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psnet.ahrq.gov/node/35962/psn-pdf
April 18, 2011 - Adverse events in anaesthetic practice: qualitative study
of definition, discussion and reporting.
April 18, 2011
Smith AF, Goodwin D, Mort M, et al. Adverse events in anaesthetic practice: qualitative study of definition,
discussion and reporting. Br J Anaesth. 2006;96(6):715-21.
https://psnet.ahrq.gov/issue/adve…
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psnet.ahrq.gov/node/45122/psn-pdf
October 08, 2016 - Transformational leadership in nursing and medication
safety education: a discussion paper.
October 8, 2016
Vaismoradi M, Griffiths P, Turunen H, et al. Transformational leadership in nursing and medication safety
education: a discussion paper. J Nurs Manag. 2016;24(7):970-980. doi:10.1111/jonm.12387.
https://psn…
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psnet.ahrq.gov/node/44507/psn-pdf
July 18, 2016 - Six habits to enhance MET performance under stress: a
discussion paper reviewing team mechanisms for
improved patient outcomes.
July 18, 2016
Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A
discussion paper reviewing team mechanisms for improved patient outcomes. Aus…
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - After multiple lengthy discussions with the patient, his caregiver, the agency
managing his services … established the patient’s capacity to make
some, but not all, decisions during their goals of care discussions
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - After multiple lengthy discussions with the patient, his caregiver, the agency managing his services, … established the patient’s capacity to make some, but not all, decisions during their goals of care discussions
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psnet.ahrq.gov/node/40351/psn-pdf
April 06, 2011 - Acute care patients discuss the patient role in patient
safety.
April 6, 2011
Rathert C, Huddleston N, Pak Y. Acute care patients discuss the patient role in patient safety. Health Care
Manage Rev. 2011;36(2):134-144. doi:10.1097/HMR.0b013e318208cd31.
https://psnet.ahrq.gov/issue/acute-care-patients-discuss-patien…
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psnet.ahrq.gov/node/42021/psn-pdf
February 13, 2013 - Nurses discuss bedside handover and using written
handover sheets.
February 13, 2013
Johnson M, Cowin LS. Nurses discuss bedside handover and using written handover sheets. J Nurs
Manag. 2013;21(1):121-9. doi:10.1111/j.1365-2834.2012.01438.x.
https://psnet.ahrq.gov/issue/nurses-discuss-bedside-handover-and-using-w…
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psnet.ahrq.gov/node/48068/psn-pdf
June 12, 2019 - Health Professions Education.
June 12, 2019
Dhaliwal G, Olson APJ, Singhal G, eds. Diagnosis (Berl). 2019;6(2):75-185.
https://psnet.ahrq.gov/issue/health-professions-education
Clinical and educational environments are increasingly focusing on improving diagnosis. This special issue
explores an overarching approac…
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psnet.ahrq.gov/node/46613/psn-pdf
May 17, 2018 - Dynamics of dignity and safety: a discussion.
May 17, 2018
Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf.
2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159.
https://psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion
Patient engagement is predicated on re…
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psnet.ahrq.gov/node/43240/psn-pdf
February 21, 2015 - Discussing harm-causing errors with patients: an ethics
primer for plastic surgeons.
February 21, 2015
Vercler CJ, Buchman SR, Chung KC. Discussing harm-causing errors with patients: an ethics primer for
plastic surgeons. Ann Plast Surg. 2015;74(2):140-144. doi:10.1097/SAP.0000000000000217.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/43478/psn-pdf
August 27, 2014 - Is it time to move beyond errors in clinical reasoning and
discuss accuracy?
August 27, 2014
Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ
Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4.
https://psnet.ahrq.gov/issue/it-time-move-beyond-er…
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psnet.ahrq.gov/node/35934/psn-pdf
February 24, 2011 - Learning from mistakes: factors that influence how
students and residents learn from medical errors.
February 24, 2011
Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and
residents learn from medical errors. J Gen Intern Med. 2006;21(5):419-23.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/39213/psn-pdf
October 03, 2017 - Using patient safety morbidity and mortality conferences
to promote transparency and a culture of safety.
October 3, 2017
Szekendi MK, Barnard C, Creamer J, et al. Using patient safety morbidity and mortality conferences to
promote transparency and a culture of safety. Jt Comm J Qual Patient Saf. 2010;36(1):3-9.
h…
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psnet.ahrq.gov/node/38497/psn-pdf
July 13, 2009 - Social aspects of clinical errors: a discussion paper.
July 13, 2009
Richman J, Mason T, Mason-Whitehead E, et al. Social aspects of clinical errors. Int J Nurs Stud.
2009;46(8). doi:10.1016/j.ijnurstu.2009.01.006.
https://psnet.ahrq.gov/issue/social-aspects-clinical-errors-discussion-paper
This article engages wi…
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psnet.ahrq.gov/node/40705/psn-pdf
August 17, 2011 - Health Information Technology and Patient Safety: A
Dynamic Discussion.
August 17, 2011
Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; May 2011.
https://psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-dynamic-discussion
This report from the Lucian Leape Institut…
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psnet.ahrq.gov/node/49432/psn-pdf
February 09, 2004 - We now have monthly patient safety discussions at residents' report.
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psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - and therefore may place
providers at risk for public humiliation and shame.(11,14,22) However, if discussions
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psnet.ahrq.gov/node/43714/psn-pdf
December 17, 2014 - ER doctor discusses role in Ebola patient's initial
misdiagnosis.
December 17, 2014
Dunklin R, Thompson S. Dallas Morning News. December 6, 2014.
https://psnet.ahrq.gov/issue/er-doctor-discusses-role-ebola-patients-initial-misdiagnosis
This news article reports on the widely publicized delayed diagnosis of Ebola a…
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psnet.ahrq.gov/node/33927/psn-pdf
June 23, 2015 - Errors, incidents and accidents in anaesthetic practice.
June 23, 2015
Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and
accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5):506-19.
https://psnet.ahrq.gov/issue/errors-incidents-and-accidents-anae…
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psnet.ahrq.gov/node/34797/psn-pdf
October 06, 2015 - Adapting to new technologies in the operating room.
October 6, 2015
Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593-
613. doi:10.1518/001872096778827224.
https://psnet.ahrq.gov/issue/adapting-new-technologies-operating-room
New technology continues to offer great ad…