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psnet.ahrq.gov/node/35390/psn-pdf
September 10, 2009 - Teaching and medical errors: primary care preceptors'
views.
September 10, 2009
Mazor KM, Fischer M, Haley H-L, et al. Teaching and medical errors: primary care preceptors' views. Med
Educ. 2005;39(10):982-90.
https://psnet.ahrq.gov/issue/teaching-and-medical-errors-primary-care-preceptors-views
The authors inter…
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psnet.ahrq.gov/node/42808/psn-pdf
December 18, 2013 - Patient safety education: what was, what is, and what will
be?
December 18, 2013
Klamen D, Sanserino K, Skolnik PJ. Patient Safety Education: What Was, What Is, and What Will Be?
Teach Learn Med. 2013;25(sup1). doi:10.1080/10401334.2013.842906.
https://psnet.ahrq.gov/issue/patient-safety-education-what-was-what-an…
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psnet.ahrq.gov/node/35581/psn-pdf
June 17, 2010 - Incident reporting in one UK accident and emergency
department.
June 17, 2010
Tighe CM, Woloshynowych M, Brown R, et al. Incident reporting in one UK accident and emergency
department. Accid Emerg Nurs. 2006;14(1):27-37.
https://psnet.ahrq.gov/issue/incident-reporting-one-uk-accident-and-emergency-department
The …
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psnet.ahrq.gov/node/39718/psn-pdf
July 28, 2010 - What is patient safety culture? A review of the literature.
July 28, 2010
Sammer CE, Lykens K, Singh KP, et al. What is patient safety culture? A review of the literature. J Nurs
Scholarsh. 2010;42(2):156-65. doi:10.1111/j.1547-5069.2009.01330.x.
https://psnet.ahrq.gov/issue/what-patient-safety-culture-review-liter…
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psnet.ahrq.gov/node/37279/psn-pdf
January 04, 2012 - Studying the technical work of emergency care.
January 4, 2012
Nemeth CP, Cook RI, Wears RL. Studying the technical work of emergency care. Ann Emerg Med.
2007;50(4):384-6.
https://psnet.ahrq.gov/issue/studying-technical-work-emergency-care
The authors introduce a set of articles that explore how clinicians plan a…
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psnet.ahrq.gov/node/38974/psn-pdf
February 18, 2019 - Patient Safety and Adverse Events.
February 18, 2019
Adlassnig KP, Blobel B, Mantas J, Masic I, eds. Stud Health Technol Inform. 2009;150:497-566. In:
Medical Informatics in a United and Healthy Europe. Washington, DC: IOS Press. ISBN: 9781607500445.
https://psnet.ahrq.gov/issue/patient-safety-and-adverse-events
P…
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psnet.ahrq.gov/node/43144/psn-pdf
March 29, 2016 - Autopsy advocates.
March 29, 2016
Clark C. HealthLeaders Media. April 11, 2014.
https://psnet.ahrq.gov/issue/autopsy-advocates
Highlighting how hospital autopsy programs can uncover diagnostic errors, reveal adverse events, and
enhance learning opportunities, this news article recommends that these initiatives int…
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psnet.ahrq.gov/node/863649/psn-pdf
February 28, 2024 - Stephen Hines: One thing that we learned is that people loved the TeamSTEPPS content but had
challenges
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psnet.ahrq.gov/node/33831/psn-pdf
April 01, 2017 - And it
goes back to the aphorism that I learned a long time ago from a very wise CIO who said, "Computers
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psnet.ahrq.gov/web-mm/lethal-cap
December 19, 2018 - Perspective
Assessing the Safety of Electronic Health Records: What Have We Learned
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psnet.ahrq.gov/web-mm/outpatient-zebra
January 23, 2020 - Considering these contributing factors, what can be learned from this case to prevent future similar
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psnet.ahrq.gov/node/49626/psn-pdf
May 01, 2011 - The ED worker later learned from his supervisor that a patient had presented to the ED with chicken pox
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psnet.ahrq.gov/node/49414/psn-pdf
September 01, 2003 - In general, it
is a safe, easily learned procedure that has excellent surgical outcomes.(1,2)
https
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
September 01, 2006 - retrieve&db=pubmed&dopt=abstract&list_uids=15198350
Case: Triple Handoff
The team subsequently learned
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.263_slideshow.ppt
March 01, 2012 - The nurse learned about the worsening symptoms and contacted the discharging team.
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psnet.ahrq.gov/node/49649/psn-pdf
March 01, 2012 - traditional values, particularly as the roles of
husbands and wives have changed, family members have learned
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psnet.ahrq.gov/node/846922/psn-pdf
March 29, 2023 - Caring beyond health care: lessons learned from a
community-based partnership to reduce hospital readmission
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psnet.ahrq.gov/web-mm/security-lapse
December 18, 2019 - The Case
A medical student learned that the hospital's radiology image library was accessible throughout
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psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - Wrong-side thoracentesis: lessons learned from root cause analysis.
JAMA Surg. 2014;149:774-779.
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psnet.ahrq.gov/node/33812/psn-pdf
August 01, 2016 - We think the principle of patient safety must be learned at the beginning of health
education.