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psnet.ahrq.gov/issue/cleaning-discharge-process-number-components-and-personnel-are-crucial-success
October 20, 2021 - Commentary
Cleaning up the discharge process: a number of components—and personnel—are crucial to success.
Citation Text:
Huber C, Blanco M. Cleaning up the discharge process: a number of components--and personnel--are crucial to success. Am J Nurs. 2010;110(9):66-69. doi:10.1097/01.NA…
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psnet.ahrq.gov/issue/disclosing-medical-mistakes-communication-management-plan-physicians
November 16, 2022 - Commentary
Disclosing medical mistakes: a communication management plan for physicians.
Citation Text:
Petronio S, Torke A, Bosslet G, et al. Disclosing medical mistakes: a communication management plan for physicians. Perm J. 2013;17(2):73-9. doi:10.7812/TPP/12-106.
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psnet.ahrq.gov/issue/it-matters-what-i-think-not-what-you-say-scientific-evidence-medical-error-disclosure
September 29, 2017 - Study
"It matters what I think, not what you say": scientific evidence for a medical error disclosure competence (MEDC) model.
Citation Text:
Hannawa AF, Frankel RM. "It Matters What I Think, Not What You Say": Scientific Evidence for a Medical Error Disclosure Competence (MEDC) Model. J…
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psnet.ahrq.gov/issue/shedding-light-dark-side-doctor-patient-interactions-verbal-and-nonverbal-messages-physicians
June 14, 2017 - Study
Shedding light on the dark side of doctor–patient interactions: verbal and nonverbal messages physicians communicate during error disclosures.
Citation Text:
Hannawa AF. Shedding light on the dark side of doctor-patient interactions: verbal and nonverbal messages physicians commu…
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psnet.ahrq.gov/issue/building-bridges-future-directions-medical-error-disclosure-research
October 10, 2018 - Study
Building bridges: future directions for medical error disclosure research.
Citation Text:
Hannawa AF, Beckman H, Mazor KM, et al. Building bridges: future directions for medical error disclosure research. Patient Educ Couns. 2013;92(3):319-327. doi:10.1016/j.pec.2013.05.017.
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psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
April 24, 2018 - Commentary
What happens when things go wrong?
Citation Text:
Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x.
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-veterans-health-administration
September 03, 2015 - Commentary
John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety.
Citation Text:
Heget JR, Bagian JP, Lee CZ, et al. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National…
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psnet.ahrq.gov/issue/leadership-initiative-improve-communication-and-enhance-safety
March 11, 2009 - Commentary
A leadership initiative to improve communication and enhance safety.
Citation Text:
Donahue M, Miller M, Smith L, et al. A Leadership Initiative to Improve Communication and Enhance Safety. American Journal of Medical Quality. 2011;26(3). doi:10.1177/1062860610387410.
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psnet.ahrq.gov/issue/clinical-risk-management-and-patient-safety-education-nurses-critique
June 22, 2009 - Commentary
Clinical risk management and patient safety education for nurses: a critique.
Citation Text:
Johnstone M-J, Kanitsaki O. Clinical risk management and patient safety education for nurses: a critique. Nurse Educ Today. 2007;27(3):185-91.
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psnet.ahrq.gov/issue/engaging-patients-safety-partners-some-considerations-ensuring-culturally-and-linguistically
February 12, 2020 - Review
Engaging patients as safety partners: some considerations for ensuring a culturally and linguistically appropriate approach.
Citation Text:
Johnstone M-J, Kanitsaki O. Engaging patients as safety partners: some considerations for ensuring a culturally and linguistically appropri…
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psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare
November 11, 2020 - Commentary
Promoting safety through well-being: an experience in healthcare.
Citation Text:
Bruno A, Bracco F. Promoting Safety through Well-Being: An Experience in Healthcare. Front Psychol. 2016;7:1208. doi:10.3389/fpsyg.2016.01208.
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psnet.ahrq.gov/issue/case-study-getting-boards-board-allen-memorial-hospital-iowa-health-system
August 04, 2021 - Commentary
Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System.
Citation Text:
Slessor SR, Crandall JB, Nielsen GA. Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. Jt Comm J Qual Patient Saf. 2008;34(4):221-227.
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psnet.ahrq.gov/issue/tort-claims-and-adverse-events-emergency-medical-services
January 02, 2008 - Study
Tort claims and adverse events in emergency medical services.
Citation Text:
Wang HE, Fairbanks RJ, Shah M, et al. Tort claims and adverse events in emergency medical services. Ann Emerg Med. 2008;52(3):256-62. doi:10.1016/j.annemergmed.2008.02.011.
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psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach
August 10, 2022 - Study
An effectiveness analysis of healthcare systems using a systems theoretic approach.
Citation Text:
Chuang S, Inder K. An effectiveness analysis of healthcare systems using a systems theoretic approach. BMC Health Serv Res. 2009;9:195. doi:10.1186/1472-6963-9-195.
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psnet.ahrq.gov/issue/what-ethically-informed-approach-managing-patient-safety-risk-during-discharge-planning
November 16, 2022 - Commentary
What is an ethically informed approach to managing patient safety risk during discharge planning?
Citation Text:
West JC. What Is an Ethically Informed Approach to Managing Patient Safety Risk During Discharge Planning? AMA J Ethics. 2020;22(!1):e919-e923. doi:10.1001/amajethi…
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psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice
March 24, 2021 - Review
Nature of human error: implications for surgical practice.
Citation Text:
Cuschieri A. Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8.
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psnet.ahrq.gov/issue/anticoagulation-patient-safety-goal-compliance-university-health-system-methods-achieving
March 09, 2022 - Commentary
Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal.
Citation Text:
Franco AC, Maxwell P, Green K, et al. Anticoagulation Patient Safety Goal Compliance at a University Health System: Methods for Achieving the Goal. Hosp…
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psnet.ahrq.gov/issue/patient-safety-north-america-beyond-operate-through-your-initials-and-sign-your-site
March 18, 2009 - Meeting/Conference Proceedings
Patient safety in North America: beyond "operate through your initials" and "sign your site."
Citation Text:
Wong DA, Lewis B, Herndon JH, et al. Patient Safety in North America: Beyond “Operate Through Your Initials” and “Sign Your Site”*. doi:10.2106/jb…
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psnet.ahrq.gov/issue/protecting-patients-unsafe-system-etiology-and-recovery-intraoperative-deviations-care
October 19, 2012 - Study
Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.
Citation Text:
Hu Y-Y, Arriaga AF, Roth EM, et al. Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. Ann Surg. 2012;…
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psnet.ahrq.gov/issue/situational-awareness-what-it-means-clinicians-its-recognition-and-importance-patient-safety
July 10, 2017 - Review
Situational awareness—what it means for clinicians, its recognition and importance in patient safety.
Citation Text:
Green B, Parry D, Oeppen RS, et al. Situational awareness - what it means for clinicians, its recognition and importance in patient safety. Oral Dis. 2017;23(6):721…