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psnet.ahrq.gov/node/45800/psn-pdf
January 18, 2017 - Inpatient Notes: mistakes in the
hospital—communicating, apologizing, and beyond.
January 18, 2017
Kachalia A. Web Exclusives. Annals for Hospitalists Inpatient Notes - Mistakes in the Hospital-
Communicating, Apologizing, and Beyond. Ann Intern Med. 2016;165(12):HO2-HO3. doi:10.7326/M16-
2545.
https://psnet.ahrq…
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psnet.ahrq.gov/node/849327/psn-pdf
May 24, 2023 - Diagnostic errors in musculoskeletal oncology and
possible mitigation strategies.
May 24, 2023
Flemming DJ, White C, Fox E, et al. Diagnostic errors in musculoskeletal oncology and possible mitigation
strategies. Skeletal Radiol. 2023;52(3):493-503. doi:10.1007/s00256-022-04166-7.
https://psnet.ahrq.gov/issue/diag…
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psnet.ahrq.gov/node/41022/psn-pdf
December 21, 2011 - Key performance outcomes of patient safety curricula:
root cause analysis, failure mode and effects analysis,
and structured communications skills.
December 21, 2011
Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and
effects analysis, and structured communicatio…
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psnet.ahrq.gov/node/42635/psn-pdf
December 06, 2013 - Improving disclosure and management of medical
error—an opportunity to transform the surgeons of
tomorrow.
December 6, 2013
Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to
transform the surgeons of tomorrow. Surgeon. 2013;11(6):338-43. doi:10.1016/j.surge.20…
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psnet.ahrq.gov/node/39428/psn-pdf
April 07, 2010 - Critical incidents related to cardiac arrests reported to the
Danish Patient Safety Database.
April 7, 2010
Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish
Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.1016/j.resuscitation.2009.10.018.
h…
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psnet.ahrq.gov/node/46143/psn-pdf
June 14, 2017 - Report of the Announced Inspection of Medication Safety
at the Midland Regional Hospital Tullamore, County
Offaly.
June 14, 2017
Dublin, Ireland: Health Information and Quality Authority; May 2017.
https://psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-
tullamore-coun…
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psnet.ahrq.gov/node/34778/psn-pdf
December 23, 2008 - Anesthetic mishaps: breaking the chain of accident
evolution.
December 23, 2008
Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution.
Anesthesiology. 1987;66(5):670-6.
https://psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution
A review of anesthesia saf…
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psnet.ahrq.gov/node/34909/psn-pdf
February 27, 2009 - Decreasing clinically significant adverse events using
feedback to emergency physicians of telephone follow-up
outcomes.
February 27, 2009
Chern C-H, How C-K, Wang L-M, et al. Decreasing clinically significant adverse events using feedback to
emergency physicians of telephone follow-up outcomes. Ann Emerg Med. 200…
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psnet.ahrq.gov/node/44273/psn-pdf
July 01, 2015 - Current issues in patient safety in surgery: a review.
July 1, 2015
Kim FJ, da Silva RD, Gustafson D, et al. Current issues in patient safety in surgery: a review. Patient Saf
Surg. 2015;9:26. doi:10.1186/s13037-015-0067-4.
https://psnet.ahrq.gov/issue/current-issues-patient-safety-surgery-review
Universal strateg…
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psnet.ahrq.gov/node/36917/psn-pdf
September 01, 2011 - Analysis of deaths related to anesthesia in the period
1996-2004 from closed claims registered by the Danish
Patient Insurance Association.
September 1, 2011
Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996-
2004 from closed claims registered by the Danish…
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psnet.ahrq.gov/node/47597/psn-pdf
August 07, 2019 - Intentional rounding—an integrative literature review.
August 7, 2019
Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs.
2019;75(6):1151-1161. doi:10.1111/jan.13897.
https://psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
This review exam…
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psnet.ahrq.gov/node/43882/psn-pdf
February 18, 2015 - Case Studies in Patient Safety: Foundations for Core
Competencies.
February 18, 2015
Johnson JK, Haskell HW, Barach PR. Burlington, MA: Jones and Bartlett Learning; 2015. ISBN:
9781449681548.
https://psnet.ahrq.gov/issue/case-studies-patient-safety-foundations-core-competencies
Patient stories can help illustrate…
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psnet.ahrq.gov/node/47871/psn-pdf
March 27, 2019 - Closing the disclosure gap: medical errors in pediatrics.
March 27, 2019
Lin M, Famiglietti H. Closing the Disclosure Gap: Medical Errors in Pediatrics. Pediatrics. 2019;143(4).
doi:10.1542/peds.2019-0221.
https://psnet.ahrq.gov/issue/closing-disclosure-gap-medical-errors-pediatrics
Disclosure of errors and advers…
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psnet.ahrq.gov/node/840492/psn-pdf
November 30, 2022 - Her child was stillborn at 39 weeks. She blames a system
that doesn’t always listen to mothers.
November 30, 2022
Eldeib D. ProPublica. November 13, 2022.
https://psnet.ahrq.gov/issue/her-child-was-stillborn-39-weeks-she-blames-system-doesnt-always-listen-
mothers
Pregnancy is recognized as a high-risk condition …
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psnet.ahrq.gov/node/46945/psn-pdf
August 29, 2018 - Patient safety initiatives in obstetrics: a rapid review.
August 29, 2018
Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open.
2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170.
https://psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review
Variou…
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psnet.ahrq.gov/node/48093/psn-pdf
July 24, 2019 - Failure to report poor care as a breach of moral and
professional expectation.
July 24, 2019
Ion R, Olivier S, Darbyshire P. Failure to report poor care as a breach of moral and professional
expectation. Nurs Inq. 2019;26(3):e12299. doi:10.1111/nin.12299.
https://psnet.ahrq.gov/issue/failure-report-poor-care-breac…
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psnet.ahrq.gov/node/47766/psn-pdf
March 27, 2019 - Advancing the Safety of Acute Pain Management.
March 27, 2019
Boston, MA: Institute for Healthcare Improvement; 2019.
https://psnet.ahrq.gov/issue/advancing-safety-acute-pain-management
Pain management has emerged as a complex safety concern. This report discusses four organizational
prerequisites to improve pain …
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psnet.ahrq.gov/node/60851/psn-pdf
August 26, 2020 - Situativity: A Family of Social Cognitive Theories for
Clinical Reasoning and Error.
August 26, 2020
Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344.
https://psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error
Challenges to effective clinical reas…
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psnet.ahrq.gov/node/47632/psn-pdf
April 10, 2019 - Perception of the usability and implementation of a
metacognitive mnemonic to check cognitive errors in
clinical setting.
April 10, 2019
Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a
metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. …
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psnet.ahrq.gov/node/46326/psn-pdf
October 18, 2017 - Surgical Patient Safety: A Case-Based Approach.
October 18, 2017
Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631.
https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach
Surgical residency can be a stressful learning experience. This textbook provides an introd…