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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49391/psn-pdf
    February 01, 2003 - When "Psychiatric" Symptoms Are Not February 1, 2003 Goldberg RJ. When "Psychiatric" Symptoms Are Not. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not The Case A 70-year-old man without documented past psychiatric history was placed on an involuntary hold as a danger to oth…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49680/psn-pdf
    March 01, 2013 - Pathologic Mistake March 1, 2013 Alaghehbandan R, Raab SS. Pathologic Mistake. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/pathologic-mistake The Case A 32-year-old previously healthy woman experienced abdominal pain and bloating for 6 months. The discomfort worsened with eating. After losing 15 pounds …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867222/psn-pdf
    December 04, 2024 - How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. December 4, 2024 Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. Ac…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35696/psn-pdf
    July 13, 2010 - Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. July 13, 2010 Naveh E, Katz-Navon T, Stern Z. Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. Med Care. 2006;44(2):…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45699/psn-pdf
    December 21, 2016 - Towards a new paradigm in laboratory medicine: the five rights. December 21, 2016 Plebani M. Towards a new paradigm in laboratory medicine: the five rights. Clin Chem Lab Med. 2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848. https://psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights Error…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50942/psn-pdf
    February 26, 2020 - Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. February 26, 2020 Satterfield K, Rubin JC, Yang D, et al. Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. Learn Hea…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867593/psn-pdf
    January 22, 2025 - Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. January 22, 2025 Cheng B, Chan M, Abi-Farrage D, et al. Becoming hand hygiene heroes: implementation of an infection prevention and control campaign for patient and family hospital s…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60530/psn-pdf
    January 01, 2022 - A systematic review of patient-report safety climate measures in health care. May 27, 2020 Madden C, Lydon S, O’Dowd E, et al. A systematic review of patient-report safety climate measures in health care. J Patient Saf. 2022;18(1):e51-e60. doi:10.1097/pts.0000000000000705. https://psnet.ahrq.gov/issue/systematic-r…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44949/psn-pdf
    February 01, 2019 - Detecting and treating suicide ideation in all settings. December 23, 2016 Detecting and treating suicide ideation in all settings. Sentinel event alert. 2016;(56):1-7. https://psnet.ahrq.gov/issue/detecting-and-treating-suicide-ideation-all-settings The Joint Commission publishes sentinel event alerts to emphasize…
  10. psnet.ahrq.gov/issue/hospitals-bid-heal-selves-saves-thousands
    February 26, 2025 - Newspaper/Magazine Article Hospitals' bid to heal selves saves thousands. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 28, 2006 This article article reports on the resul…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837896/psn-pdf
    January 01, 2023 - Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. August 24, 2022 Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflect…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72799/psn-pdf
    March 03, 2021 - Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. March 3, 2021 Olson APJ, Linzer M, Schiff GD. Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Diagnostic Error and Clinician Burnout. J…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74855/psn-pdf
    February 23, 2022 - Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study. February 23, 2022 Berntsson K, Eliasson M, Beckman L. Patient safety when receiving telephone advice in primary care – a Swedish qualitative interview study. BMC Nurs. 2022;21(1):24. doi:10.1186/s12912-021-00796-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36186/psn-pdf
    September 30, 2010 - Findings of the first consensus conference on medical emergency teams. September 30, 2010 DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e. https://psnet.ahrq.gov/issue/findings-first-c…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866589/psn-pdf
    August 28, 2024 - Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. August 28, 2024 Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. Br J Clin Pharmac…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851458/psn-pdf
    July 19, 2023 - Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. July 19, 2023 Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conceptual framework of key theories, syste…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37400/psn-pdf
    June 30, 2011 - Errors in cancer diagnosis: current understanding and future directions. June 30, 2011 Singh H, Sethi S, Raber M, et al. Errors in cancer diagnosis: current understanding and future directions. J Clin Oncol. 2007;25(31):5009-18. https://psnet.ahrq.gov/issue/errors-cancer-diagnosis-current-understanding-and-future-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50851/psn-pdf
    January 29, 2020 - International evaluation of an AI system for breast cancer screening. January 29, 2020 McKinney SM, Sieniek M, Godbole V, et al. International evaluation of an AI system for breast cancer screening. Nature. 2020;577(7788):89-94. doi:10.1038/s41586-019-1799-6. https://psnet.ahrq.gov/issue/international-evaluation-a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44216/psn-pdf
    April 25, 2016 - Improving medication safety during hospital-based transitions of care. April 25, 2016 Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care. Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025. https://psnet.ahrq.gov/issue/improving-medication-safety-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852268/psn-pdf
    August 09, 2023 - Accuracy of infection reporting in US nursing home ratings. August 9, 2023 Chen Z, Gleason LJ, Konetzka RT, et al. Accuracy of infection reporting in US nursing home ratings. Health Serv Res. 2023;58(5):1109-1118. doi:10.1111/1475-6773.14195. https://psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-hom…

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