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psnet.ahrq.gov/issue/contribution-nurses-incident-disclosure-narrative-review
March 15, 2016 - Review
The contribution of nurses to incident disclosure: a narrative review.
Citation Text:
Harrison R, Birks Y, Hall J, et al. The contribution of nurses to incident disclosure: a narrative review. Int J Nurs Stud. 2014;51(2):334-45. doi:10.1016/j.ijnurstu.2013.07.001.
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psnet.ahrq.gov/issue/duke-surgery-patient-safety-open-source-application-anonymous-reporting-adverse-and-near-miss
February 15, 2011 - Commentary
Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events.
Citation Text:
Pietrobon R, Lima R, Shah A, et al. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-mi…
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psnet.ahrq.gov/issue/medical-student-patient-attitudes-towards-involvement-quality-and-safety-health-care
July 06, 2012 - Study
The medical student as a patient: attitudes towards involvement in the quality and safety of health care.
Citation Text:
Davis R, Joshi D, Patel K, et al. The medical student as a patient: attitudes towards involvement in the quality and safety of health care. J Eval Clin Pract. 2…
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psnet.ahrq.gov/issue/impact-declining-clinical-autopsy-need-revised-healthcare-policy
February 14, 2018 - Review
The impact of declining clinical autopsy: need for revised healthcare policy.
Citation Text:
Xiao J, Krueger GRF, Buja M, et al. The impact of declining clinical autopsy: need for revised healthcare policy. Am J Med Sci. 2009;337(1):41-6. doi:10.1097/MAJ.0b013e318184ce2b.
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psnet.ahrq.gov/node/36625/psn-pdf
November 21, 2016 - When Things Go Wrong: Voices of Patients and Families.
November 21, 2016
CRICO/RMF; Harvard Risk Management Foundation
https://psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families
This educational video shares patient and family perspectives on how medical error affected their lives.
https://psne…
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psnet.ahrq.gov/node/35293/psn-pdf
August 31, 2005 - Removing Insult from Injury: Disclosing Adverse Events.
August 31, 2005
Johns Hopkins Bloomberg School of Public Health
https://psnet.ahrq.gov/issue/removing-insult-injury-disclosing-adverse-events
This 25-minute training video illustrates how physicians can discuss and apologize for medical mistakes.
https://psne…
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psnet.ahrq.gov/issue/effectiveness-acute-care-remote-triage-systems-systematic-review
March 14, 2022 - Review
Emerging Classic
Effectiveness of acute care remote triage systems: a systematic review.
Citation Text:
Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic review. J Gen Intern Med. 2020;35(7):2136-2145.…
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psnet.ahrq.gov/node/72557/psn-pdf
December 09, 2020 - The diagnostic moment: a study in US primary care.
December 9, 2020
Heritage J. The diagnostic moment: a study in US primary care. Soc Sci Med. 2019;228:262-271.
doi:10.1016/j.socscimed.2019.03.022.
https://psnet.ahrq.gov/issue/diagnostic-moment-study-us-primary-care
This article discusses the concept of the “diag…
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psnet.ahrq.gov/node/33767/psn-pdf
May 01, 2014 - Innovations in Promoting Hand Hygiene Compliance
May 1, 2014
Marra AR, Edmond MB. Innovations in Promoting Hand Hygiene Compliance. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
Perspective
One hundred sixty-five years after the publication of Ignaz Semmel…
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psnet.ahrq.gov/node/37356/psn-pdf
December 13, 2017 - Transforming Hospitals: Designing for Safety and Quality.
December 13, 2017
Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
https://psnet.ahrq.gov/issue/transforming-hospitals-designing-safety-and-quality
This video uses the experiences of three US hospitals to demonstrate how the quality …
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psnet.ahrq.gov/issue/box-ticking-black-box-evolution-operating-room-safety
October 29, 2017 - Commentary
From box ticking to the black box: the evolution of operating room safety.
Citation Text:
Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety. World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5.
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psnet.ahrq.gov/node/849611/psn-pdf
May 31, 2023 - Voices from the Frontlines of Health Care Safety.
May 31, 2023
Boston, MA; Betsy Lehman Center for Patient Safety; April 2023.
https://psnet.ahrq.gov/issue/voices-frontlines-health-care-safety
Well-told stories can motivate change. This video translates the experience of Massachusetts patients and
family members w…
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psnet.ahrq.gov/node/851455/psn-pdf
July 19, 2023 - Student mistakes and teacher reactions in bedside
teaching.
July 19, 2023
Rubisch HPK, Blaschke A-L, Berberat PO, et al. Student mistakes and teacher reactions in bedside
teaching. Adv Health Sci Educ Theory Pract. 2023;28(5):1523-1556. doi:10.1007/s10459-023-10233-y.
https://psnet.ahrq.gov/issue/student-mistakes-…
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psnet.ahrq.gov/issue/patients-attitudes-towards-patient-involvement-safety-interventions-results-two-exploratory
July 06, 2012 - Study
Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies.
Citation Text:
Davis R, Sevdalis N, Pinto A, et al. Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies. Health Exp…
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psnet.ahrq.gov/issue/disclosing-clinical-adverse-events-patients-can-practice-inform-policy
September 29, 2017 - Study
Disclosing clinical adverse events to patients: can practice inform policy?
Citation Text:
Sorensen R, Iedema R, Piper D, et al. Disclosing clinical adverse events to patients: can practice inform policy? Health Expect. 2010;13(2):148-59. doi:10.1111/j.1369-7625.2009.00569.x.
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psnet.ahrq.gov/issue/health-care-professionals-views-implementing-policy-open-disclosure-errors
September 29, 2017 - Study
Health care professionals' views of implementing a policy of open disclosure of errors.
Citation Text:
Sorensen R, Iedema R, Piper D, et al. Health care professionals' views of implementing a policy of open disclosure of errors. J Health Serv Res Policy. 2008;13(4):227-32. doi:10.1…
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psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue
February 20, 2012 - Commentary
Anatomy of an incident disclosure: the importance of dialogue.
Citation Text:
Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient Saf. 2012;38(10):435-42.
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psnet.ahrq.gov/issue/patient-involvement-patient-safety-health-care-professionals-perspective
July 06, 2012 - Study
Patient involvement in patient safety: the health-care professional's perspective.
Citation Text:
Davis R, Sevdalis N, Vincent CA. Patient involvement in patient safety: the health-care professional's perspective. J Patient Saf. 2012;8(4):182-8. doi:10.1097/PTS.0b013e318267c4aa. …
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psnet.ahrq.gov/issue/managing-after-effects-serious-patient-safety-incidents-nhs-online-survey-study
December 29, 2014 - Study
Managing the after effects of serious patient safety incidents in the NHS: an online survey study.
Citation Text:
Pinto A, Faiz O, Vincent CA. Managing the after effects of serious patient safety incidents in the NHS: an online survey study. BMJ Qual Saf. 2012;21(12):1001-8. doi:10…
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psnet.ahrq.gov/issue/breast-cancer-treatment-delays-socioeconomic-and-health-care-access-latent-classes-black-and
May 18, 2022 - Study
Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women.
Citation Text:
Emerson MA, Golightly YM, Aiello AE, et al. Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women.…