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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38363/psn-pdf
    February 23, 2009 - Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research. February 23, 2009 Savel RH, Goldstein EB, Gropper MA. Critical care checklists, the Keystone Project, and the Office for Human Research Prote…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45647/psn-pdf
    February 22, 2017 - Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us. February 22, 2017 Lewis M. Nautilus. February 9, 2017. https://psnet.ahrq.gov/issue/bias-er-doctors-suffer-same-cognitive-distortions-rest-us Physicians' decision-making can be diminished when they are tired, distracted, or too n…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37183/psn-pdf
    October 06, 2011 - Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections. October 6, 2011 Gould L, Pan T, Loghin C, et al. Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38792/psn-pdf
    September 02, 2009 - Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. September 2, 2009 Madea B, Preuss J. Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Forensic Sci Int. 2009;190(1-3):58-66. doi:10.1016/j.forsciint.2009.05.013. https://psnet.ahrq.gov/issue/medical-malprac…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866651/psn-pdf
    September 04, 2024 - Diagnostic Stewardship as a Model to Improve the Quality and Safety of Diagnosis. September 4, 2024 Diagnostic Stewardship As A Model To Improve The Quality And Safety Of Diagnosis. Rockville, MD: Agency for Healthcare Research and Quality; May 2024. AHRQ report no. 24-0010-6-EF https://psnet.ahrq.gov/issue/diagno…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34770/psn-pdf
    April 17, 2017 - Clinical Risk Management. Enhancing Patient Safety. 2nd ed. April 17, 2017 Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920. https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed Vincent has updated his text on risk management, infusing it with concepts directly rela…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43464/psn-pdf
    August 27, 2014 - Using pharmacists to optimize patient outcomes and costs in the ED. August 27, 2014 Jacknin G, Nakamura T, Smally AJ, et al. Using pharmacists to optimize patient outcomes and costs in the ED. Am J Emerg Med. 2014;32(6):673-7. doi:10.1016/j.ajem.2013.11.031. https://psnet.ahrq.gov/issue/using-pharmacists-optimize-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44729/psn-pdf
    January 07, 2016 - The morbidity and mortality meeting: time for a different approach? January 7, 2016 Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4- 8. doi:10.1136/archdischild-2015-309536. https://psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-appro…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41873/psn-pdf
    November 28, 2012 - A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. November 28, 2012 Chesluk BJ, Bernabeo E, Hess B, et al. A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. Health Aff (Millwood). 2012;31(11):2485-2492. do…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41948/psn-pdf
    January 09, 2013 - Implementation of computerized prescriber order entry in four academic medical centers. January 9, 2013 Cooley TW, May D, Alwan M, et al. Implementation of computerized prescriber order entry in four academic medical centers. Am J Health Syst Pharm. 2012;69(24):2166-73. doi:10.2146/ajhp120108. https://psnet.ahrq.g…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43219/psn-pdf
    January 01, 2015 - Developing a reporting and tracking tool for nursing student errors and near misses. May 28, 2014 Disch J, Barnsteiner J. Developing a Reporting and Tracking Tool for Nursing Student Errors and Near Misses. J Nurs Reg. 2015;5(1):4-10. doi:10.1016/s2155-8256(15)30093-4. https://psnet.ahrq.gov/issue/developing-repor…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850938/psn-pdf
    June 21, 2023 - AI in medicine needs to be carefully deployed to counter bias – and not entrench it. June 21, 2023 Levi R, Gorenstein D. Health Shots. National Public Radio. June 6, 2023. https://psnet.ahrq.gov/issue/ai-medicine-needs-be-carefully-deployed-counter-bias-and-not-entrench-it Systemic biases are present in data …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74216/psn-pdf
    December 22, 2021 - To eliminate bias, some seek out doctors of their own race or ethnicity. December 22, 2021 Glicksman E. Washington Post. December 11, 2021. https://psnet.ahrq.gov/issue/eliminate-bias-some-seek-out-doctors-their-own-race-or-ethnicity A successful patient/physician relationship enables care that is specific for the…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72533/psn-pdf
    January 01, 2021 - Strategies to reduce errors associated with 2-component vaccines. December 2, 2020 Samad F, Burton SJ, Kwan D, et al. Strategies to reduce errors associated with 2-component vaccines. Pharmaceut Med. 2021;35(1):1-9. doi:10.1007/s40290-020-00362-9. https://psnet.ahrq.gov/issue/strategies-reduce-errors-associated-2-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60796/psn-pdf
    August 12, 2020 - The challenges and opportunities for shared decision making highlighted by COVID-19. August 12, 2020 Abrams EM, Shaker M, Oppenheimer J, et al. The challenges and opportunities for shared decision making highlighted by COVID-19. J Allergy Clin Immunol Pract. 2020;8(8):2474-2480.e1. doi:10.1016/j.jaip.2020.07.003. …
  16. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex4.html
    July 01, 2018 - Guide to Patient and Family Engagement Exhibit 4. Numbers of Documents Abstracted Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45565/psn-pdf
    May 24, 2017 - Leading a Culture of Safety: a Blueprint for Success. May 24, 2017 Chicago, IL: American College of Healthcare Executives, National Patient Safety Foundation's Lucian Leape Institute; 2017. https://psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success Health care leadership plays an undeniable role in sust…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44946/psn-pdf
    February 01, 2017 - Quality gaps identified through mortality review. February 1, 2017 Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review Inpatien…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764413/psn-pdf
    March 02, 2022 - Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. March 2, 2022 Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021.  https://psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care The emergence of telemedicine during…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42963/psn-pdf
    September 27, 2016 - The effects of physical environments in medical wards on medication communication processes affecting patient safety. September 27, 2016 Liu W, Manias E, Gerdtz M. The effects of physical environments in medical wards on medication communication processes affecting patient safety. Health Place. 2014;26:188-198. d…