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  1. Diagnosing overdiagnosis: conceptual challenges and suggested solutions. | PSNet

    psnet.ahrq.gov/issue/diagnosing-overdiagnosis-conceptual-challenges-and-suggested-solutions
    September 20, 2023 - Commentary Diagnosing overdiagnosis: conceptual challenges and suggested solutions. Citation Text: Hofmann B. Diagnosing overdiagnosis: conceptual challenges and suggested solutions. Eur J Epidemiol. 2014;29(9):599-604. doi:10.1007/s10654-014-9920-5. Copy Citation Format: D…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49846/psn-pdf
    November 01, 2018 - "(3) Both definitions suffer from a lack of the more formal or hierarchical role description of supervision

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49787/psn-pdf
    March 01, 2017 - have been described in the medical literature (11); Table 1 lists several prevalent biases with brief definitions … Common Biases and Brief Definitions (Adapted From 12) Bias Definition Affective Also called visceral

  4. Beyond the corrective action hierarchy: a systems approach to organizational change. | PSNet

    psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change
    March 10, 2021 - Commentary Beyond the corrective action hierarchy: a systems approach to organizational change. Citation Text: 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…

  5. Disruptive and Unprofessional Behavior | PSNet

    psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
    September 15, 2024 - Disruptive and Unprofessional Behavior Citation Text: Disruptive and Unprofessional Behavior. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50391/psn-pdf
    September 25, 2019 - Think Like a Surgeon September 25, 2019 Cooper Z. Think Like a Surgeon. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/think-surgeon The Case A patient with a history of T6 paraplegia due to a motor vehicle accident was brought to the emergency department due to delirium. He was found to be hypotensive and…

  7. Think Like a Surgeon | PSNet

    psnet.ahrq.gov/web-mm/think-surgeon
    December 04, 2024 - Think Like a Surgeon Citation Text: Cooper Z. Think Like a Surgeon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

  8. Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service | PSNet

    psnet.ahrq.gov/issue/uncovering-creating-or-constructing-problems-enacting-new-role-support-staff-who-raise
    September 29, 2021 - Study Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service Citation Text: Martin GP, Chew S, Dixon-Woods M. Uncovering, creating or constructing problems? Enacting a new role…

  9. Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. | PSNet

    psnet.ahrq.gov/issue/use-expedited-review-tool-screen-prior-diagnostic-error-emergency-department-patients
    December 16, 2020 - Study Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. Citation Text: Hudspeth J, El-Kareh R, Schiff G. Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. Appl Clin Inform. 2015;06(0…

  10. How different countries respond to adverse events whilst patients' rights are protected. | PSNet

    psnet.ahrq.gov/issue/how-different-countries-respond-adverse-events-whilst-patients-rights-are-protected
    December 11, 2024 - Study How different countries respond to adverse events whilst patients' rights are protected. Citation Text: Gil-Hernández E, Carrillo I, Tumelty M-E, et al. How different countries respond to adverse events whilst patients’ rights are protected. Med Sci Law. 2024;64(2):96-112. doi:10.1…

  11. What constitutes a prescribing error in paediatrics? | PSNet

    psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics
    March 05, 2010 - Study What constitutes a prescribing error in paediatrics? Citation Text: Ghaleb MA, Barber N, Franklin D, et al. What constitutes a prescribing error in paediatrics? Qual Saf Health Care. 2005;14(5):352-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

  12. Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. | PSNet

    psnet.ahrq.gov/issue/identifying-avoidable-harm-family-practice-randucla-appropriateness-method-consensus-study
    December 16, 2020 - Study Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. Citation Text: Carson-Stevens A, Campbell S, Bell BG, et al. Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. BMC Fam Pract. 2019…

  13. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees | PSNet

    psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
    February 22, 2017 - "( 3 ) Both definitions suffer from a lack of the more formal or hierarchical role description of supervision

  14. Check Twice, Transport Once | PSNet

    psnet.ahrq.gov/web-mm/check-twice-transport-once
    March 15, 2023 - intrahospital patient transport errors varies across settings, patient populations, reporting methods, and definitions … errors report higher rates. 3 - 4   Variation in existing literature may be attributed to differing definitions

  15. In search of an international multidimensional action plan for second victim support: a narrative review. | PSNet

    psnet.ahrq.gov/issue/search-international-multidimensional-action-plan-second-victim-support-narrative-review
    February 15, 2023 - Review In search of an international multidimensional action plan for second victim support: a narrative review. Citation Text: Seys D, Panella M, Russotto S, et al. In search of an international multidimensional action plan for second victim support: a narrative review. BMC Health Serv …

  16. Improving Diagnostic Safety and Quality | PSNet

    psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
    January 31, 2024 - often broadly or inadequately defined and are largely classified based on clinician surveys or experts’ definitions

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865819/psn-pdf
    May 08, 2024 - Focus on HARM (Harmonizing Accountability in Reporting and Monitoring). May 8, 2024 National Quality Forum. https://psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring Strong incident reporting systems are a foundational component for understanding preventable health care error. Th…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865489/psn-pdf
    April 03, 2024 - Safety is the preservation of value. April 3, 2024 Vandeskog B. Safety is the preservation of value. J Safety Res. 2024;89:105-115. doi:10.1016/j.jsr.2024.02.004. https://psnet.ahrq.gov/issue/safety-preservation-value Safety is at the heart of safety science, and yet “safety” lacks a consensus definition among saf…

  19. Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an exploratory cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/second-victims-among-baccalaureate-nursing-students-aftermath-patient-safety-incident
    June 09, 2021 - Study Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an exploratory cross-sectional study. Citation Text: Van Slambrouck L, Verschueren R, Seys D, et al. Second victims among baccalaureate nursing students in the aftermath of a patient …

  20. The association of nursing home characteristics and quality with adverse events after a hospitalization. | PSNet

    psnet.ahrq.gov/issue/association-nursing-home-characteristics-and-quality-adverse-events-after-hospitalization
    August 07, 2019 - Study The association of nursing home characteristics and quality with adverse events after a hospitalization. Citation Text: Field TS, Fouayzi H, Crawford S, et al. The association of nursing home characteristics and quality with adverse events after a hospitalization. J Am Med Dir Asso…
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