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  1. psnet.ahrq.gov/issue/vestibular-syndromes-diagnosis-and-diagnostic-errors-patients-dizziness-presenting-emergency
    May 17, 2023 - Study Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness presenting to the emergency department: a cross-sectional study. Citation Text: Comolli L, Korda A, Zamaro E, et al. Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness pre…
  2. psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong
    July 21, 2009 - Study Patients use an internet technology to report when things go wrong. Citation Text: Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. Copy Citation Format: Google Scholar PubMe…
  3. psnet.ahrq.gov/issue/dichotomy-application-systems-approach-uk-healthcare-challenges-and-priorities-implementation
    January 09, 2018 - Commentary The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation. Citation Text: Pickup L, Lang A, Atkinson S, et al. The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities f…
  4. psnet.ahrq.gov/issue/underdiagnosis-dementia-observational-study-patterns-diagnosis-and-awareness-us-older-adults
    October 14, 2016 - Study Classic Underdiagnosis of dementia: an observational study of patterns in diagnosis and awareness in US older adults. Citation Text: Amjad H, Roth DL, Sheehan OC, et al. Underdiagnosis of Dementia: an Observational Study of Patterns in Diagnosis and Awaren…
  5. psnet.ahrq.gov/issue/ask-me-routine-measurement-patient-experience-patient-safety-ambulatory-care-mixed-mode
    April 14, 2021 - Study ASK ME!-Routine measurement of patient experience with patient safety in ambulatory care: a mixed-mode survey Citation Text: Stahl K, Groene O. ASK ME!—Routine measurement of patient experience with patient safety in ambulatory care: A mixed-mode survey. PLoS ONE. 2021;16(12):e0259…
  6. psnet.ahrq.gov/issue/biasing-influence-mental-shortcuts-diagnostic-decision-making-radiologists-can-overlook
    April 07, 2021 - Study Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available. Citation Text: Branch F, Santana I, Hegdé J. Biasing influence of 'mental shortcuts' on diagnostic decision-ma…
  7. psnet.ahrq.gov/issue/prevalence-adverse-events-hospitals-five-latin-american-countries-results-iberoamerican-study
    December 03, 2008 - Study Prevalence of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican Study of Adverse Events' (IBEAS). Citation Text: Aranaz-Andrés JM, Aibar-Remón C, Limón-Ramírez R, et al. Prevalence of adverse events in the hospitals of five Latin Amer…
  8. psnet.ahrq.gov/issue/acetaminophen-icon-helps-reduce-medication-decision-errors-experimental-setting
    January 12, 2022 - Study An acetaminophen icon helps reduce medication decision errors in an experimental setting. Citation Text: Shiffman S, Cotton H, Jessurun C, et al. An acetaminophen icon helps reduce medication decision errors in an experimental setting. J Am Pharm Assoc (2003). 2016;56(5):495-503.e4…
  9. psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second-victim-response
    July 19, 2023 - Commentary System planning for modern-day Just Culture to mitigate worker distress and second victim response. Citation Text: Sells JR, Cole I, Dharmasukrit C, et al. System planning for modern-day Just Culture to mitigate worker distress and second victim response. BMJ Lead. 2024;8(2):1…
  10. psnet.ahrq.gov/issue/how-effective-teamwork-really-relationship-between-teamwork-and-performance-healthcare-teams
    February 14, 2017 - Review Classic How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. Citation Text: Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship betwe…
  11. psnet.ahrq.gov/issue/decreasing-misdiagnoses-urinary-tract-infections-pediatric-emergency-department
    October 26, 2022 - Study Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Citation Text: Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/pe…
  12. psnet.ahrq.gov/issue/what-defines-high-performing-health-system-systematic-review
    August 17, 2022 - Review What defines a high-performing health system: a systematic review. Citation Text: Ahluwalia SC, Damberg CL, Silverman M, et al. What Defines a High-Performing Health Care Delivery System: A Systematic Review. Jt Comm J Qual Patient Saf. 2017;43(9):450-459. doi:10.1016/j.jcjq.2017.…
  13. psnet.ahrq.gov/issue/clinicians-perspectives-proactive-patient-safety-behaviors-perioperative-environment
    May 24, 2023 - Study Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. Citation Text: Duffy C, Menon N, Horak D, et al. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. JAMA Netw Open. 2023;6(4):e237621. doi:…
  14. psnet.ahrq.gov/issue/are-pathologists-self-aware-their-diagnostic-accuracy-metacognition-and-diagnostic-process
    May 18, 2022 - Study Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. Citation Text: Clayton DA, Eguchi MM, Kerr KF, et al. Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. Me…
  15. psnet.ahrq.gov/issue/identifying-potential-predictors-safe-attending-physician-workload-survey-hospitalists
    December 21, 2014 - Study Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. Citation Text: Michtalik HJ, Pronovost P, Marsteller JA, et al. Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. J Hosp Med. 2013;8…
  16. psnet.ahrq.gov/issue/simulation-safety-first-imperative
    February 13, 2014 - Commentary Simulation safety first: an imperative. Citation Text: Raemer D, Hannenberg A, Mullen A. Simulation Safety First: An Imperative. Simul Healthc. 2018;13(6):373-375. doi:10.1097/SIH.0000000000000341. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36119/psn-pdf
    January 05, 2017 - A leadership framework for culture change in health care. January 5, 2017 Rose JS, Thomas CS, Tersigni AR, et al. A leadership framework for culture change in health care. Jt Comm J Qual Patient Saf. 2006;32(8):433-42. https://psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care The authors describ…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39467/psn-pdf
    April 21, 2010 - Nursing handoffs: a systematic review of the literature. April 21, 2010 Riesenberg LA, Leitzsch J, Cunningham JM. Nursing handoffs: a systematic review of the literature. Am J Nurs. 2010;110(4):24-34; quiz 35-6. doi:10.1097/01.NAJ.0000370154.79857.09. https://psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41927/psn-pdf
    December 19, 2012 - Should you reveal nonharmful mistakes to patients? December 19, 2012 Yasgur BS. https://psnet.ahrq.gov/issue/should-you-reveal-nonharmful-mistakes-patients This article discusses the results of a survey to assess physicians' perceptions about acknowledging mistakes that did not harm patients. https://psnet.ahrq.g…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38897/psn-pdf
    April 21, 2011 - Quality initiatives: developing a radiology quality and safety program: a primer. April 21, 2011 Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.294095006. https://psnet.ahrq.gov/issue/quality-…

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