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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - AHRQ PSNet Annual Perspective: Impact of the COVID-19
Pandemic on Patient Safety
March 30, 2021
Stocking JC, Sandrock C, Fitall E, et al. AHRQ PSNet Annual Perspective: Impact of the COVID-19
Pandemic on Patient Safety. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact…
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psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy
January 04, 2017 - Study
Classic
Risk management: extreme honesty may be the best policy.
Citation Text:
Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Ann Intern Med. 1999;131(12):963-967.
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psnet.ahrq.gov/issue/human-factors-and-survey-methodology-based-design-web-based-adverse-event-reporting-system
January 12, 2012 - Study
A human factors and survey methodology-based design of a web-based adverse event reporting system for families.
Citation Text:
Daniels JP, King AD, Cochrane D, et al. A human factors and survey methodology-based design of a web-based adverse event reporting system for families. Int…
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psnet.ahrq.gov/issue/can-patients-contribute-safer-care-meetings-healthcare-professionals-cross-sectional-survey
November 22, 2017 - Study
Can patients contribute to safer care in meetings with healthcare professionals? A cross-sectional survey of patient perceptions and beliefs.
Citation Text:
Ericsson C, Skagerström J, Schildmeijer K, et al. Can patients contribute to safer care in meetings with healthcare professio…
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psnet.ahrq.gov/node/838220/psn-pdf
September 27, 2019 - Primary Care and Patient Safety: Opportunities at the
Interface
September 28, 2022
O’Malley P, McNellis B, Chew E, et al. Primary Care and Patient Safety: Opportunities at the Interface.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
Editor’s Not…
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psnet.ahrq.gov/issue/transparent-and-open-discussion-errors-does-not-increase-malpractice-risk-trauma-patients
October 19, 2022 - Study
Transparent and open discussion of errors does not increase malpractice risk in trauma patients.
Citation Text:
Stewart RM, Corneille MG, Johnston J, et al. Transparent and open discussion of errors does not increase malpractice risk in trauma patients. Ann Surg. 2006;243(5):645-9;…
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psnet.ahrq.gov/issue/effect-cluster-randomised-team-training-intervention-adverse-perinatal-and-maternal-outcomes
April 04, 2018 - Study
Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study.
Citation Text:
Romijn A, Ravelli A, de Bruijne MC, et al. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcome…
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psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
February 10, 2011 - Study
Classic
Adverse respiratory events in anesthesia: a closed claims analysis.
Citation Text:
Caplan RA, Posner KL, Ward RJ, et al. Adverse respiratory events in anesthesia: a closed claims analysis. Anesthesiology. 1990;72(5):828-33.
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psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
September 20, 2011 - Book/Report
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm.
Citation Text:
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 201…
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psnet.ahrq.gov/node/33583/psn-pdf
March 01, 2023 - mdocs-file=6845
https://coaemsp.org/? … mdocs-file=6845
In 2015, the National Council of State Boards of Nursing (NCSBN) released their national
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psnet.ahrq.gov/node/33737/psn-pdf
September 01, 2012 - A report of results will be available in early 2013, with a public use
data file available shortly thereafter
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
October 01, 2009 - precipitated outburst
Hear them out, but then focus on inappropriate reaction
Letter to credentials file
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - , if an error did
occur, they proactively offer compensation to patients without requiring them to file
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psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-errors-and-barriers-reporting
March 21, 2018 - Study
Nurses' perceptions of causes of medication errors and barriers to reporting.
Citation Text:
Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33.
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psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
January 02, 2017 - Study
Toward learning from patient safety reporting systems.
Citation Text:
Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15.
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psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
January 02, 2017 - Study
Contributing factors identified by hospital incident report narratives.
Citation Text:
Nuckols TK, Bell DS, Paddock SM, et al. Contributing factors identified by hospital incident report narratives. Qual Saf Health Care. 2008;17(5):368-72. doi:10.1136/qshc.2007.023721.
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psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
February 26, 2025 - Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes
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March 29, 2023
Innovation
Co…
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psnet.ahrq.gov/issue/trends-healthcare-incident-reporting-and-relationship-safety-and-quality-data-acute-hospitals
March 28, 2011 - Study
Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System.
Citation Text:
Hutchinson A, Young TA, Cooper KL, et al. Trends in healthcare incident reporting and relationship to sa…
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psnet.ahrq.gov/issue/paid-malpractice-claims-adverse-events-inpatient-and-outpatient-settings
June 24, 2009 - Study
Paid malpractice claims for adverse events in inpatient and outpatient settings.
Citation Text:
Bishop TF, Ryan AM, Ryan AK, et al. Paid malpractice claims for adverse events in inpatient and outpatient settings. JAMA. 2011;305(23):2427-31. doi:10.1001/jama.2011.813.
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psnet.ahrq.gov/issue/controversy-and-quality-improvement-lingering-questions-about-ethics-oversight-and-patient
January 15, 2014 - Commentary
Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research.
Citation Text:
Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. …