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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
November 10, 2025 - This study describes the experiences of 50 Massachusetts hospitals that... … This study describes the experiences of 50 Massachusetts hospitals that collaborated in an initiative
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psnet.ahrq.gov/node/33806/psn-pdf
April 01, 2016 - These experiences led me to
pursue fellowship training, where I learned the importance of tying the … additional components including interactive training sessions for
residents where simulations and role-play experiences
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psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - Physicians' perceptions, preparedness for reporting, and
experiences related to impaired and incompetent … Patients' and family members' experiences of open disclosure
following adverse events.
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psnet.ahrq.gov/shared-libraries
September 01, 2025 - Introducing PSNet's New Shared Libraries Feature
Registered PSNet users can create private libraries to house collections of PSNet content for easy reference. The new
Shared Libraries feature allows you to add other users to any of your libraries to create a collaborative
experience.
Login or Registe…
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psnet.ahrq.gov/node/38918/psn-pdf
September 02, 2009 - Hospitals own up to errors.
September 2, 2009
Landro L. Wall Street Journal. August 25, 2009:D1.
https://psnet.ahrq.gov/issue/hospitals-own-errors
This column shares the experience of hospitals and families whose involvement in open disclosure has
resulted in improved care, reduced litigation costs, and patient pa…
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psnet.ahrq.gov/node/37068/psn-pdf
August 01, 2007 - Fallible medicine: responding to errors in emergency
care.
August 1, 2007
Whitehead S.
https://psnet.ahrq.gov/issue/fallible-medicine-responding-errors-emergency-care
The author, a paramedic, recounts his experience with an intubation error and discusses patient care
errors within the broader context of human err…
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psnet.ahrq.gov/node/39608/psn-pdf
November 21, 2016 - Institute for Patient- and Family- Centered Care.
November 21, 2016
IPFFC. PO Box 6397, McLean, VA 22106.
https://psnet.ahrq.gov/issue/institute-patient-and-family-centered-care
This organization provides a variety of resources, including webinars and implementation tools, to engage
patients and their family membe…
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - But we need folks who can draw on a variety of experiences, like human factors engineering and organizational
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psnet.ahrq.gov/node/36397/psn-pdf
December 22, 2010 - The day Joy died.
December 22, 2010
Brandeland GP. The day Joy died. Medical economics. 2006;83(20):50, 52-3.
https://psnet.ahrq.gov/issue/day-joy-died
This author shares his experience as a young physician dealing with the aftermath of a medical error and
how the incident affected his practice, his personal relat…
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psnet.ahrq.gov/node/36647/psn-pdf
February 14, 2007 - Patient safety: the patient's role.
February 14, 2007
Ford D. Patient safety: the patient's role. . World Hosp Health Serv. 2006;42(3):45-48.
https://psnet.ahrq.gov/issue/patient-safety-patients-role
The author shares his family's experience with medical error and provides recommendations for how
patients and fami…
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psnet.ahrq.gov/node/838221/psn-pdf
September 28, 2022 - FS: I’ve just learned so much through my recent experiences as the Primary Care Medical Director for
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psnet.ahrq.gov/node/35428/psn-pdf
January 02, 2017 - An interview with Lucian Leape.
January 2, 2017
Schyve PM. An Interview with Lucian Leape. Jt Comm J Qual Patient Saf. 2016;30(12):653-658.
doi:10.1016/s1549-3741(04)30076-6.
https://psnet.ahrq.gov/issue/interview-lucian-leape
This interview with Dr. Leape, a 2004 Eisenberg Award winner, draws on his extensive exp…
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psnet.ahrq.gov/node/38810/psn-pdf
July 22, 2009 - When doctors make mistakes.
July 22, 2009
Chen PW.
https://psnet.ahrq.gov/issue/when-doctors-make-mistakes-1
This column shares one physician's experience with the deterioration of a colleague's practice after
involvement in error. The piece highlights the need for effective support of physicians-in-training to ma…
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psnet.ahrq.gov/node/865697/psn-pdf
April 24, 2024 - In Conversation with...Katie Boston-Leary about Patient
Safety Amid Nursing Workforce Challenges
April 24, 2024
Leary KB. In Conversation with..Katie Boston-Leary about Patient Safety Amid Nursing Workforce
Challenges. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-a…
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psnet.ahrq.gov/node/33883/psn-pdf
July 01, 2019 - In Conversation With… Suchi Saria, PhD
July 1, 2019
In Conversation With… Suchi Saria, PhD. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
Editor's note: Dr. Saria is the John C. Malone Assistant Professor of computer science, statistics, and
health policy at Johns Hopkins …
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psnet.ahrq.gov/node/41351/psn-pdf
June 27, 2018 - Noah's story: please listen.
June 27, 2018
Lord T. Patient Saf Qual Healthc. March/April 2012;9:38-41,44.
https://psnet.ahrq.gov/issue/noahs-story-please-listen
This article details how miscommunication and lack of patient-centered care contributed to errors that led to
the death of a child.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/36206/psn-pdf
September 30, 2010 - Reducing medication errors by using applied technology.
September 30, 2010
Caesar BR, Hutchinson B. Reducing medication errors by using applied technology. Nursing (Brux).
2006;36(8):24-25.
https://psnet.ahrq.gov/issue/reducing-medication-errors-using-applied-technology
The authors describe their experience in imp…
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Staff members will share stories related to the theme; all staff can listen and discuss their own experiences
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psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - reported being "uncomfortable" or "very uncomfortable" with the technique ( P 8) Our own informal experiences
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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy
March 10, 2021
In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
Editor’s Note: Libby Hoy, Patient Family Advisor (PFA), is the Founder and CEO of Patient Family
Cente…