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psnet.ahrq.gov/issue/students-have-key-role-culture-safety-analysis-student-associated-medication-incidents
July 25, 2018 - May 3, 2023
Bad things can happen: are medical students aware of patient centered care
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psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
March 01, 2017 - Errors can happen, but probably a million drug errors are made today. … That will happen when we can say we've optimized the technical intervention, we've optimized the implementation … The evolutionary model of culture implies that culture change doesn't happen through one big fix, but
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psnet.ahrq.gov/node/33627/psn-pdf
February 01, 2006 - Removing Insult from Injury—Disclosing Adverse Events
February 1, 2006
Wu AW. Removing Insult from Injury—Disclosing Adverse Events. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
Perspective
You pull into a parking space, swing open the car door, and ar…
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psnet.ahrq.gov/issue/perceived-bullying-among-internal-medicine-residents
September 25, 2019 - Study
Perceived bullying among internal medicine residents.
Citation Text:
Ayyala MS, Rios R, Wright SM. Perceived Bullying Among Internal Medicine Residents. JAMA. 2019;322(6):576-578. doi:10.1001/jama.2019.8616.
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Format:
DOI Google Scholar PubMed BibTeX EndNo…
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psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning
May 22, 2024 - Commentary
Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events.
Citation Text:
McCarthy SE, Hogan C, Jenkins L, et al. Videos of simulated after action reviews: a training resource to support social and inclusi…
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psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
June 12, 2019 - In Conversation With… David Urbach, MD, MSc
April 1, 2015
Citation Text:
In Conversation With… David Urbach, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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…
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - the direct causes of an adverse
event and the systemic weaknesses that may have allowed the event to happen
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psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - for the nurse, but also for the family of the deceased: what confidence can they have that this won't happen
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psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be-handled
March 19, 2018 - Commentary
When there's no one to whom an error can be disclosed, how should an error be handled?
Citation Text:
Chiu RG. When There's No One to Whom an Error Can Be Disclosed, How Should an Error Be Handled? AMA J Ethics. 2019;21(7):E553-558. doi:10.1001/amajethics.2019.553.
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psnet.ahrq.gov/node/33826/psn-pdf
February 01, 2017 - : Is there some longing for the day of the strong leader who can be autocratic and just make stuff
happen … bring their brain, their voice, their hearts to work,
to work with their colleagues to make things happen … So it sounds like both of those can happen.
AE: Yes, both of those can happen.
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psnet.ahrq.gov/issue/associations-between-hospitalist-shift-busyness-diagnostic-confidence-and-resource
September 16, 2020 - Study
Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study.
Citation Text:
Gupta AB, Greene MT, Fowler KE, et al. Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. J …
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psnet.ahrq.gov/issue/targeting-zero-harm-stretch-goal-risks-breaking-spring
December 01, 2021 - Commentary
Targeting zero harm: a stretch goal that risks breaking the spring.
Citation Text:
Meddings J, Saint S, Lilford RJ, et al. Targeting zero harm: a stretch goal that risks breaking the spring. NEJM Catal Innov Care Deliv. 2020;1(4). doi:10.1056/cat.20.0354.
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F…
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psnet.ahrq.gov/issue/resident-hesitation-operating-room-does-uncertainty-equal-incompetence
September 24, 2016 - November 24, 2021
View More
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psnet.ahrq.gov/issue/attitudes-and-experiences-trainees-regarding-disclosing-medical-errors-patients
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psnet.ahrq.gov/issue/identification-inpatient-dnr-status-safety-hazard-begging-standardization
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