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psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning
April 01, 2010 - June 27, 2012
Could it happen here?
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psnet.ahrq.gov/issue/application-aviation-black-box-principle-pediatric-cardiac-surgery-tracking-all-failures
October 07, 2013 - April 24, 2018
Surgical safety does not happen by accident: learning from perioperative
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psnet.ahrq.gov/issue/pca-safety-data-review-after-clinical-decision-support-and-smart-pump-technology
October 08, 2016 - June 16, 2019
Fatal PCA adverse events continue to happen...better patient monitoring
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psnet.ahrq.gov/issue/bundle-interventions-used-reduce-prescribing-and-administration-errors-hospitalized-children
September 09, 2015 - View More
Related Resources
Prescribing errors in children: why they happen
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psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical
September 29, 2018 - June 21, 2023
Bad things can happen: are medical students aware of patient centered care
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psnet.ahrq.gov/issue/medical-students-experiences-perceptions-and-management-second-victim-interview-study
March 05, 2014 - May 17, 2023
Bad things can happen: are medical students aware of patient centered care
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review
June 09, 2015 - October 27, 2021
Surgical errors happen, but are learners trained to recover from them
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psnet.ahrq.gov/issue/impact-computerized-clinical-decision-support-system-reducing-inappropriate-antimicrobial-use
December 09, 2015 - , 2023
Hospitals look to computers to predict patient emergencies before they happen
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psnet.ahrq.gov/issue/effect-outcome-physician-judgments-appropriateness-care
June 23, 2015 - March 15, 2017
Ethics in the pediatric emergency department: when mistakes happen: an
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psnet.ahrq.gov/issue/addressing-ambulatory-safety-and-malpractice-massachusetts-promises-project
August 14, 2017 - It could happen to you.
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psnet.ahrq.gov/issue/multidisciplinary-simulation-activity-effectively-prepares-residents-participation-patient
November 30, 2016 - April 29, 2018
Surgical errors happen, but are learners trained to recover from them?
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psnet.ahrq.gov/node/33764/psn-pdf
April 01, 2014 - What needs to happen now is to say that it doesn't
matter where you go, there's always going to be immediate
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psnet.ahrq.gov/issue/how-can-specialist-investigation-agencies-inform-system-wide-learning-patient-safety
January 29, 2014 - Commentary
How can specialist investigation agencies inform system-wide learning for patient safety? A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation Branch.
Citation Text:
Crompton A, Waring J, Macrae C, et al. How can specialist inv…
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psnet.ahrq.gov/node/863766/psn-pdf
March 06, 2024 - Legacy: a Black Physician Reckons with Racism in
Medicine.
March 6, 2024
Blackstock U. New York, NY: Viking; 2024. ISBN: 9780593491287.
https://psnet.ahrq.gov/issue/legacy-black-physician-reckons-racism-medicine
The history of systemic racism is emerging to motivate health care equity and safety efforts. This memo…
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - And how can we make sure this doesn't happen again? … And that often doesn't happen, or it happens in a flurry of white coats being led around without getting
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psnet.ahrq.gov/node/35779/psn-pdf
July 20, 2010 - Our story.
July 20, 2010
King S. Our story. Pediatr Radiol. 2006;36(4):284-6.
https://psnet.ahrq.gov/issue/our-story
The author tells the story of medical errors that led to the death of her daughter Josie in 2001 and
discusses the activities her family has undertaken to prevent similar incidents from happening to…
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psnet.ahrq.gov/node/854639/psn-pdf
October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us
to Thrive.
October 18, 2023
Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069.
https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive
Despite the harm that failure can cause, its value as a learning opportunity, if exam…
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psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify-adverse-events-among
June 11, 2010 - Study
Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients.
Citation Text:
Sarkar U, Handley MA, Gupta R, et al. Use of an interactive, telephone-based self-management support program to identify adverse ev…
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psnet.ahrq.gov/node/36352/psn-pdf
April 14, 2011 - Patient expectations of fair complaint handling in
hospitals: empirical data.
April 14, 2011
Friele RD, Sluijs EM. Patient expectations of fair complaint handling in hospitals: empirical data. BMC
Health Serv Res. 2006;6:106.
https://psnet.ahrq.gov/issue/patient-expectations-fair-complaint-handling-hospitals-empir…
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psnet.ahrq.gov/node/50838/psn-pdf
January 29, 2020 - Start the new year off right by preventing these top 10
medication errors and hazards.
January 29, 2020
ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2):1-6.
https://psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards
Medication errors routinely c…