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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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DOI Google Schola…
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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/node/49413/psn-pdf
September 01, 2003 - Did We Forget Something?
September 1, 2003
Gibbs VC. Did We Forget Something? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/did-we-forget-something
The Case
A 76-year-old-man underwent right aorto-iliac aneurysm repair. He developed postoperative fever, initially
attributed to ventilator-associated pneumo…
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psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - The Media: An Essential, If Sometimes Arbitrary,
Promoter of Patient Safety
October 1, 2009
Wachter R. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety. PSNet [internet].
2009.
https://psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
Perspective
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psnet.ahrq.gov/node/49542/psn-pdf
August 21, 2007 - Copy and Paste
August 21, 2007
Hersh WR. Copy and Paste. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/copy-and-paste
The Case
A 77-year-old woman was admitted to a teaching hospital with diarrhea and dehydration after completing
her fifth cycle of chemotherapy for ovarian cancer. Her only relevant past m…
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psnet.ahrq.gov/node/33808/psn-pdf
May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm
Fatigue
May 1, 2016
Jacques S, Williams E. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet].
2016.
https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
Perspective
Alarm fatigue occurs whe…
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psnet.ahrq.gov/node/33640/psn-pdf
September 01, 2006 - What Can the Rest of the Health Care System Learn from
the VA's Quality and Safety Transformation?
September 1, 2006
Jha AK. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety
Transformation? PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system…
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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.
Copy…
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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/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/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/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/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…