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  1. Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations. | PSNet

    psnet.ahrq.gov/issue/disclosure-coaching-ask-tell-ask-model-support-clinicians-disclosure-conversations
    December 18, 2014 - Commentary Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations. Citation Text: Shapiro J, Robins L, Galowitz P, et al. Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in Disclosure Conversations. J Patient Saf. 2021;17(8):e1364-e1…

  2. Can teaching medical students to investigate medication errors change their attitudes towards patient safety? | PSNet

    psnet.ahrq.gov/issue/can-teaching-medical-students-investigate-medication-errors-change-their-attitudes-towards
    August 14, 2014 - Image/Poster Can teaching medical students to investigate medication errors change their attitudes towards patient safety? Citation Text: Dudas RA, Bundy DG, Miller MR, et al. Can teaching medical students to investigate medication errors change their attitudes towards patient safety? …

  3. Name and shame. | PSNet

    psnet.ahrq.gov/issue/name-and-shame
    March 06, 2013 - Commentary Name and shame. Citation Text: Cassidy J. Name and shame. BMJ. 2009;339:b2693. doi:10.1136/bmj.b2693. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Sav…

  4. Medication Administration Time Study (MATS): nursing staff performance of medication administration. | PSNet

    psnet.ahrq.gov/issue/medication-administration-time-study-mats-nursing-staff-performance-medication-administration
    February 21, 2018 - Study Medication Administration Time Study (MATS): nursing staff performance of medication administration. Citation Text: Elganzouri ES, Standish CA, Androwich I. Medication Administration Time Study (MATS): nursing staff performance of medication administration. J Nurs Admin. 2009;39(5)…

  5. The application of Aronson's taxonomy to medication errors in nursing. | PSNet

    psnet.ahrq.gov/issue/application-aronsons-taxonomy-medication-errors-nursing
    January 15, 2009 - Study The application of Aronson's taxonomy to medication errors in nursing. Citation Text: Johnson M, Young H. The application of Aronson's taxonomy to medication errors in nursing. J Nurs Care Qual. 2011;26(2):128-35. doi:10.1097/NCQ.0b013e3181f54b14. Copy Citation Format: …

  6. Pediatric medication safety and the media: what does the public see? | PSNet

    psnet.ahrq.gov/issue/pediatric-medication-safety-and-media-what-does-public-see
    November 25, 2009 - Study Pediatric medication safety and the media: what does the public see? Citation Text: Stebbing C, Kaushal R, Bates DW. Pediatric medication safety and the media: what does the public see? Pediatrics. 2006;117(6):1907-1914. doi:10.1542/peds.2005-2017. Copy Citation Format: …

  7. The hard talk: dealing with the disruptive physician. | PSNet

    psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
    April 24, 2018 - Review The hard talk: dealing with the disruptive physician. Citation Text: Rossano JW, Berger S, Penny DJ. The hard talk: dealing with the disruptive physician. Prog Pediatr Cardiol. 2020;59:101315. doi:10.1016/j.ppedcard.2020.101315. Copy Citation Format: DOI Google Schol…

  8. Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies. | PSNet

    psnet.ahrq.gov/issue/effective-board-governance-safe-care-theoretically-underpinned-cross-sectioned-examination
    March 14, 2018 - Book/Report Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies. Citation Text: Effective Board Governance of Safe Care: A …

  9. Eight recommendations for policies for communicating abnormal test results. | PSNet

    psnet.ahrq.gov/issue/eight-recommendations-policies-communicating-abnormal-test-results
    March 10, 2011 - Commentary Eight recommendations for policies for communicating abnormal test results. Citation Text: Singh H, Vij MS. Eight recommendations for policies for communicating abnormal test results. Jt Comm J Qual Patient Saf. 2010;36(5):226-232. Copy Citation Format: Google Sc…

  10. Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. | PSNet

    psnet.ahrq.gov/issue/distractions-anesthesia-work-environment-impact-patient-safety-report-meeting-sponsored
    July 24, 2024 - Commentary Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. Citation Text: van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety? Report of a M…

