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psnet.ahrq.gov/issue/wrong-site-surgery-0
April 03, 2005 - 2006
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Operating Room
Physicians
Nurses
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psnet.ahrq.gov/issue/dose-technology-helps-shands-uf-avoid-drug-errors
October 07, 2009 - 24, 2005
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Hospitals
Physicians
Nurses
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psnet.ahrq.gov/node/37221/psn-pdf
December 15, 2011 - simulation-based-medical-error-disclosure-training-pediatric-healthcare-
professionals
In this study, nurses
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psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals
May 29, 2019 - Newspaper/Magazine Article
Medicare failed to investigate suspicious infection cases from 96 hospitals.
Citation Text:
Medicare failed to investigate suspicious infection cases from 96 hospitals. Jewett C. Kaiser Health News. May 9, 2017.
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psnet.ahrq.gov/issue/health-plan-members-views-about-disclosure-medical-errors
November 15, 2011 - Study
Classic
Health plan members' views about disclosure of medical errors.
Citation Text:
Mazor KM, Simon SR, Yood RA, et al. Health plan members' views about disclosure of medical errors. Ann Intern Med. 2004;140(6):409-18.
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psnet.ahrq.gov/issue/do-some-surgical-implants-do-more-harm-good
January 14, 2011 - Newspaper/Magazine Article
Do some surgical implants do more harm than good?
Citation Text:
Do some surgical implants do more harm than good? Groopman J. New Yorker Online. April 13, 2020.
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psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-management-safety
May 29, 2014 - Commentary
Human and organizational biases affecting the management of safety.
Citation Text:
Reiman T, Rollenhagen C. Human and organizational biases affecting the management of safety. Reliab Eng Syst Saf. 2011;96(10). doi:10.1016/j.ress.2011.05.010.
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psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among
July 26, 2023 - Book/Report
Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients.
Citation Text:
Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Maxwell A…
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psnet.ahrq.gov/issue/when-should-leader-apologize-and-when-not
October 07, 2020 - Commentary
When should a leader apologize—and when not?
Citation Text:
Kellerman B. When should a leader apologize and when not? Harv Bus Rev. 2006;84(4):72-81; 148.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
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psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them
May 27, 2020 - Book/Report
Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them.
Citation Text:
Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. Washington, DC: United States Government Accountability Office; March 2020. Publication GAO-20-248.
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psnet.ahrq.gov/issue/strategies-improving-clinician-psychological-safety-reporting-and-discussing-diagnostic-error
October 06, 2021 - Book/Report
Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error.
Citation Text:
Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. Amin D, Cosby K. Rockville, MD: Agency for Healthcare Res…
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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care-proceedings-workshop-brief
September 12, 2018 - Book/Report
Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief.
Citation Text:
Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC…
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psnet.ahrq.gov/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew-complications
May 02, 2018 - Newspaper/Magazine Article
With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications.
Citation Text:
With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications. Brodwin E. STAT. April 14, 2020.
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psnet.ahrq.gov/issue/objective-structured-clinical-examination-educational-tool-patient-safety
May 01, 2014 - Study
The Objective Structured Clinical Examination as an educational tool in patient safety.
Citation Text:
Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt Comm J Qual Patient Saf. 2007;33(1):48-53.
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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-older-adults-proceedings-workshop-brief
April 20, 2022 - Book/Report
Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief.
Citation Text:
Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC: The…
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psnet.ahrq.gov/node/40205/psn-pdf
April 14, 2011 - patient-safety-out-hours-primary-care-review-patient-records
https://psnet.ahrq.gov/issue/safety-telephone-triage-general-practitioner-cooperatives-do-triage-nurses-correctly-estimate
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psnet.ahrq.gov/node/74860/psn-pdf
February 23, 2022 - This commentary describes usability issues such as nurses’ cognitive burden
(e.g., non-intuitive EHR
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psnet.ahrq.gov/node/43615/psn-pdf
January 22, 2016 - tool within an electronic medical record resulted in increased high-
quality communication between nurses
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psnet.ahrq.gov/node/40529/psn-pdf
November 23, 2011 - poor-resident-attending-intraoperative-communication-may-compromise-patient-safety
https://psnet.ahrq.gov/issue/operating-room-teamwork-among-physicians-and-nurses-teamwork-eye-beholder
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psnet.ahrq.gov/node/46586/psn-pdf
January 01, 2020 - adverse-event-reporting-harnessing-residents-improve-patient-safety
https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