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psnet.ahrq.gov/issue/when-err-inhuman-examination-influence-artificial-intelligence-driven-nursing-care-patient
October 19, 2022 - Commentary
When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety.
Citation Text:
Johnson EA, Dudding KM, Carrington JM. When to err is inhuman: an examination of the influence of artificial intelligence‐driven nursing car…
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psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
March 13, 2013 - Commentary
The wisdom of patients and families: ignore it at our peril.
Citation Text:
Donaldson LJ. The wisdom of patients and families: ignore it at our peril. BMJ Qual Saf. 2015;24(10):603-604. doi:10.1136/bmjqs-2015-004573.
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psnet.ahrq.gov/issue/enotss-platform-surgeons-nontechnical-skills-performance-improvement
July 01, 2017 - Commentary
The eNOTSS platform for surgeons’ nontechnical skills performance improvement.
Citation Text:
Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880.
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psnet.ahrq.gov/issue/improving-disclosure-and-management-medical-error-opportunity-transform-surgeons-tomorrow
April 11, 2012 - Review
Improving disclosure and management of medical error—an opportunity to transform the surgeons of tomorrow.
Citation Text:
Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to transform the surgeons of tomorrow. Surgeon. 2013;11…
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psnet.ahrq.gov/issue/transformative-learning-professional-development-course-aimed-addressing-disruptive-physician
February 12, 2020 - Commentary
Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study.
Citation Text:
Samenow CP, Worley LLM, Neufeld R, et al. Transformative learning in a professional development course aimed at addressing dis…
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psnet.ahrq.gov/issue/medical-error-and-decision-making-learning-past-and-present-intensive-care
June 26, 2024 - Review
Medical error and decision making: learning from the past and present in intensive care.
Citation Text:
Bucknall TK. Medical error and decision making: Learning from the past and present in intensive care. Australian Critical Care. 2010;23(3). doi:10.1016/j.aucc.2010.06.001.
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psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
January 19, 2022 - Commentary
Sharing the process of diagnostic decision making.
Citation Text:
Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929.
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psnet.ahrq.gov/issue/could-emotional-intelligence-make-patients-safer
October 29, 2017 - Commentary
Could emotional intelligence make patients safer?
Citation Text:
Codier E, Codier DD. Could Emotional Intelligence Make Patients Safer? Am J Nurs. 2017;117(7):58-62. doi:10.1097/01.NAJ.0000520946.39224.db.
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psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills-and-knowledge
April 10, 2013 - Commentary
Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge.
Citation Text:
Schnall R, Stone PW, Currie L, et al. Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. J Nurs Scholarsh. 2008…
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psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical-context
February 06, 2019 - Study
Medication safety in community pharmacy: a qualitative study of the sociotechnical context.
Citation Text:
Phipps D, Noyce PR, Parker D, et al. Medication safety in community pharmacy: a qualitative study of the sociotechnical context. BMC Health Serv Res. 2009;9:158. doi:10.1186…
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psnet.ahrq.gov/issue/diagnostic-experiences-children-attention-deficithyperactivity-disorder
May 13, 2020 - Study
Diagnostic experiences of children with attention-deficit/hyperactivity disorder.
Citation Text:
Diagnostic experiences of children with attention-deficit/hyperactivity disorder. Visser SN, Zablotsky B, Holbrook JR, Danielson ML, Bitsko RH. Natl Health Stat Report. 2015;(81):1-8.
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psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
February 27, 2014 - Study
Preventing patient harms through systems of care.
Citation Text:
Pronovost P, Bo-Linn GW. Preventing patient harms through systems of care. JAMA. 2012;308(8):769-70. doi:10.1001/jama.2012.9537.
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psnet.ahrq.gov/issue/multi-tiered-approach-safety-education
January 31, 2018 - Commentary
A multi-tiered approach to safety education.
Citation Text:
Oates K, Sammut J, Kennedy P. A multi-tiered approach to safety education. Clin Teach. 2013;10(4):214-8. doi:10.1111/tct.12037.
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psnet.ahrq.gov/issue/interprofessional-conflict-and-medical-errors-results-national-multi-specialty-survey
July 10, 2017 - Study
Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US.
Citation Text:
Baldwin DC, Daugherty SR. Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents …
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psnet.ahrq.gov/node/34735/psn-pdf
June 16, 2014 - goals to create unified reporting mechanisms, support an
open learning culture, ensure that lessons learned
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psnet.ahrq.gov/node/45350/psn-pdf
October 21, 2016 - This report discusses the need to ensure that lessons
learned in military trauma care are acted on and
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psnet.ahrq.gov/node/37478/psn-pdf
February 22, 2011 - adversedrugevent
https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future
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psnet.ahrq.gov/node/47505/psn-pdf
March 19, 2019 - A past PSNet perspective explored insights learned from experience with the
AHRQ-supported teamwork
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psnet.ahrq.gov/node/45490/psn-pdf
September 01, 2018 - collaboration-regulators-support-quality-and-accountability-following-medical-errors
https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
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psnet.ahrq.gov/node/34849/psn-pdf
May 14, 2012 - improving-patient-safety-five-years-after-iom-report
https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned