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psnet.ahrq.gov/node/848105/psn-pdf
April 26, 2023 - GoodDx.org
April 26, 2023
GoodDx.
https://psnet.ahrq.gov/issue/gooddxorg
Effective feedback is an important component of individual, team and organizational learning in order to
achieve safe diagnosis. GoodDx.org houses a variety of diagnostic performance feedback resources for
use by clinicians, patient safety p…
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psnet.ahrq.gov/issue/its-probably-sti-because-youre-gay-qualitative-study-diagnostic-error-experiences-sexual-and
November 02, 2022 - Study
"It's probably an STI because you're gay": a qualitative study of diagnostic error experiences in sexual and gender minority individuals.
Citation Text:
Wiegand AA, Sheikh T, Zannath F, et al. “It’s probably an STI because you’re gay”: a qualitative study of diagnostic error experi…
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psnet.ahrq.gov/issue/physician-use-stigmatizing-language-patient-medical-records
June 06, 2021 - Study
Physician use of stigmatizing language in patient medical records.
Citation Text:
Park J, Saha S, Chee B, et al. Physician use of stigmatizing language in patient medical records. JAMA Netw Open. 2021;4(7):e2117052. doi:10.1001/jamanetworkopen.2021.17052.
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psnet.ahrq.gov/issue/effects-rapid-response-systems-clinical-outcomes-systematic-review-and-meta-analysis
September 23, 2020 - Review
Classic
Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis.
Citation Text:
Ranji SR, Auerbach AD, Hurd CJ, et al. Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. J Hos…
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psnet.ahrq.gov/node/42080/psn-pdf
February 27, 2013 - Transitions of Care (TOC) Portal.
February 27, 2013
https://psnet.ahrq.gov/issue/transitions-care-toc-portal
This Web site provides resources for clinicians and patients to help achieve safe care transitions.
https://psnet.ahrq.gov/issue/transitions-care-toc-portal
https://psnet.ahrq.gov/issue/improving-transitions…
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psnet.ahrq.gov/node/841489/psn-pdf
December 14, 2022 - Rise to Health Coalition.
December 14, 2022
Boston, MA; Institute for Healthcare Improvement: December 2022.
https://psnet.ahrq.gov/issue/rise-health-coalition
Systemic efforts to improve health equity support patient safety. This announcement highlights an initiative
for collective work to address four areas of e…
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psnet.ahrq.gov/node/74069/psn-pdf
September 20, 2022 - Diagnostic Excellence.
September 20, 2022
JAMA. Nov 2021-Sep 2022.
https://psnet.ahrq.gov/issue/diagnostic-excellence-0
Diagnostic excellence achievement is becoming a primary focus in health care. This 20-article series
covers diagnosis as it relates to the Institute of Medicine quality domains, clinical ch…
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psnet.ahrq.gov/node/35313/psn-pdf
September 07, 2005 - The hard work of failure analysis.
September 7, 2005
Edmondson A, Cannon MD. Working Knowledge. August 22, 2005.
https://psnet.ahrq.gov/issue/hard-work-failure-analysis
This article reviews examples from health care and other sectors where learning is achieved through
thoughtful failure analysis.
https://psnet.ah…
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psnet.ahrq.gov/node/38856/psn-pdf
August 12, 2009 - You can say sorry.
August 12, 2009
Feinmann J. You can say sorry. BMJ. 2009;339:b3057. doi:10.1136/bmj.40018.430972.4D.
https://psnet.ahrq.gov/issue/you-can-say-sorry
This commentary discusses open disclosure programs in several countries and how they have achieved
success.
https://psnet.ahrq.gov/issue/you-can-sa…
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psnet.ahrq.gov/node/866257/psn-pdf
July 25, 2024 - Enhancing Surgical Team Communication: SOPS and
TeamSTEPPS in Action.
July 10, 2024
Agency for Healthcare Research and Quality. July 25, 2024.
https://psnet.ahrq.gov/issue/enhancing-surgical-team-communication-sops-and-teamstepps-action
Teamwork in the surgical suite is core to safe care but can be challenging to …
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psnet.ahrq.gov/issue/communication-outcomes-critical-imaging-results-computerized-notification-system
April 04, 2011 - Study
Communication outcomes of critical imaging results in a computerized notification system.
Citation Text:
Singh H, Arora HS, Vij MS, et al. Communication outcomes of critical imaging results in a computerized notification system. J Am Med Inform Assoc. 2007;14(4):459-66.
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psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
June 16, 2012 - Book/Report
The Future of Emergency Care in the United States Health System.
Citation Text:
The Future of Emergency Care in the United States Health System. Institute of Medicine. Washington DC; National Academies Press: 2007.
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Save
Save to your l…
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psnet.ahrq.gov/issue/telling-cultures-cultural-issues-staff-reporting-concerns-about-colleagues-uk-national-health
July 08, 2015 - Commentary
Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service.
Citation Text:
Ehrich K. Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. Sociol Health Il…
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psnet.ahrq.gov/issue/partnering-patients-and-families-design-patient-and-family-centered-health-care-system
November 29, 2017 - Meeting/Conference Proceedings
Classic
Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices.
Citation Text:
Partnering with Patients and Families to Design a Patient- and Famil…
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psnet.ahrq.gov/issue/best-care-lower-cost-path-continuously-learning-health-care-america
July 08, 2016 - Book/Report
Classic
Best Care at Lower Cost: The Path to Continuously Learning Health Care in America.
Citation Text:
Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Committe…
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psnet.ahrq.gov/node/36767/psn-pdf
June 12, 2013 - Safety in the NICU: preventing medical errors.
June 12, 2013
Stokowski LA. Medscape Nurses. 2007.
https://psnet.ahrq.gov/issue/safety-nicu-preventing-medical-errors
The author discusses medical error in the neonatal intensive care unit (NICU) and the role of teamwork in
achieving safety. Continuing education credi…
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psnet.ahrq.gov/node/38442/psn-pdf
February 25, 2009 - Safety first.
February 25, 2009
Feinmann J. Safety first. BMJ. 2009;338:b420. doi:10.1136/bmj.b420.
https://psnet.ahrq.gov/issue/safety-first
This news article highlights a National Patient Safety Agency campaign to achieve safer care through five
interventions.
https://psnet.ahrq.gov/issue/safety-first
https://p…
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psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - In Conversation With… Paul McGann, MD
March 1, 2016
In Conversation With… Paul McGann, MD. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
Editor's note: Dr. McGann is the Chief Medical Officer for Quality Improvement at the Centers for
Medicare & Medicaid Services (CMS). He…
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psnet.ahrq.gov/node/74259/psn-pdf
January 19, 2022 - Diagnostic reasoning in cardiovascular medicine.
January 19, 2022
Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ.
2022;376:e064389. doi:10.1136/bmj-2021-064389.
https://psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine
Misdiagnosis of heart failure can lead to…
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psnet.ahrq.gov/node/839832/psn-pdf
November 09, 2022 - Diagnostic Safety Centers of Excellence.
November 9, 2022
Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
https://psnet.ahrq.gov/issue/diagnostic-safety-centers-excellence
Diagnostic improvement engages a variety of activities to achieve excellence. This announcement
highlights ten organiz…