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psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 2020 - Healthcare providers have since been encouraged to use this tool which aims to engage patient participation, encourage … At every encounter, healthcare professionals must encourage and empower their patients to play an active
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psnet.ahrq.gov/curated-library/organizational-learning
August 11, 2025 - Breadcrumb
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team…
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psnet.ahrq.gov/issue/revealing-their-medical-errors-why-three-doctors-went-public
November 10, 2010 - Newspaper/Magazine Article
Revealing their medical errors: why three doctors went public.
Citation Text:
Revealing their medical errors: why three doctors went public. O'Reilly KB.
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psnet.ahrq.gov/issue/effects-power-leadership-and-psychological-safety-resident-event-reporting
November 16, 2022 - Study
The effects of power, leadership and psychological safety on resident event reporting.
Citation Text:
Appelbaum NP, Dow A, Mazmanian PE, et al. The effects of power, leadership and psychological safety on resident event reporting. Med Edu. 2016;50(3):343-350. doi:10.1111/medu.12947…
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psnet.ahrq.gov/node/33859/psn-pdf
June 01, 2018 - We are working with some manufacturers to encourage them to do two things. … We encourage practitioners learning ultrasound to do scans they feel comfortable and confident
performing … As a valuable training exercise, I encourage new learners to compare their results with official ultrasound
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psnet.ahrq.gov/issue/strategies-improve-patient-safety-final-report-congress-required-patient-safety-and-quality
June 21, 2016 - Book/Report
Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005.…
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - welcome these questions.(2) Crew Resource Management (CRM)
programs, implemented since the early 1980s, encourage … safety.(6-8) They provide a very
important snapshot across a number of dimensions, and I strongly encourage
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psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error
March 30, 2022 - Study
The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting.
Citation Text:
Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. …
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psnet.ahrq.gov/issue/crowdsourced-feedback-improve-resident-physician-error-disclosure-skills-randomized-clinical
May 18, 2022 - Study
Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial.
Citation Text:
White AA, King AM, D’Addario AE, et al. Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial. JAMA Netw Open.…
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psnet.ahrq.gov/issue/imperfect-practice-makes-perfect-error-management-training-improves-transfer-learning
May 19, 2019 - Study
Imperfect practice makes perfect: error management training improves transfer of learning.
Citation Text:
Dyre L, Tabor A, Ringsted C, et al. Imperfect practice makes perfect: error management training improves transfer of learning. Med Educ. 2017;51(2):196-206. doi:10.1111/medu.13…
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psnet.ahrq.gov/issue/systematic-review-frequency-and-quality-reporting-patient-and-public-involvement-patient
February 17, 2021 - Review
Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research.
Citation Text:
Hammoud S, Alsabek L, Rogers L, et al. Systematic review on the frequency and quality of reporting patient and public involvement in patient safety…
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psnet.ahrq.gov/node/60376/psn-pdf
July 30, 2020 - Recommendations based on the Italian COVID-19 experience encourage removing the stigma
associated with
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psnet.ahrq.gov/issue/team-disclosure-error-educational-activity-objective-outcomes
January 31, 2018 - Study
A team disclosure of error educational activity: objective outcomes.
Citation Text:
Krumwiede KH, Wagner JM, Kirk LM, et al. A Team Disclosure of Error Educational Activity: Objective Outcomes. J Am Geriatr Soc. 2019;67(6):1273-1277. doi:10.1111/jgs.15883.
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psnet.ahrq.gov/issue/rating-recommendations-consumers-about-patient-safety-sense-common-sense-or-nonsense
January 06, 2017 - Study
Rating recommendations for consumers about patient safety: sense, common sense, or nonsense?
Citation Text:
Weingart SN, Morway L, Brouillard D, et al. Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? Jt Comm J Qual Patient Saf. 2009;35(4…
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psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
March 13, 2013 - Commentary
The wisdom of patients and families: ignore it at our peril.
Citation Text:
Donaldson LJ. The wisdom of patients and families: ignore it at our peril. BMJ Qual Saf. 2015;24(10):603-604. doi:10.1136/bmjqs-2015-004573.
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DOI Google Scholar PubMe…
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psnet.ahrq.gov/node/73431/psn-pdf
June 23, 2021 - Drive to Deprescribe.
June 23, 2021
The Society for Post-Acute and Long-Term Care Medicine.
https://psnet.ahrq.gov/issue/drive-deprescribe
Polypharmacy is a known challenge to patient safety. This collective program encourages long-term care
organizations, physicians, and pharmacists to take part in a learning net…
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psnet.ahrq.gov/node/837708/psn-pdf
July 20, 2022 - Without question.
July 20, 2022
Liebowitz J. Without Question. N Engl J Med. 2022;386(26):2456-2457. doi:10.1056/nejmp2204361.
https://psnet.ahrq.gov/issue/without-question
Diagnostic errors caused by premature closure and anchoring bias occur when clinicians rely on initial
diagnosis despite receiving subsequent …
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psnet.ahrq.gov/node/50677/psn-pdf
November 20, 2019 - What Happens When Doctors Make Diagnostic Errors?
November 20, 2019
The Peoples Pharmacy. Show 1186: National Public Radio. October 24, 2019.
https://psnet.ahrq.gov/issue/what-happens-when-doctors-make-diagnostic-errors
Misdiagnosis growing area of concern in health care. This radio feature explores three commonly
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psnet.ahrq.gov/issue/involvement-parents-critical-incidents-neonatal-paediatric-intensive-care-unit
January 22, 2016 - Study
Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit.
Citation Text:
Frey B, Ersch J, Bernet V, et al. Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit. Qual Saf Health Care. 2009;18(6):446-9. doi:10.11…
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psnet.ahrq.gov/node/38493/psn-pdf
March 18, 2009 - Finding a way to ask doctors tough questions.
March 18, 2009
https://psnet.ahrq.gov/issue/finding-way-ask-doctors-tough-questions
This article encourages patients to be assertive about their care and provides tips on effectively raising
concerns.
https://psnet.ahrq.gov/issue/finding-way-ask-doctors-tough-questions