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Communication factors in the follow-up of abnormal mammograms. | PSNet

psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms

March 02, 2011 - Study Communication factors in the follow-up of abnormal mammograms. Citation Text: Poon EG, Haas JS, Puopolo AL, et al. Communication factors in the follow-up of abnormal mammograms. J Gen Intern Care. 2004;19(4):316-323. doi:10.1111/j.1525-1497.2004.30357.x. Copy Citation Forma…

Surgical checklists: a detailed review of their emergence, development, and relevance to neurosurgical practice. | PSNet

psnet.ahrq.gov/issue/surgical-checklists-detailed-review-their-emergence-development-and-relevance-neurosurgical

September 29, 2017 - Review Surgical checklists: a detailed review of their emergence, development, and relevance to neurosurgical practice. Citation Text: McConnell DJ, Fargen KM, Mocco J. Surgical checklists: A detailed review of their emergence, development, and relevance to neurosurgical practice. Surg…

Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. | PSNet

psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy

December 12, 2018 - Newspaper/Magazine Article Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. Citation Text: Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. McGrory K, Bedi N. ProPublica, January 6, 2024. Copy…

System failure versus personal accountability--the case for clean hands. | PSNet

psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands

February 16, 2011 - Commentary System failure versus personal accountability--the case for clean hands. Citation Text: Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3. Copy Citation Format: Google Scholar PubMed BibTeX End…

In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. | PSNet

psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and-rape-dont-dock-five

December 22, 2021 - Newspaper/Magazine Article In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. Citation Text: In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. Silver-Greenbe…

Patient safety in the emergency department. | PSNet

psnet.ahrq.gov/issue/patient-safety-emergency-department

July 13, 2016 - Commentary Patient safety in the emergency department. Citation Text: Farmer B. Patient Safety in the Emergency Department. Emerg Med (N Y). 2016;48(9). doi:10.12788/emed.2016.0052. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. | PSNet

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May 27, 2020 - Book/Report Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. Citation Text: Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. Washington, DC: United States Government Accountability Office; March 2020. Publication GAO-20-248. Copy Citat…

Effective use of medication-related decision support in CPOE. | PSNet

psnet.ahrq.gov/issue/effective-use-medication-related-decision-support-cpoe

May 26, 2011 - Newspaper/Magazine Article Effective use of medication-related decision support in CPOE. Citation Text: Effective use of medication-related decision support in CPOE. Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24. Copy Citatio…

Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. | PSNet

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May 11, 2016 - Book/Report Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. Citation Text: Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Su…

Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. | PSNet

psnet.ahrq.gov/issue/patient-safety-hhs-has-taken-steps-address-unsafe-injection-practices-more-action-needed

September 05, 2012 - Book/Report Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. Citation Text: Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. Kohn LT. Washington, DC: United States Government Acc…

Complicated: medical missteps are not inevitable. | PSNet

psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable

August 30, 2023 - Commentary Complicated: medical missteps are not inevitable. Citation Text: Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178-1181. doi:10.1377/hlthaff.2017.1550. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

Using information from external errors to signal a "clear and present danger." | PSNet

psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger

March 14, 2023 - Newspaper/Magazine Article Using information from external errors to signal a "clear and present danger." Citation Text: Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. Copy Citati…

AI in medicine needs to be carefully deployed to counter bias – and not entrench it. | PSNet

psnet.ahrq.gov/issue/ai-medicine-needs-be-carefully-deployed-counter-bias-and-not-entrench-it

January 31, 2024 - Newspaper/Magazine Article AI in medicine needs to be carefully deployed to counter bias – and not entrench it. Citation Text: AI in medicine needs to be carefully deployed to counter bias – and not entrench it. Levi R, Gorenstein D. Health Shots. National Public Radio. June 6, 2023…

Negligence, genuine error, and litigation. | PSNet

psnet.ahrq.gov/issue/negligence-genuine-error-and-litigation

July 10, 2024 - Review Negligence, genuine error, and litigation. Citation Text: Sohn D. Negligence, genuine error, and litigation. Int J Gen Med. 2013. doi:10.2147/ijgm.s24256. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? | PSNet

psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer

March 13, 2019 - Newspaper/Magazine Article When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Citation Text: When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Gordon M. Health Shots. National Public Radio. April 10, 2019. Copy Citati…

A crisis within a crisis. | PSNet

psnet.ahrq.gov/issue/crisis-within-crisis

May 05, 2021 - Newspaper/Magazine Article A crisis within a crisis. Citation Text: A crisis within a crisis. Ellis NT, Broaddus A. CNN. August 25, 2021. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

Pandemic imperiled non-English speakers more than others. | PSNet

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January 15, 2020 - Newspaper/Magazine Article Pandemic imperiled non-English speakers more than others. Citation Text: Pandemic imperiled non-English speakers more than others. Bebinger M. WBUR and Kaiser Health News. April 27, 2021. Copy Citation Save Save to your library …

A tragic death shows how ERs fail patients who struggle with addiction. | PSNet

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August 07, 2024 - Newspaper/Magazine Article A tragic death shows how ERs fail patients who struggle with addiction. Citation Text: A tragic death shows how ERs fail patients who struggle with addiction. Pattani A. Health Shots. National Public Radio. July 14, 2021. Copy Citation …

Denied abortion for a doomed pregnancy, she tells Texas court: 'There was no mercy'. | PSNet

psnet.ahrq.gov/issue/denied-abortion-doomed-pregnancy-she-tells-texas-court-there-was-no-mercy

April 01, 2020 - Newspaper/Magazine Article Denied abortion for a doomed pregnancy, she tells Texas court: 'There was no mercy'. Citation Text: Denied abortion for a doomed pregnancy, she tells Texas court: 'There was no mercy'. Simmons-Duffin S. Health Shots. National Public Radio. July 20, 2023. …

Approaches and Challenges to Electronically Matching Patients' Records Across Providers. | PSNet

psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers

September 25, 2019 - Book/Report Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Citation Text: Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Washington, DC: United States Government Accountability Office; January 2019. Publi…

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