Center. Indiana Hospital Association; IHA.
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - It's the holding back and the carefully crafted, uninformative answers that anger the media and the public
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psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
July 01, 2006 - It's the holding back and the carefully crafted, uninformative answers that anger the media and the public
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psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - Compounding and the FDA: Questions and Answers. Food & Drug
Administration. … guidelines-safe-medication-use-perioperative-and-procedural-settings
https://www.fda.gov/drugs/human-drug-compounding/compounding-and-fda-questions-and-answers
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psnet.ahrq.gov/node/42361/psn-pdf
September 19, 2013 - Involvement of patients with cancer in patient safety: a
qualitative study of current practices, potentials and
barriers.
September 19, 2013
Martin HM, Navne LE, Lipczak H. Involvement of patients with cancer in patient safety: a qualitative study
of current practices, potentials and barriers. BMJ Qual Saf. 2013;2…