  11. Accountability sought by patients following adverse events from medical care: the New Zealand experience. | PSNet

    psnet.ahrq.gov/issue/accountability-sought-patients-following-adverse-events-medical-care-new-zealand-experience
    June 25, 2010 - Study Accountability sought by patients following adverse events from medical care: the New Zealand experience. Citation Text: Bismark M, Dauer E, Paterson R, et al. Accountability sought by patients following adverse events from medical care: the New Zealand experience. CMAJ. 2006;175…

  12. Peer review of medical practices: missed opportunities to learn. | PSNet

    psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn
    November 16, 2022 - Commentary Peer review of medical practices: missed opportunities to learn. Citation Text: Kadar N. Peer review of medical practices: missed opportunities to learn. Am J Obstet Gynecol. 2014;211(6):596-601. doi:10.1016/j.ajog.2014.08.018. Copy Citation Format: DOI Google Sc…

  13. The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. | PSNet

    psnet.ahrq.gov/issue/influence-causes-and-contexts-medical-errors-emergency-medicine-residents-responses-their
    April 11, 2011 - Study The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. Citation Text: Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors on emergency medicine resi…

  14. CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system. | PSNet

    psnet.ahrq.gov/issue/cdc-grand-rounds-preventing-unsafe-injection-practices-us-health-care-system
    February 27, 2019 - Government Resource CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system. Citation Text: Prevention C for DC and. CDC grand rounds: preventing unsafe injection practices in the U.S. health-care system. MMWR Morb Mortal Wkly Rep. 2013;62(21):423-5. Cop…

  15. First with Kids: Medication Errors. | PSNet

    psnet.ahrq.gov/issue/first-kids-medication-errors
    February 03, 2021 - Audiovisual First with Kids: Medication Errors. Citation Text: First L. NBC5. First with Kids: Medication Errors. August 1, 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  16. Patient Safety: Emerging Applications of Safety Science. | PSNet

    psnet.ahrq.gov/issue/patient-safety-emerging-applications-safety-science
    February 09, 2022 - Book/Report Patient Safety: Emerging Applications of Safety Science. Citation Text: Cox C, Hughes H, Nicholls J. Patient Safety: Emerging Applications Of Safety Science. Somerset, UK: Class Publishing; 2024. ISBN 9781801610834. Copy Citation Format: Google Scholar BibTeX En…

  17. Painting a picture of nurse presenteeism: a multi-country integrative review. | PSNet

    psnet.ahrq.gov/issue/painting-picture-nurse-presenteeism-multi-country-integrative-review
    December 02, 2020 - Review Painting a picture of nurse presenteeism: a multi-country integrative review. Citation Text: Freeling M, Rainbow JG, Chamberlain D. Painting a picture of nurse presenteeism: a multi-country integrative review. Int J Nurs Stud. 2020;109:103659. doi:10.1016/j.ijnurstu.2020.103659. …

  18. Building comprehensive strategies for obstetric safety: simulation drills and communication. | PSNet

    psnet.ahrq.gov/issue/building-comprehensive-strategies-obstetric-safety-simulation-drills-and-communication
    May 08, 2019 - Commentary Building comprehensive strategies for obstetric safety: simulation drills and communication. Citation Text: Austin N, Goldhaber-Fiebert SN, Daniels K, et al. Building Comprehensive Strategies for Obstetric Safety: Simulation Drills and Communication. Anesth Analg. 2016;123(5):…

  19. Does an insulin double-checking procedure improve patient safety? | PSNet

    psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety
    April 24, 2018 - Study Does an insulin double-checking procedure improve patient safety? Citation Text: Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. Copy Citation Format: …

  20. Coaching to improve the quality of communication during briefings and debriefings. | PSNet

    psnet.ahrq.gov/issue/coaching-improve-quality-communication-during-briefings-and-debriefings
    March 02, 2022 - Study Coaching to improve the quality of communication during briefings and debriefings. Citation Text: Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012. Co…
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