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psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility
May 20, 2015 - Several of the major safety-related organizations (including Agency for Healthcare Research and Quality
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psnet.ahrq.gov/issue/emotional-impact-medical-errors-practicing-physicians-united-states-and-canada
January 23, 2008 - Physicians reported significant emotional distress as a result, including loss of confidence in their
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psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth
September 01, 2016 - The study highlights key areas for improving teamwork, including communication quality, leadership dynamics
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psnet.ahrq.gov/issue/invited-article-managing-disruptive-physician-behavior-impact-staff-relationships-and-patient
February 03, 2010 - This survey of staff, nurses, and physicians found that disruptive behavior—including using disrespectful
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psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
October 31, 2014 - The authors conclude with a call to action for organizations best positioned to lead this charge, including
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psnet.ahrq.gov/issue/safe-use-health-information-technology
December 23, 2016 - Several recommendations to prevent IT–related safety threats are discussed, including improving safety
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psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
January 19, 2011 - This commentary provides an overview of patient safety, including types of adverse events, causes for
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psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care
March 17, 2015 - leadership and staff in addressing barriers and highlights several strategies that support improvement including
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psnet.ahrq.gov/issue/advancing-more-health-literate-approach-patient-safety
May 31, 2017 - literacy is the capacity of patients and their families to process and understand health information including
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psnet.ahrq.gov/issue/year-end-resident-clinic-handoffs-narrative-review-and-recommendations-improvement
March 28, 2018 - This narrative review found that several practices can enhance the safety of year-end transitions, including
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psnet.ahrq.gov/issue/incidence-multiple-sclerosis-misdiagnosis-referrals-two-academic-centers
April 24, 2018 - The authors highlight the risks from misdiagnosis including exposure to high-risk medications with resultant
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psnet.ahrq.gov/issue/quantifying-nursing-workflow-medication-administration
January 07, 2009 - Adoption of new technology, including bar-coding systems and electronic medication administration
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psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-and-costs
January 29, 2015 - This commentary recommends ways to enhance the use of quality and safety measures, including establishing
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psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy
July 14, 2010 - The top seven barriers are identified, including competition for scare resources and a lack of resources
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psnet.ahrq.gov/issue/teamwork-healthcare-key-discoveries-enabling-safer-high-quality-care
July 02, 2014 - This review summarizes the evidence regarding teamwork, including strategies to measure team performance
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psnet.ahrq.gov/issue/team-training-safer-birth
July 16, 2013 - obstetric emergencies, this review discusses strategies to augment clinical outcomes in this setting, including
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psnet.ahrq.gov/issue/creating-integrated-patient-safety-team
January 04, 2017 - at Brigham and Women’s Hospital in Boston, the authors discuss development of a patient safety team, including
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psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-human
November 15, 2016 - slower than anticipated, the report makes eight recommendations for achieving total system safety, including
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psnet.ahrq.gov/issue/workarounds-intended-use-health-information-technology-narrative-review-human-factors
July 24, 2013 - This review of the literature identified three practice deviations associated with health IT , including
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psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
March 13, 2013 - Presented by the surgeon himself, the article details the factors that led to the error, including production