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psnet.ahrq.gov/node/33780/psn-pdf
July 01, 2015 - is clear that the patient safety movement has targeted medical education as an area in need of
new thinking
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psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
September 15, 2024 - This type of thinking involves assessing and planning for rapidly changing situations, forming mental
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psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
June 01, 2017 - Interestingly, when we tried to publish our findings in the BMJ, the paper was rejected because it wasn't thought … We thought, if it's a real quality of care issue, maybe we would see effects in indicators other than
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psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
June 01, 2017 - Interestingly, when we tried to publish our findings in the BMJ, the paper was rejected because it wasn't thought … We thought, if it's a real quality of care issue, maybe we would see effects in indicators other than
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psnet.ahrq.gov/node/33750/psn-pdf
May 01, 2013 - AJ: In a survey a few years ago, we asked hospital board chairs to prioritize what they thought was most … But what I'm thinking about is much more experimentation and research at the sharp end of health care … For example, if I
really thought electronic health records were the latest and greatest thing and that
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psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error-reduction
May 25, 2022 - Review
Advancing the research agenda for diagnostic error reduction.
Citation Text:
Zwaan L, Schiff G, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22(Suppl 2):ii52-ii57. doi:10.1136/bmjqs-2012-001624.
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psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong
April 03, 2019 - Newspaper/Magazine Article
The public has been forgiving. But hospitals got some things wrong.
Citation Text:
Ofri D. The public has been forgiving. But hospitals got some things wrong. New York Times. 2020; May 21.
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psnet.ahrq.gov/issue/whistleblowing-and-patient-safety-patients-or-professions-interests-stake
June 10, 2020 - Commentary
Whistleblowing and patient safety: the patient's or the profession's interests at stake.
Citation Text:
Bolsin S, Pal R, Wilmshurst P, et al. Whistleblowing and patient safety: the patient's or the profession's interests at stake? J R Soc Med. 2011;104(7):278-82. doi:10.1258/…
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psnet.ahrq.gov/issue/wise-event
October 09, 2024 - Commentary
Wise before the event.
Citation Text:
Watts G. Patient safety. Wise before the event. BMJ. 2010;340:c1378. doi:10.1136/bmj.c1378.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/piece-my-mind-mentorship-malpractice
September 16, 2020 - Commentary
A piece of my mind. Mentorship malpractice.
Citation Text:
Chopra V, Edelson DP, Saint S. A PIECE OF MY MIND. Mentorship Malpractice. JAMA. 2016;315(14):1453-4. doi:10.1001/jama.2015.18884.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML End…
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psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based-causes-vaccine-errors
June 18, 2014 - Newspaper/Magazine Article
Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors.
Citation Text:
Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. ISMP Medication Safety Alert! Acute ca…
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psnet.ahrq.gov/issue/patient-centered-approach-improving-prescription-drug-warning-labels
January 05, 2012 - Study
Patient-centered approach for improving prescription drug warning labels.
Citation Text:
Webb J, Davis TC, Bernadella P, et al. Patient-centered approach for improving prescription drug warning labels. Patient Educ Couns. 2008;72(3):443-9. doi:10.1016/j.pec.2008.05.019.
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psnet.ahrq.gov/issue/ashamed-admit-it-owning-medical-error
April 03, 2019 - Commentary
Ashamed to admit it: owning up to medical error.
Citation Text:
Ofri D. Ashamed to admit it: owning up to medical error. Health Aff (Millwood). 2010;29(8):1549-51. doi:10.1377/hlthaff.2009.0946.
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psnet.ahrq.gov/issue/patient-centered-prescription-drug-label-promote-appropriate-medication-use-and-adherence
December 21, 2014 - Study
A patient-centered prescription drug label to promote appropriate medication use and adherence.
Citation Text:
Wolf MS, Davis TC, Curtis LM, et al. A Patient-Centered Prescription Drug Label to Promote Appropriate Medication Use and Adherence. J Gen Intern Med. 2016;31(12):1482-148…
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psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
July 29, 2020 - Commentary
Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis.
Citation Text:
Miller CS. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Am J Med Sci. 2013;345(1):53-6. doi:10.1…
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psnet.ahrq.gov/issue/helping-patients-simplify-and-safely-use-complex-prescription-regimens
December 19, 2017 - Study
Helping patients simplify and safely use complex prescription regimens.
Citation Text:
Wolf MS, Curtis LM, Waite K, et al. Helping patients simplify and safely use complex prescription regimens. Arch Intern Med. 2011;171(4):300-5. doi:10.1001/archinternmed.2011.39.
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psnet.ahrq.gov/issue/aging-gracefully-patient-safety-advocates-call-ongoing-skills-assessments-older-physicians
June 07, 2023 - Commentary
Aging gracefully? Patient safety advocates call for ongoing skills assessments for older physicians.
Citation Text:
McKenna M. Aging gracefully?: patient safety advocates call for ongoing skills assessments for older physicians. Ann Emerg Med. 2011;58(3):A15-A17.
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psnet.ahrq.gov/issue/negotiating-medical-virtues-toward-development-physician-mistake-disclosure-model
June 14, 2017 - Commentary
Negotiating medical virtues: toward the development of a physician mistake disclosure model.
Citation Text:
Hannawa AF. Negotiating medical virtues: toward the development of a physician mistake disclosure model. Health Comm. 2009;24(5):391-399. doi:10.1080/10410230903023279…
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - In thinking about such a time delay, it is vital to consider what defines a "response" by the primary … I remember debate as being a really intriguing entree into thinking hard about public policy. … I wondered whether you ever thought about going into either politics or the clergy. … I've not thought about the sources of that, but it does make me think about three things. … DB: I guess a couple of thoughts.
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psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - Our Society [SIDM] thought if we
could convince the IOM to undertake a major report on diagnostic error … Where
did that come out in the committee's deliberations, and what are your thoughts about that? … This is where we document our thoughts, find our information, and communicate with others.