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Patient Safety Network

The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

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Displaying 1 - 20 of 23 Results
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    • Transforming concepts in patient safety: a progress report.
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    • Gandhi TK, Kaplan GS, Leape L, et al. BMJ Qual Saf. 2018;27:1019-1026.
    Over the last decade, the Lucian Leape Institute has explored five key areas in health care to advance patient safety. These include medical education reform, care integration, patient and family engagement, transparency, and joy and meaning in work and workforce safety for health care professionals. This review highlights progress to date in each area and the challenges that remain to be addressed, including increasing clinician burnout and shortcomings of existing health information technology approaches. The authors also suggest opportunities for further research such as measuring the impact of residency training programs. In a past PSNet interview, Dr. Tejal Gandhi, president of the IHI/NPSF Lucian Leape Institute, discussed improving patient safety at a national level.
    Symposium: Patient Safety: Collaboration, Communication, and Physician Leadership.
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    • Herndon JH, ed. Clin Orthop Relat Res. 2015;473:1544-1551;1566-1597;1600-1608;1612-1619.

    … Becker SJE; Hageman MGJS; Nota SPFT … J … F … JH … H … D … LL … CS … RV … A … WT … MK … WE … TG … PJ … L … JD … G … L … … … JH … Kadzielski … McCormick … Herndon … Rubash … Ring … Leape … Molina … Thakore … Blumer … Obremskey … Sethi … … … F McCormick … JH Herndon … H Rubash … D Ring … LL Leape … CS Molina … RV Thakore … A Blumer … WT Obremskey … …
    Conversations with...Lucian Leape, MD.
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    • Leape LL; Lundberg G.
    … This interview with Dr. Lucian Leape highlights progress in patient safety and areas that still need improvement. … Leape LL; Lundberg G. … LL … G … Leape … Lundberg … LL Leape … G Lundberg …
    Patient Safety as an Exercise in Behavioral Change.
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    • Leape LL. Social and Behavioral Sciences in Action. Washington, DC: National Research Council of the National Academies. September 24, 2012.
    This panel presentation includes Dr. Lucian Leape discussing how to address barriers to building on successes in patient safety improvement by developing a learning organization and integrating respectful behaviors.
    Perspective: a culture of respect—part 1 and part 2.
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    • Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87(7):845-858.

    … This two-part commentary by safety expert Dr. Lucian Leape issues a challenge to health care organizations to … is discussed in an AHRQ WebM&M commentary . … Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87(7):845-858. … LL … …
    The Medical Apology: Making It Right When Things Go Wrong.
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    • Schulte MF, ed. Front Health Serv Manage. 2012;28(3):1-46.

    … from disclosure and apology in health care. … Schulte MF, ed. Front Health Serv Manage. 2012;28(3):1-46. … Campbell DA Jr … SJ … SL … D … RC … SJ … LL … MF … Welch … Coletta … Wojcieszak … Boothman … Imhoff … Leape … Schulte … SJ Welch … SL Coletta … D Wojcieszak … RC …
    The Next Wave of Reform for Medical Education.
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    • Leape LL; Berwick DM; O'Leary DS; Pinakiewicz DC.
    … This audio program shares insights from the Lucian Leape Institute  report on incorporating safety fundamentals into medical school curriculum. … Leape LL; Berwick DM; O'Leary DS; Pinakiewicz DC. … LL … DM … DS … DC … Leape … Berwick … O'Leary … Pinakiewicz … …
    Quality and Safety in Medicine.
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    • Nash DB, Goldfarb NI, Patow C, eds. Acad Med. 2009;84:1641-1846.  

    … NI, Patow C, eds. Acad Med. 2009;84:1641-1846.   … S … SW … R … CY … PE … KE … DM … GK … MA … AM … T … MT … RH … … … SJ … DM … EB … E … SJ … RM … R … J … J … PJ … MR … RM … GS … FS … SJ … SM … EC … J … T … MC … BE … LE … DB … NI … … … Finn … Voss-Andreae … Pronovost … Miller … Wachter … Meyer … Southwick … Spear … Nedza … Halperin … Bickel … …
    Errors in Laboratory Medicine and Patient Safety.
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    • Plebani M, ed. Clinica Chimica Acta. 2009;404(1):1-86.
    … Chimica Acta. 2009;404(1):1-86. … O' Kane M; Da Rin G … LL … L … C … AW … A … G … F … M … LH … IM … MT … G … O … M … MM … S … M … R … E … P … ML … C … L … Leape … McCay … Lemer … Wu … Ghirardini … Murolo … Palumbo … …
    Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices.
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    • Johnson B, Abraham M, Conway J, et al. Bethesda, MD: Institute for Family-Centered Care; April 2008.
    … for Family-Centered Care; April 2008. … B … M … J … L … S … P … J … D … Johnson … Abraham … Conway … Simmons … Edgman-Levitan … Sodomka … Schlucter … Ford … B Johnson … M Abraham …
    Fixing America's hospitals.
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    • Newsweek. October 15, 2006.
    This "Health for Life" series features 10 case studies about patient safety and quality improvement efforts as well as several short articles on safety-related topics such as disclosure and computerizing medical care.
    Reducing Adverse Drug Events.
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    • Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998.
    … what they learned, and implementing change. The book’s numerous case studies, descriptions of step-wise … or seeking insight into collaborative learning models. … Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for …
    Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care.
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    • Gerteis M, Edgman-Levitan S, Daley J, et al. San Francisco: Jossey-Bass; 1993. ISBN: 9781555425449
    Authored by several leaders of the Picker/Commonwealth Program for Patient-Centered Care, this book demonstrates the broad impact of the program. The authors discuss the key tenets of patient-centered care, drawing on empirical research, theory, and results of many surveys of patients, providers, and administrators. The authors provide many practical suggestions, a number of which have been adopted since the book's first publication in 1993. Examples include giving patients access to their medical records, giving them “written and/or visual information identifying members of the clinical team," and offering “culturally sensitive educational materials tailored to specific ethnic groups.”
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