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psnet.ahrq.gov/node/33747/psn-pdf
March 01, 2013 - The Literature on Health Care Simulation Education: What
Does It Show?
March 1, 2013
Cook DA. The Literature on Health Care Simulation Education: What Does It Show? PSNet [internet].
2013.
https://psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
Perspective
The education o…
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psnet.ahrq.gov/node/33679/psn-pdf
January 01, 2009 - Disclosure of Medical Error
January 1, 2009
Kachalia A. Disclosure of Medical Error. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/disclosure-medical-error
Perspective
Disclosure of medical error is inextricably linked to today's patient safety efforts. Health care experts
advocate that greater discl…
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psnet.ahrq.gov/node/850673/psn-pdf
June 14, 2023 - One of the things that helps get leadership buy-in and support is impact.
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - and symptoms and lab studies and it's not looking through textbook chapters to figure out where those things … What things can I not afford to miss?
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psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - importantly, writing vague orders such as "medications as at home" can be confusing and leave too many things
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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - Blaming
individuals for character defects when things go wrong, the so-called person-centered approach
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psnet.ahrq.gov/node/33646/psn-pdf
February 01, 2007 - symptoms and lab studies and it's not looking through textbook chapters
to figure out where those things
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psnet.ahrq.gov/web-mm/check-anesthesia-machine
August 01, 2006 - The Checklist Manifesto: How to Get Things Right. New York, NY: Metropolitan Books; 2009.
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - But when things generally go
well, and when production pressure is routine, providers can become complacent
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psnet.ahrq.gov/node/49725/psn-pdf
January 01, 2015 - The Checklist Manifesto: How to Get Things Right. New York, NY: Metropolitan Books;
2009.
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psnet.ahrq.gov/issue/long-term-care-healthcare-associated-iinfections-2022-analysis-20216-reports
May 19, 2021 - Time to reconsider whether organisations are silent or deaf when things go wrong.
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psnet.ahrq.gov/issue/anaesthetic-adverse-incident-reports-australian-study-1231-outcomes
August 21, 2013 - January 28, 2009
Patients use an internet technology to report when things go wrong.
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psnet.ahrq.gov/issue/fatal-case-iatrogenic-hypercalcemia-after-calcium-channel-blocker-overdose
October 26, 2022 - November 12, 2008
Transparency when things go wrong: physician attitudes about reporting
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-medical-errors-and-adverse-events
October 18, 2006 - February 1, 2023
Information flow during pediatric trauma care transitions: things falling
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psnet.ahrq.gov/issue/personal-nursing-care-experiences-provide-lessons-patient-safety
March 01, 2023 - April 2, 2014
Graded autonomy in medical education—managing things that go bump in the
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psnet.ahrq.gov/issue/patient-safety-and-surgeons-why-resistance
September 23, 2020 - October 26, 2022
The things we carry: the scope and impact of second victim syndrome.
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psnet.ahrq.gov/issue/misgivings
March 17, 2021 - January 30, 2005
What happens when things go wrong?
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psnet.ahrq.gov/issue/safety-issues-and-concerns-neurological-patient-emergency-department
March 19, 2014 - September 9, 2020
When bad things happen: training medical students to anticipate the
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psnet.ahrq.gov/issue/emerging-ehr-purgatory-moving-process-outcomes
July 22, 2020 - July 28, 2010
Graded autonomy in medical education—managing things that go bump in the
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psnet.ahrq.gov/issue/playing-it-safe-simulated-team-training-or
July 22, 2020 - April 9, 2014
Doing right by our patients when things go wrong in the ambulatory setting