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psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors
October 05, 2011 - August 9, 2017
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/beth-israel-cited-residents-long-hours-facing-review-accreditation
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-try-calm-doctors-outbursts-medical-road-rage-affecting-patient-safety-group-says
August 24, 2016 - September 24, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/mgh-halts-pediatric-program-heart-surgeries-hold-after-errors
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/video-games-can-help-cut-surgical-errors
January 23, 2008 - June 9, 2011
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-try-break-deadly-code
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes
August 24, 2016 - June 6, 2018
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-cutting-nurses-long-shifts
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-study-when-apologize-patients
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives
July 24, 2013 - Book/Report
Classic
Patient Safety and the "Just Culture": A Primer for Health Care Executives.
Citation Text:
Marx DA. Patient Safety And The "Just Culture": A Primer For Health Care Executives. New York, NY: Trustees of Columbia University; 2001.
Copy Citati…
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - When I first looked at it, I thought there must be something wrong with this study. … Because I'm sure in Canada they thought they were doing a good thing.
LL : Exactly. … It will be more costly than we thought because of the kinds of changes that are needed. … And we were pretty naÏve in thinking that (a) they would believe us, and (b) that they could make those … If we'd have been a little smarter about thinking about what the culture changes would be and what would
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psnet.ahrq.gov/issue/doctor-doesnt-listen-her-media-starting
August 12, 2020 - September 2, 2020
‘He thought what he was doing was good for people.’
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psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death
October 26, 2022 - August 5, 2020
I thought Daniel was safe with the NHS. He wasn't.
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psnet.ahrq.gov/issue/mcneil-consumer-specialty-pharmaceuticals-announces-nationwide-recall-childrens-tylenol
August 19, 2020 - s)
COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought
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psnet.ahrq.gov/issue/covid-blindness
August 19, 2020 - April 29, 2020
For 4 days, the hospital thought he had just pneumonia.
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psnet.ahrq.gov/issue/machine-learning-booming-medicine-its-also-facing-credibility-crisis
May 22, 2019 - April 15, 2020
For 4 days, the hospital thought he had just pneumonia.
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psnet.ahrq.gov/web-mm/overriding-considerations
March 09, 2009 - we asked a representative sample of Maryland physicians (including obstetricians) how important they thought … Only 56% of responding physicians thought it was "very important. … have an impact: at two medical schools, approximately two-thirds of first and fourth-year students thought
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psnet.ahrq.gov/node/866848/psn-pdf
September 25, 2024 - People, including me, sometimes conflate
those two ways of thinking about or defining zero harm. … Thomas: Most people would agree that either as a value or a goal, we're talking about harms that are
thought … What are
some of your thoughts on zero harm as a goal? … Given your thoughts
in this conversation, I am wondering what your reaction is to CMS putting a public
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psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety
June 16, 2011 - November 10, 2010
Patient safety reporting: a qualitative study of thoughts and perceptions … and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - believe we have a moral imperative to be open-
minded to all the different possible approaches to thinking … Safety-II stresses
critical thinking and what it takes to be agile and to adapt to different circumstances … We could have gone back to basics and doubled down on the traditional
way of thinking about safety. … Chalapathy Venkatesan: When I first started to learn about Safety-I and Safety-II, I thought we do Safety … Leaders sometimes tend to filter and say, “But that's not how we do it” or “I thought we said this is