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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43741/psn-pdf
    December 03, 2014 - Overdiagnosis: how our compulsion for diagnosis may be harming children. December 3, 2014 Coon ER, Quinonez RA, Moyer VA, et al. Overdiagnosis: how our compulsion for diagnosis may be harming children. Pediatrics. 2014;134(5):1013-23. doi:10.1542/peds.2014-1778. https://psnet.ahrq.gov/issue/overdiagnosis-how-our-c…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836832/psn-pdf
    March 30, 2022 - Improving Education—A Key to Better Diagnostic Outcomes. March 30, 2022 Olson APJ, Danielson J, Stanley J, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2022. AHRQ Publication No. 22-0026-1-EF https://psnet.ahrq.gov/issue/improving-education-key-better-diagnostic-outcomes Diagnostic skil…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37555/psn-pdf
    February 14, 2018 - ACOG Committee Opinion #730: fatigue and patient safety. February 14, 2018 ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78- e81. https://psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety This commentary discusses how sleep deprivation affects…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41755/psn-pdf
    October 10, 2012 - Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. October 10, 2012 Salt Lake City, UT: Utah Department of Health, HealthInsight, Utah Hospital Association; 2012. https://psnet.ahrq.gov/issue/utah-tenth-anniversary-2001-2011-patient-safety-report-identifying- oppor…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42793/psn-pdf
    December 04, 2013 - Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive? December 4, 2013 Frush DP, Denham CR, Goske MJ, et al. Radiation Protection and Dose Monitoring in Medical Imaging. J Patient Saf. 2013;9(4):232-238. doi:10…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60850/psn-pdf
    August 26, 2020 - Beyond the corrective action hierarchy: a systems approach to organizational change. August 26, 2020 Wood LJ, Wiegmann DA. Beyond the corrective action hierarchy: a systems approach to organizational change. Int J Qual Health Care. 2020;32(7):438-444. doi:10.1093/intqhc/mzaa068. https://psnet.ahrq.gov/issue/beyond…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45450/psn-pdf
    February 13, 2018 - Avoiding Unconscious Bias: a Guide for Surgeons. February 13, 2018 London, UK: Royal College of Surgeons of England; 2016. https://psnet.ahrq.gov/issue/avoiding-unconscious-bias-guide-surgeons Biases can affect decision making and behaviors toward colleagues and patients. This guidance provides information for sur…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43011/psn-pdf
    May 20, 2014 - Early warnings, weak signals and learning from healthcare disasters. May 20, 2014 Macrae C. Early warnings, weak signals and learning from healthcare disasters. BMJ Qual Saf. 2014;23(6):440-5. doi:10.1136/bmjqs-2013-002685. https://psnet.ahrq.gov/issue/early-warnings-weak-signals-and-learning-healthcare-disasters …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46332/psn-pdf
    September 24, 2017 - Sharing the process of diagnostic decision making. September 24, 2017 Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929. https://psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making Improving diagnosis has …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39098/psn-pdf
    November 11, 2009 - Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system. November 11, 2009 Deering S, Rosen MA, Salas E, et al. Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system. Simul Health…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47938/psn-pdf
    May 01, 2019 - Drug diversion and impaired health care workers. May 1, 2019 Quick Safety. April 15, 2019;(48):1-3. https://psnet.ahrq.gov/issue/drug-diversion-and-impaired-health-care-workers Fatigue, emotional stress, and illness can affect decision-making and lead to misuse of medications. This newsletter article describes the…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42767/psn-pdf
    November 27, 2013 - Barcode medication administration work-arounds: a systematic review and implications for nurse executives. November 27, 2013 Voshall B, Piscotty R, Lawrence J, et al. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. J Nurs Adm. 2013;43(10):530-535. doi:10.1…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854266/psn-pdf
    October 04, 2023 - Smart Healthcare Safety. October 4, 2023 Plymouth Meeting PA, ECRI. 2019-2023. https://psnet.ahrq.gov/issue/smart-healthcare-safety A wide variety of considerations must converge to inform an understanding of system vulnerabilities and the application of strategies to address them. This series of webinars covers a…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42828/psn-pdf
    December 18, 2013 - Texting while doctoring: a patient safety hazard. December 18, 2013 Sinsky CA, Beasley JW. Texting while doctoring: a patient safety hazard. Ann Intern Med. 2013;159(11):782-3. doi:10.7326/0003-4819-159-11-201312030-00012. https://psnet.ahrq.gov/issue/texting-while-doctoring-patient-safety-hazard This commentary r…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42477/psn-pdf
    August 07, 2013 - Review into the Quality of Care and Treatment Provided by 14 Hospital Trusts in England: Overview Report. August 7, 2013 Keogh B. London, UK: National Health Service; July 2013. https://psnet.ahrq.gov/issue/review-quality-care-and-treatment-provided-14-hospital-trusts-england- overview-report Outlining findings f…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846459/psn-pdf
    March 22, 2023 - Few hospitals are willing to bear the cost of providing psychiatric care for kids. March 22, 2023 Schorsch K, Karp S. WBEZ Chicago. March 9, 2023. https://psnet.ahrq.gov/issue/few-hospitals-are-willing-bear-cost-providing-psychiatric-care-kids Pediatric mental health is a patient safety concern. This news story ou…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42209/psn-pdf
    April 24, 2013 - Analysis of staff safety concerns. April 24, 2013 Davidson J, Lamontagne G, Burnell L, et al. Analysis of Staff Safety Concerns. J Nurs Care Qual. 2012;28(2). doi:10.1097/ncq.0b013e318277e874. https://psnet.ahrq.gov/issue/analysis-staff-safety-concerns This case study demonstrates how an organization used a safety…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47070/psn-pdf
    June 25, 2018 - Time out—charting a path for improving performance measurement. June 25, 2018 MacLean CH, Kerr EA, Qaseem A. Time Out - Charting a Path for Improving Performance Measurement. N Engl J Med. 2018;378(19):1757-1761. doi:10.1056/NEJMp1802595. https://psnet.ahrq.gov/issue/time-out-charting-path-improving-performance-me…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42182/psn-pdf
    April 10, 2013 - Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist. April 10, 2013 Dave B. Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist. Br Dent J. 2013;214(5):223-5. doi:10.1038/sj.bdj.2013.214. https://psnet.ahrq.gov/issue/why-do-gdps-fail-recognise-oral-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44567/psn-pdf
    October 14, 2015 - The misery of a doctor's first days. October 14, 2015 Hester JL. The Atlantic. October 1, 2015. https://psnet.ahrq.gov/issue/misery-doctors-first-days Although there is no consensus regarding whether the "July effect" actually exists, it is not hard to imagine the difficulties associated with the first days of pra…
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