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psnet.ahrq.gov/issue/apology-errors-whose-responsibility
September 27, 2016 - Commentary
Apology for errors: whose responsibility?
Citation Text:
Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12.
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psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-events-during-implant
December 15, 2021 - Study
Communication matters when it comes to adverse events: associations of adverse events during implant treatment with patients' communication quality and trust assessments.
Citation Text:
Schrimpff C, Link E, Fisse T, et al. Communication matters when it comes to adverse events: asso…
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psnet.ahrq.gov/node/33724/psn-pdf
February 01, 2012 - LS: I think supervision and completely substituted judgment are not the same thing.
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psnet.ahrq.gov/node/33788/psn-pdf
June 01, 2015 - It's one thing I've paid a lot of attention to since I came here, trying to find ways to make that process
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psnet.ahrq.gov/node/33672/psn-pdf
September 01, 2008 - But one
thing that we found was that with this technology you can actually help organize the nurses'
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psnet.ahrq.gov/issue/many-faces-error-disclosure-common-set-elements-and-definition
December 16, 2009 - Study
Classic
The many faces of error disclosure: a common set of elements and a definition.
Citation Text:
Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):75…
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psnet.ahrq.gov/issue/more-words-interpersonal-communication-cognitive-bias-and-diagnostic-errors
March 11, 2013 - Commentary
'More than words' - interpersonal communication, cognitive bias and diagnostic errors.
Citation Text:
Dahm MR, Williams M, Crock C. ‘More than words’ – Interpersonal communication, cognitive bias and diagnostic errors. Patient Educ Couns. 2022;105(1):252-256. doi:10.1016/j.pec…
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psnet.ahrq.gov/issue/avoidable-iatrogenic-complications-urethral-catheterization-and-inadequate-intern-training
March 02, 2011 - Study
Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care teaching hospital.
Citation Text:
Thomas AZ, Giri SK, Meagher D, et al. Avoidable iatrogenic complications of urethral catheterization and inadequate intern training i…
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psnet.ahrq.gov/issue/new-world-patient-safety-23rd-annual-samuel-jason-mixter-lecture
November 02, 2014 - Commentary
New world of patient safety. 23rd Annual Samuel Jason Mixter Lecture.
Citation Text:
Leape L. New world of patient safety: 23rd Annual Samuel Jason Mixter lecture. Arch Surg. 2009;144(5):394-8. doi:10.1001/archsurg.2009.78.
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psnet.ahrq.gov/issue/second-victims-among-baccalaureate-nursing-students-aftermath-patient-safety-incident
June 09, 2021 - Study
Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an exploratory cross-sectional study.
Citation Text:
Van Slambrouck L, Verschueren R, Seys D, et al. Second victims among baccalaureate nursing students in the aftermath of a patient …
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - report things differently so that when they're aggregated at the national level they don't mean the same thing
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - perfect evidence vs. a more commonsensical approach that promotes practices that seem like the right thing
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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
November 01, 2012 - It just is a pro forma thing.
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - Safety has been driven from a desire to do the right thing, which as we know makes it strikingly local … , I try to think about how I can bring the idea of safety to our physicians without adding one more thing
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psnet.ahrq.gov/issue/trainees-perceptions-patient-safety-practices-recounting-failures-supervision
September 20, 2011 - Study
Trainees' perceptions of patient safety practices: recounting failures of supervision.
Citation Text:
Ross PT, McMyler ET, Anderson SG, et al. Trainees' perceptions of patient safety practices: recounting failures of supervision. Jt Comm J Qual Patient Saf. 2011;37(2):88-95.
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psnet.ahrq.gov/node/40042/psn-pdf
June 09, 2015 - AHRQ 2010 Annual Conference.
June 9, 2015
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/ahrq-2010-annual-conference
This Web site provides videos of plenary addresses from the 2010 AHRQ Annual Conference, including
presentations by Carolyn Clancy, MD, and Atul Gawande, MD.
https:/…
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - report things differently so that when they're aggregated at the national level they don't mean the same thing
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-its-not-what-you-say-its-what-they-hear
October 26, 2010 - Study
Classic
Disclosing medical errors to patients: it's not what you say, it's what they hear.
Citation Text:
Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what they hear. J Gen Intern Med. 2009;24(9):1…
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psnet.ahrq.gov/node/37502/psn-pdf
January 30, 2008 - Nursing management of medication errors.
January 30, 2008
Luk LA, Ng WIM, Ko KKS, et al. Nursing management of medication errors. Nurs Ethics. 2008;15(1):28-39.
https://psnet.ahrq.gov/issue/nursing-management-medication-errors
This qualitative study conducted in-depth interviews with seven nurses involved in medica…
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psnet.ahrq.gov/node/41447/psn-pdf
May 30, 2012 - Massachusetts hospitals launch patient apology program.
May 30, 2012
Gallegos A.
https://psnet.ahrq.gov/issue/massachusetts-hospitals-launch-patient-apology-program
This news article reports on a disclosure and apology program implemented in Massachusetts hospitals to
reduce liability lawsuits.
https://psnet.ahrq…