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psnet.ahrq.gov/issue/improving-safety-culture-adult-medical-units-through-multidisciplinary-teamwork-and
February 18, 2011 - Study
Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.
Citation Text:
Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through multidisciplinary teamwork and c…
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psnet.ahrq.gov/issue/harnessing-power-medical-malpractice-data-improve-patient-care
September 25, 2019 - Commentary
Harnessing the power of medical malpractice data to improve patient care.
Citation Text:
Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393.
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - If someone surfaces an issue and sees it not addressed, it doesn't take very many experiences like that
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psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
October 30, 2019 - For a prenatal test, the patient experiences the blood leaving their vein and that's the end of their
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psnet.ahrq.gov/node/33662/psn-pdf
January 01, 2008 - I do think that there are some
recent experiences here at both the Brigham and the Mass General where
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psnet.ahrq.gov/node/36875/psn-pdf
May 16, 2007 - Missed signals.
May 16, 2007
Sanders L. New York Times Magazine. April 22, 2007.
https://psnet.ahrq.gov/issue/missed-signals
A physician shares her experience with failing to diagnose a patient's prostate problems.
https://psnet.ahrq.gov/issue/missed-signals
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psnet.ahrq.gov/node/34856/psn-pdf
March 07, 2005 - The horror of awakening during surgery.
March 7, 2005
Foreman J
https://psnet.ahrq.gov/issue/horror-awakening-during-surgery
A patient shares her story of awakening during surgery and describes the psychological impact of the
experience.
https://psnet.ahrq.gov/issue/horror-awakening-during-surgery
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psnet.ahrq.gov/node/35261/psn-pdf
August 24, 2005 - Bringing patient safety technology to the bedside.
August 24, 2005
https://psnet.ahrq.gov/issue/bringing-patient-safety-technology-bedside
This case study presents a Louisiana hospital's experience in implementing a bedside bar-coding system.
https://psnet.ahrq.gov/issue/bringing-patient-safety-technology-bedside
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psnet.ahrq.gov/node/38087/psn-pdf
July 28, 2013 - Bar-Coded Medication Administration (BCMA).
July 28, 2013
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/bar-coded-medication-administration-bcma
This document summarizes the experience of numerous AHRQ-funded programs in implementing bar-
coded medication administration.
https://p…
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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - New Insights on Safety and Health IT
A. Zach Hettinger, MD, MS; Raj Ratwani, PhD; Rollin J. (Terry) Fairbanks, MD, MS | August 1, 2015
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Hettinger ZA, Ratwani RM, Fairbanks RJ. New …
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psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
August 01, 2015 - In Conversation With… Robert M. Wachter, MD
August 1, 2015
Also Read an Essay
Citation Text:
In Conversation With… Robert M. Wachter, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…
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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know?
David Studdert, LLB, ScD | July 1, 2017
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Studdert DM. Doctors With Multiple Malprac…
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psnet.ahrq.gov/shared-libraries
May 19, 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/33766/psn-pdf
May 01, 2014 - In Conversation With… Didier Pittet, MD, MS
May 1, 2014
In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
Editor's note: Didier Pittet, MD, MS, is Professor of Medicine and Director of the Infection Control
Programme and WHO Co…
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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/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/prevalence-and-characteristics-diagnostic-error-pediatric-critical-care-multicenter-study
December 11, 2024 - Study
Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study.
Citation Text:
Cifra CL, Custer JW, Smith CM, et al. Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. Crit Care Med. 2023;51(11):14…
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psnet.ahrq.gov/issue/methodological-variability-detecting-prescribing-errors-and-consequences-evaluation
March 05, 2010 - Study
Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions.
Citation Text:
Franklin BD, Birch S, Savage I, et al. Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. …
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psnet.ahrq.gov/issue/medication-errors-and-processes-reduce-them-care-homes-united-kingdom-scoping-review
October 28, 2020 - Review
Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review.
Citation Text:
Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Home Health Care Serv Q.…
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psnet.ahrq.gov/issue/safety-participation-direct-care-level-results-patient-questionnaire
August 26, 2020 - Study
Safety participation at the direct care level: results of a patient questionnaire.
Citation Text:
Duhn L, Gumapac N, Medves J. Safety participation at the direct care level: results of a patient questionnaire. Patient Exp J. 2021;8(1):59-68. doi:10.35680/2372-0247.1506.
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