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psnet.ahrq.gov/issue/speaking-ethical-action-exercise
February 13, 2014 - Commentary
Speaking up: an ethical action exercise.
Citation Text:
Dwyer J, Faber-Langendoen K. Speaking Up: An Ethical Action Exercise. Acad Med. 2018;93(4):602-605. doi:10.1097/ACM.0000000000002047.
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psnet.ahrq.gov/issue/adverse-events-medicine-easy-count-complicated-understand-and-complex-prevent
July 15, 2009 - Commentary
Adverse events in medicine: easy to count, complicated to understand, and complex to prevent.
Citation Text:
Amalberti R, Benhamou D, Auroy Y, et al. Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. J Biomed Inform. 2011;44(3):390…
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psnet.ahrq.gov/issue/building-nursing-intellectual-capital-safe-use-information-technology-systematic-review
June 23, 2009 - Review
Building nursing intellectual capital for safe use of information technology: a systematic review.
Citation Text:
Poe SS. Building nursing intellectual capital for safe use of information technology: a systematic review. J Nurs Care Qual. 2011;26(1):4-12. doi:10.1097/NCQ.0b013e31…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-0
December 21, 2011 - Commentary
Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Fassett WE. Patient Safety and Quality Improvement Act of 2005. Ann Pharmacother. 2006;40(5):917-24.
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psnet.ahrq.gov/issue/bar-code-technology-and-medication-administration-error
June 07, 2023 - Review
Bar code technology and medication administration error.
Citation Text:
Young J, Slebodnik M, Sands L. Bar Code Technology and Medication Administration Error. J Patient Saf. 2010;6(2):115-120. doi:10.1097/pts.0b013e3181de35f7.
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psnet.ahrq.gov/issue/using-simulation-address-hierarchy-issues-during-medical-crises
June 15, 2012 - Commentary
Using simulation to address hierarchy issues during medical crises.
Citation Text:
Calhoun AW, Boone MC, Miller KH, et al. Case and commentary: using simulation to address hierarchy issues during medical crises. Simul Healthc. 2013;8(1):13-9. doi:10.1097/SIH.0b013e318280b202…
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psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
October 29, 2008 - Book/Report
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing.
Citation Text:
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Office of the Inspector General. Washington, DC: US Department of Health and Human Services…
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psnet.ahrq.gov/issue/veterans-affairs-national-quality-scholars-program-model-interprofessional-education-quality
May 02, 2012 - Commentary
The Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety.
Citation Text:
Patrician PA, Dolansky MA, Pair V, et al. The Veterans Affairs National Quality Scholars program: a model for interprofessional education in …
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psnet.ahrq.gov/issue/countering-cognitive-biases-minimising-low-value-care
May 11, 2019 - Review
Countering cognitive biases in minimising low value care.
Citation Text:
Scott IA, Soon J, Elshaug AG, et al. Countering cognitive biases in minimising low value care. Med J Aust. 2017;206(9):407-411.
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psnet.ahrq.gov/issue/name-and-shame
March 06, 2013 - Commentary
Name and shame.
Citation Text:
Cassidy J. Name and shame. BMJ. 2009;339:b2693. doi:10.1136/bmj.b2693.
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psnet.ahrq.gov/issue/disclosure-coaching-ask-tell-ask-model-support-clinicians-disclosure-conversations
December 18, 2014 - Commentary
Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations.
Citation Text:
Shapiro J, Robins L, Galowitz P, et al. Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in Disclosure Conversations. J Patient Saf. 2021;17(8):e1364-e1…
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psnet.ahrq.gov/issue/disruptive-behavior-and-clinical-outcomes-perceptions-nurses-and-physicians
September 28, 2010 - Study
Classic
Disruptive behavior and clinical outcomes: perceptions of nurses and physicians.
Citation Text:
Rosenstein AH, O'Daniel M. Disruptive behavior and clinical outcomes: perceptions of nurses and physicians. Am J Nurs. 2005;105(1):54-64; quiz 64-5.
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psnet.ahrq.gov/issue/communicating-gray-zone-perceptions-about-emergency-physician-hospitalist-handoffs-and
March 17, 2010 - Study
Communicating in the "gray zone": perceptions about emergency physician-hospitalist handoffs and patient safety.
Citation Text:
Apker J, Mallak LA, Gibson SC. Communicating in the "gray zone": perceptions about emergency physician hospitalist handoffs and patient safety. Acad Eme…
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psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
August 23, 2017 - Study
Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments.
Citation Text:
Mullet E, Rivière S, Sastre MTM. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. Am J…
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - Although few studies examine physical diagnosis skills over successive generations of physicians, skill … skills in North America will ever come back to their apogee, when this art form was practiced with great skill … Without leadership in this area from regulatory organizations and specialty societies, this skill set
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psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed
January 29, 2018 - Almost Fatal Medication Error
June 1, 2018
Clinical scenarios: enhancing the skill
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psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery
August 02, 2015 - August 2, 2015
Surgical skill and complication rates after bariatric surgery.
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psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
March 28, 2012 - February 15, 2010
Surgical skill is predicted by the ability to detect errors.
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psnet.ahrq.gov/issue/chief-resident-indirect-supervision-training-safety-study-chief-resident-general-surgery
December 16, 2011 - May 1, 2019
Association of a surgical task during training with team skill acquisition
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psnet.ahrq.gov/issue/nurses-and-patients-appraisals-show-patient-safety-hospitals-remains-concern
October 16, 2012 - December 9, 2020
Nursing skill mix in European hospitals: cross-sectional study of the