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psnet.ahrq.gov/issue/investigating-us-medical-students-motivation-respond-lapses-professionalism
January 12, 2022 - Study
Investigating US medical students' motivation to respond to lapses in professionalism.
Citation Text:
van der Vossen MM-, Teherani A, van Mook WNKA, et al. Investigating US medical students' motivation to respond to lapses in professionalism. Med Educ. 2018;52(8):838-850. doi:10.11…
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review
June 09, 2015 - Review
Classic
Teaching quality improvement and patient safety to trainees: a systematic review.
Citation Text:
Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010;85(9):1425-39. d…
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psnet.ahrq.gov/issue/diffusion-surgical-innovations-patient-safety-and-minimally-invasive-radical-prostatectomy
June 06, 2008 - Study
Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy.
Citation Text:
Parsons K, Messer K, Palazzi K, et al. Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. JAMA Surg. 2014;149(8):845-51. doi…
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psnet.ahrq.gov/issue/patient-perspectives-adverse-event-investigations-health-care
December 18, 2024 - Study
Patient perspectives on adverse event investigations in health care.
Citation Text:
Dijkstra-Eijkemans RI, Knap LJ, Elbers NA, et al. Patient perspectives on adverse event investigations in health care. BMC Health Serv Res. 2024;24(1):1044. doi:10.1186/s12913-024-11522-x.
Copy Ci…
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psnet.ahrq.gov/issue/framework-assess-patient-reported-adverse-outcomes-arising-during-hospitalization
December 06, 2017 - Study
A framework to assess patient-reported adverse outcomes arising during hospitalization.
Citation Text:
Okoniewska B, Santana MJ, Holroyd-Leduc J, et al. A framework to assess patient-reported adverse outcomes arising during hospitalization. BMC Health Serv Res. 2016;16(a):357. doi:…
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psnet.ahrq.gov/issue/impact-daily-huddle-safety-perioperative-services
March 03, 2021 - Study
Impact of a daily huddle on safety in perioperative services.
Citation Text:
Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012.
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psnet.ahrq.gov/issue/learning-through-experience-influence-formal-and-informal-training-medical-error-disclosure
March 16, 2022 - Study
Learning through experience: influence of formal and informal training on medical error disclosure skills in residents.
Citation Text:
Wong BM, Coffey M, Nousiainen MT, et al. Learning through experience: influence of formal and informal training on medical error disclosure skills …
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effectivehealthcare.ahrq.gov/sites/default/files/zikmund.pdf
October 08, 2025 - Zikmund
Slide
1: The
Right Tool is What They
Need, Not What We
Have: A Taxonomy
of Appropriate
Levels of Precision in Patient Risk Communication
Brian J. Zikmund-‐Fisher, Ph.D.
Assistant Professor, Health Behavior & Health Education
University of Michigan School of…
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psnet.ahrq.gov/node/861286/psn-pdf
January 24, 2024 - Surgical safety does not happen by accident: learning
from perioperative near miss case studies.
January 24, 2024
Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning
from perioperative near miss case studies. J Perianesth Nurs. 2024;39(1):10-15.
doi:10.1016/j.jopa…
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psnet.ahrq.gov/node/60844/psn-pdf
August 26, 2020 - Surgical errors happen, but are learners trained to
recover from them? A survey of North American surgical
residents and fellows.
August 26, 2020
Gabrysz-Forget F, Young M, Zahabi S, et al. Surgical errors happen, but are learners trained to recover
from them? A survey of North American surgical residents and fell…
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psnet.ahrq.gov/node/60877/psn-pdf
September 02, 2020 - When bad things happen: training medical students to
anticipate the aftermath of medical errors.
September 2, 2020
Musunur S, Waineo E, Walton E, et al. When bad things happen: training medical students to anticipate the
aftermath of medical errors. Acad Psychiatry. 2020;44(5):586-591. doi:10.1007/s40596-020-01278-…
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psnet.ahrq.gov/node/843080/psn-pdf
January 25, 2023 - Bad things can happen: are medical students aware of
patient centered care and safety?
January 25, 2023
Gillissen A, Kochanek T, Zupanic M, et al. Bad things can happen: are medical students aware of patient
centered care and safety? Diagnosis (Berl). 2023;10(2):110-120. doi:10.1515/dx-2022-0072.
https://psnet.ahr…
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psnet.ahrq.gov/node/45664/psn-pdf
July 02, 2017 - Intraoperative adverse events in abdominal surgery: what
happens in the operating room does not stay in the
operating room.
July 2, 2017
Bohnen JD, Mavros MN, Ramly EP, et al. Intraoperative Adverse Events in Abdominal Surgery: What
Happens in the Operating Room Does Not Stay in the Operating Room. Ann Surg. 2017;…
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psnet.ahrq.gov/node/42567/psn-pdf
September 11, 2013 - What happens to the medication regimens of older adults
during and after an acute hospitalization?
September 11, 2013
Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during
and after an acute hospitalization? J Patient Saf. 2013;9(3):150-3. doi:10.1097/PTS.0b013e3182…
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psnet.ahrq.gov/node/45874/psn-pdf
February 22, 2017 - Ethics in the pediatric emergency department: when
mistakes happen: an approach to the process, evaluation,
and response to medical errors.
February 22, 2017
Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An
Approach to the Process, Evaluation, and Response to Medical…
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psnet.ahrq.gov/node/36149/psn-pdf
September 29, 2010 - When incidents happen.
September 29, 2010
Newfield JS. When Incidents Happen. Home Health Care Manag Pract. 2006;18(5).
doi:10.1177/1084822306287998.
https://psnet.ahrq.gov/issue/when-incidents-happen
The author discusses post-incident documentation for the home care setting and addresses legal issues.
https://ps…
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psnet.ahrq.gov/node/39923/psn-pdf
September 03, 2014 - Sued for misdiagnosis? It could happen to you.
September 3, 2014
Lippman H, Davenport J. Sued for misdiagnosis? It could happen to you. J Fam Pract. 2010;59(9):498-508.
https://psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you
This article explains how to avoid diagnostic error, minimize litigation, and pr…
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psnet.ahrq.gov/node/40194/psn-pdf
June 20, 2011 - What happens when things go wrong?
June 20, 2011
Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth.
2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x.
https://psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
This commentary reveals a personal story of loss and dis…
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psnet.ahrq.gov/node/38215/psn-pdf
November 14, 2011 - Could it happen here? Learning from other organizations'
safety errors.
November 14, 2011
Conway JB. Could it happen here? Learning from other organizations' safety errors. Healthcare Executive.
2008;23(6):64, 66-67.
https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors
This…
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psnet.ahrq.gov/node/39489/psn-pdf
June 11, 2010 - What happens between visits? Adverse and potential
adverse events among a low-income, urban, ambulatory
population with diabetes.
June 11, 2010
Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse
events among a low-income, urban, ambulatory population with diabetes. Qua…