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psnet.ahrq.gov/issue/economic-consequences-medical-injuries-implications-no-fault-insurance-plan
February 18, 2011 - High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing
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psnet.ahrq.gov/issue/transferring-responsibility-and-accountability-maternity-care-clinicians-defining-their
August 19, 2009 - April 20, 2022
"My whole room went into chaos because of that thing in the corner": unintended
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psnet.ahrq.gov/issue/improving-anesthesiologists-ability-speak-operating-room-randomized-controlled-experiment
June 15, 2012 - May 29, 2013
There is no such thing as a "nonjudgmental" debriefing: a theory and method
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psnet.ahrq.gov/issue/survey-national-drug-shortage-effect-anesthesia-and-patient-safety-patient-perspective
May 23, 2018 - 23, 2018
The normalization of deviance: do we (un)knowingly accept doing the wrong thing
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psnet.ahrq.gov/issue/nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii
February 18, 2011 - High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - RW : Was your theory in moving in this direction that not only was this the right thing to do but there … The one thing I would twist a little bit is that I think the notion that was very popular a few years … When I said that I started small, that's the first thing that I did. … So it's a complex and not always easy thing to do. … Let me back up a little bit upstream and say that there's one other thing that I think we need to pay
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psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
March 01, 2012 - RW : Was your theory in moving in this direction that not only was this the right thing to do but there … The one thing I would twist a little bit is that I think the notion that was very popular a few years … When I said that I started small, that's the first thing that I did. … So it's a complex and not always easy thing to do. … Let me back up a little bit upstream and say that there's one other thing that I think we need to pay
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psnet.ahrq.gov/node/33781/psn-pdf
March 01, 2015 - RW: So it sounds like you're arguing that the most important thing that these numbers do is drive
improvement … Another thing Bruce said, and I agree, was that monitoring patient
and staff complaints and surveys
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psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
June 12, 2019 - But the most important thing is to make sure that patients you're looking at before are very similar … I would still say the most important thing in choosing a surgeon is not whether they use a checklist;
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psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong
July 01, 2020 - Study
Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum.
Citation Text:
Bell SK, Moorman D, Delbanco T. Improving the patient, family, and clinician experience after harmful events: the "when things go wrong" curriculum. A…
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psnet.ahrq.gov/node/40230/psn-pdf
November 23, 2016 - Talking with Patients and Families about Medical Error: A
Guide for Education and Practice.
November 23, 2016
Truog RD, Browning DM, Johnson JA, Gallagher TH. Baltimore, MD: Johns Hopkins University Press;
2011. ISBN: 0801898048.
https://psnet.ahrq.gov/issue/talking-patients-and-families-about-medical-error-guide-…
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psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows
October 21, 2020 - Audiovisual
Doctors' unconscious bias affects quality of health care services, research shows.
Citation Text:
Doctors' unconscious bias affects quality of health care services, research shows. Dembosky A. All Things Considered. National Public Radio. October 15, 2020.
Copy Cita…
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psnet.ahrq.gov/issue/some-health-workers-suffering-addiction-steal-drugs-meant-patients
October 28, 2020 - Audiovisual
Some health workers suffering from addiction steal drugs meant for patients.
Citation Text:
Some health workers suffering from addiction steal drugs meant for patients. Mann B. All Things Considered. National Public Radio. October 5, 2020.
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…
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psnet.ahrq.gov/node/33649/psn-pdf
May 01, 2007 - The second thing was, when I was medical director of one of the National Health Service's regions, I … LD: Probably the hardest thing has been to get safety information into the public domain.
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psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - That was one thing that contributed to the calls in the mid to late 1990s for more study of patient safety
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psnet.ahrq.gov/node/33885/psn-pdf
August 01, 2019 - SS: Probably the first thing to say is that the physicians overwhelmingly like having a scribe. … When the docs go in and look at the notes,
are they generally feeling like I can just sign this thing … RW: When you were in clinical practice, could you have envisioned scribes emerging as a thing?
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psnet.ahrq.gov/node/865697/psn-pdf
April 24, 2024 - Katie Boston-Leary: The key thing for any leader is to see everyone who reports to deliver care as a
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psnet.ahrq.gov/node/33678/psn-pdf
January 01, 2009 - implication is that we need to up our
quotient of moral courage and just go do what we know is the right thing … The important thing to know about these laws is that the protection varies widely. … The key thing is, after that initial conversation, make
sure that there's frequent follow-up with the
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psnet.ahrq.gov/node/74078/psn-pdf
November 17, 2021 - Safety learning among young newly employed workers in
three sectors: a challenge to the assumed order of things.
November 17, 2021
Grytnes R, Nielsen ML, Jørgensen A, et al. Safety learning among young newly employed workers in three
sectors: a challenge to the assumed order of things. Safety Sci. 2021;143:105417.
…
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psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - I talked to various colleagues and the Chief of Medicine and asked, "What's this thing about these older … The other common pitfall in the elderly—I say this over and over—it's usually not caused by just one thing … thoughtfully look through everything and it's probably not going to be solved by just addressing one thing … I said if there is one thing your organization can do is please create a single code for delirium: have