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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…
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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…
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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 …
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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…
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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…
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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…
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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-…
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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…
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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…
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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…
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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…
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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 …
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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…
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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-…
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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.
…
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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
…
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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…
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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…
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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…
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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…