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psnet.ahrq.gov/issue/demanding-medical-excellence-doctors-and-accountability-information-age
May 13, 2020 - Book/Report
Classic
Demanding Medical Excellence. Doctors and Accountability in the Information Age.
Citation Text:
Demanding Medical Excellence. Doctors and Accountability in the Information Age. Millenson ML. Chicago, IL: University of Chicago Press; 1999. ISB…
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psnet.ahrq.gov/issue/commission-inquiry-hormone-receptor-testing
May 26, 2021 - Book/Report
Commission of Inquiry on Hormone Receptor Testing.
Citation Text:
Commission of Inquiry on Hormone Receptor Testing. Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.
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psnet.ahrq.gov/node/46355/psn-pdf
October 09, 2017 - Diagnostic reasoning: an endangered competency in
internal medicine training.
October 9, 2017
Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal
Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163.
https://psnet.ahrq.gov/issue/diagnostic-reasoning…
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psnet.ahrq.gov/node/46933/psn-pdf
April 04, 2018 - Pain states, the opioid epidemic, and the role of
radiologists.
April 4, 2018
Jones MR, Kaye AD, Manchikanti L, et al. Pain States, the Opioid Epidemic, and the Role of Radiologists.
Curr Pain Headache Rep. 2018;22(3):20. doi:10.1007/s11916-018-0672-x.
https://psnet.ahrq.gov/issue/pain-states-opioid-epidemic-and-r…
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psnet.ahrq.gov/node/45341/psn-pdf
July 27, 2016 - How to avoid catastrophic events on the ward.
July 27, 2016
Bein B, Seewald S, Gräsner J-T. How to avoid catastrophic events on the ward. Best Pract Res Clin
Anaesthesiol. 2016;30(2):237-45. doi:10.1016/j.bpa.2016.04.003.
https://psnet.ahrq.gov/issue/how-avoid-catastrophic-events-ward
Hospitals require robust esca…
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psnet.ahrq.gov/node/47169/psn-pdf
June 13, 2018 - A systematic review of primary care safety climate survey
instruments: their origins, psychometric properties,
quality, and usage.
June 13, 2018
Curran C, Lydon S, Kelly M, et al. A Systematic Review of Primary Care Safety Climate Survey
Instruments: Their Origins, Psychometric Properties, Quality, and Usage. J Pa…
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psnet.ahrq.gov/node/47279/psn-pdf
July 23, 2018 - No Place Like Home: Advancing the Safety of Care in the
Home.
July 23, 2018
Boston, MA: Institute for Healthcare Improvement; 2018.
https://psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
The home care setting harbors unique challenges to patient safety. This report builds on a previous
evidence ass…
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psnet.ahrq.gov/node/46680/psn-pdf
December 13, 2017 - Patient safety culture in care homes for older people: a
scoping review.
December 13, 2017
Gartshore E, Waring J, Timmons S. Patient safety culture in care homes for older people: a scoping review.
BMC Health Serv Res. 2017;17(1):752. doi:10.1186/s12913-017-2713-2.
https://psnet.ahrq.gov/issue/patient-safety-cultu…
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psnet.ahrq.gov/node/40691/psn-pdf
November 07, 2011 - Do we know what foundation year doctors think about
patient safety incident reporting? Development of a web
based tool to assess attitude and knowledge.
November 7, 2011
Robson J, de Wet C, McKay J, et al. Do we know what foundation year doctors think about patient safety
incident reporting? Development of a Web b…
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psnet.ahrq.gov/node/867380/psn-pdf
December 18, 2024 - Cognitive biases and artificial intelligence.
December 18, 2024
Wang J, Redelmeier DA. Cognitive biases and artificial intelligence. NEJM AI. 2024;1(12):AIcs2400639.
doi:10.1056/aics2400639.
https://psnet.ahrq.gov/issue/cognitive-biases-and-artificial-intelligence
Previous studies have raised concerns about cognit…
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psnet.ahrq.gov/node/865526/psn-pdf
April 10, 2024 - Rural emergency medical services clinicians' perceptions
and preferences in receiving clinical feedback from
hospitals: a qualitative needs assessment.
April 10, 2024
Schneider K, Williams M, Mohr NM, et al. Rural emergency medical services clinicians' perceptions and
preferences in receiving clinical feedback fro…
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psnet.ahrq.gov/node/42877/psn-pdf
January 22, 2014 - Identification of poor performance in a national medical
workforce over 11 years: an observational study.
January 22, 2014
Donaldson LJ, Panesar S, McAvoy PA, et al. Identification of poor performance in a national medical
workforce over 11 years: an observational study. BMJ Qual Saf. 2014;23(2):147-52. doi:10.1136…
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psnet.ahrq.gov/node/44536/psn-pdf
November 11, 2015 - Healthcare system intervention for safer use of medicines
in elderly patients in primary care—a qualitative study of
the participants' perceptions of self-assessment, peer
review, feedback and agreement for change.
November 11, 2015
Lenander C, Bondesson Å, Midlöv P, et al. Healthcare system intervention for safer…
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psnet.ahrq.gov/node/33842/psn-pdf
January 01, 2018 - Assessing the Safety of Electronic Health Records: What
Have We Learned?
September 1, 2017
Sittig DF, Singh H. Assessing the Safety of Electronic Health Records: What Have We Learned? PSNet
[internet]. 2017.
https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
Perspec…
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psnet.ahrq.gov/node/49760/psn-pdf
May 01, 2016 - Mismanagement of Delirium
May 1, 2016
Merrilees J, Lee KP. Mismanagement of Delirium. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/mismanagement-delirium
The Case
An 85-year-old man with early stage vascular dementia fell on the sidewalk and fractured his leg. Although
fitted with a cast at a regional ho…
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psnet.ahrq.gov/node/837415/psn-pdf
June 15, 2022 - Instruments for measuring patient safety competencies in
nursing: a scoping review.
June 15, 2022
Mortensen M, Naustdal KI, Uibu E, et al. Instruments for measuring patient safety competencies in nursing:
a scoping review. BMJ Open Qual. 2022;11(2):e001751. doi:10.1136/bmjoq-2021-001751.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/45245/psn-pdf
June 27, 2018 - Medication Without Harm: WHO's Third Global Patient
Safety Challenge.
June 27, 2018
Geneva, Switzerland: World Health Association; 2017.
https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
Adverse drug events are likely the most common source of preventable harm in both …
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psnet.ahrq.gov/node/838237/psn-pdf
October 05, 2022 - Deprescribing medicines in older people living with
multimorbidity and polypharmacy: the TAILOR evidence
synthesis.
October 5, 2022
Reeve J, Maden M, Hill R, et al. Deprescribing medicines in older people living with multimorbidity and
polypharmacy: the TAILOR evidence synthesis. Health Technol Assess. 2022;26(32)…
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psnet.ahrq.gov/node/47335/psn-pdf
August 22, 2018 - Seeking answers, hearing silence.
August 22, 2018
Hemmelgarn C. Seeking Answers, Hearing Silence. Health Aff (Millwood). 2018;37(8):1332-1334.
doi:10.1377/hlthaff.2017.1535.
https://psnet.ahrq.gov/issue/seeking-answers-hearing-silence
Lack of transparency regarding errors in patient care contributes to harm, mistr…
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psnet.ahrq.gov/node/43681/psn-pdf
June 03, 2016 - Learning from failure: the need for independent safety
investigation in healthcare.
June 3, 2016
Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J
R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939.
https://psnet.ahrq.gov/issue/learning-failure-n…