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psnet.ahrq.gov/node/45199/psn-pdf
June 15, 2016 - Towards safer transitions: a curriculum to teach and
assess hospital-to-hospice handoffs.
June 15, 2016
Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to-
Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2.
doi:10.1016/j.jpainsymman.2016.01.012.
https://psn…
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psnet.ahrq.gov/node/42954/psn-pdf
December 04, 2016 - "Please describe from your point of view a typical case of
an error in palliative care": qualitative data from an
exploratory cross-sectional survey study among palliative
care professionals.
December 4, 2016
Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a typical case of an error in pal…
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psnet.ahrq.gov/node/849329/psn-pdf
May 24, 2023 - Interorganizational health information exchange-related
patient safety incidents: a descriptive register-based
qualitative study.
May 24, 2023
Hyvämäki P, Sneck S, Meriläinen M, et al. Interorganizational health information exchange-related patient
safety incidents: a descriptive register-based qualitative study. …
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psnet.ahrq.gov/node/33826/psn-pdf
February 01, 2017 - more and more people realized that the most
important activities in organizations, for example, any kind … What kind of wall did that person hit whenever these trends began to play out? … RW: So if this all implies a different kind of leader who has different sensibilities and maybe is trained … and
selected differently, it sounds like it implies a different kind of worker too.
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psnet.ahrq.gov/node/47199/psn-pdf
October 03, 2018 - Patient safety in palliative care: a mixed-methods study of
reports to a national database of serious incidents.
October 3, 2018
Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed-methods study of reports to
a national database of serious incidents. Palliat Med. 2018;32(8):1353-1362…
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psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
January 13, 2010 - September 21, 2016
Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive.
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psnet.ahrq.gov/node/33878/psn-pdf
April 01, 2019 - They also wanted some other kind of accountability. … meeting, we need to listen to the
patient and the family and their needs and try to get a sense of what kind
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psnet.ahrq.gov/issue/exploring-relationship-between-hospital-patient-safety-culture-and-performance-measures
August 28, 2024 - March 13, 2024
Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive.
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psnet.ahrq.gov/node/33879/psn-pdf
May 01, 2019 - difference as quickly as possible, but the system may not be set up to
allow you to function in that kind … arise
where they missed either the source of the acute abdomen or a particular bit of trauma or the kind
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - create a culture of safety where people feel free to report incidents that go wrong, near-misses, any kind … WM : Perhaps the most significant kind of support has to do with providing common definitions and reporting … It's a very common attribute of that kind of legislation that the information is protected when it's … systems and they're on paper, it's almost easier to sit down and knock heads in a room and get some kind
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psnet.ahrq.gov/node/33849/psn-pdf
January 01, 2018 - So is it kind of a bunch of rules that we're
skirting in order to get our work done and be paid fairly … It's kind of fun, but it's kind of scary. I did this a few years ago, well into the electronic era. … It's kind of dull, frankly. I do it a lot with students.
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psnet.ahrq.gov/node/33654/psn-pdf
August 01, 2007 - And it just kind of snowballed. … When that kind of event occurs, there's this incredible wailing and gnashing
of teeth.
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psnet.ahrq.gov/issue/nurse-leader-perspectives-and-experiences-caregiver-support-following-serious-medical-error
March 06, 2024 - February 7, 2024
Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive.
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psnet.ahrq.gov/node/43895/psn-pdf
November 03, 2015 - The Digital Doctor: Hope, Hype, and Harm at the Dawn of
Medicine's Computer Age.
November 3, 2015
Wachter R. New York, NY: McGraw-Hill; 2015. ISBN: 9780071849463.
https://psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
Over the past few years, driven by $30 billion of federal inc…
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psnet.ahrq.gov/node/47153/psn-pdf
October 12, 2018 - Clinicians' perceptions of medication errors with opioids
in cancer and palliative care services: a priority setting
report.
October 12, 2018
Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and
palliative care services: a priority setting report. Support Care Ca…
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - Robert Wachter, Editor, AHRQ WebM&M: What inspired you to do this kind of work?
Dr. … What about Hopkins made this kind of work easy, and what made it particularly hard? … It's a different kind of research, studying the delivery of care, but it ought to be just as rigorous
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psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning-innovation-and-growth
May 16, 2012 - June 27, 2018
View More
Related Resources
Right Kind of Wrong:
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psnet.ahrq.gov/issue/perceptions-us-and-uk-incident-reporting-systems-scoping-review
January 19, 2022 - November 8, 2023
Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive.
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psnet.ahrq.gov/issue/narrative-review-strategies-increase-patient-safety-event-reporting-residents
December 02, 2020 - Perspective
Equity in Patient Safety
March 27, 2024
Right Kind
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psnet.ahrq.gov/issue/associations-between-patient-safety-culture-and-workplace-safety-culture-hospital-settings
December 09, 2020 - November 8, 2023
Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive.