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psnet.ahrq.gov/node/45853/psn-pdf
April 24, 2018 - Rudeness and medical team performance.
April 24, 2018
Riskin A, Erez A, Foulk T, et al. Rudeness and Medical Team Performance. Pediatrics.
2017;139(2):e20162305. doi:10.1542/peds.2016-2305.
https://psnet.ahrq.gov/issue/rudeness-and-medical-team-performance
Disruptive and rude behavior by clinicians can hinder team…
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psnet.ahrq.gov/node/38555/psn-pdf
April 15, 2009 - Standardized sign-out reduces intern perception of
medical errors on the general internal medicine ward.
April 15, 2009
Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on
the general internal medicine ward. Teach Learn Med. 2009;21(2):121-6.
doi:10.1080/10401330…
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psnet.ahrq.gov/node/74763/psn-pdf
June 25, 2021 - FDA Safety Communication: flexible bronchoscopes and
updated recommendations for reprocessing.
June 25, 2021
Silver Springs, MD: US Food and Drug Administration: June 25, 2021.
https://psnet.ahrq.gov/issue/fda-safety-communication-flexible-bronchoscopes-and-updated-
recommendations-reprocessing
Incomplete reproce…
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psnet.ahrq.gov/node/839824/psn-pdf
November 09, 2022 - Improving diagnostic decision support through deliberate
reflection: a proposal.
November 9, 2022
Schmidt HG, Mamede S. Improving diagnostic decision support through deliberate reflection: a proposal.
Diagnosis (Berl). 2023;10(1):38-42. doi:10.1515/dx-2022-0062.
https://psnet.ahrq.gov/issue/improving-diagnostic-de…
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psnet.ahrq.gov/node/41381/psn-pdf
May 16, 2012 - Clinical review: the hospital of the future—building
intelligent environments to facilitate safe and effective
acute care delivery.
May 16, 2012
Pickering BW, Litell JM, Herasevich V, et al. Clinical review: the hospital of the future - building intelligent
environments to facilitate safe and effective acute care …
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psnet.ahrq.gov/node/47358/psn-pdf
August 29, 2018 - Double reading in breast cancer screening: cohort
evaluation in the CO-OPS trial.
August 29, 2018
Taylor-Phillips S, Jenkinson D, Stinton C, et al. Double Reading in Breast Cancer Screening: Cohort
Evaluation in the CO-OPS Trial. Radiology. 2018;287(3):749-757. doi:10.1148/radiol.2018171010.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/867758/psn-pdf
March 12, 2025 - Errors in the EMR: under-recognized hazard for AI in
healthcare.
March 12, 2025
Morreim EH. Errors in the EMR: under-recognized hazard for AI in healthcare. Hous J Health Law Policy.
2025;24:127-165.
https://psnet.ahrq.gov/issue/errors-emr-under-recognized-hazard-ai-healthcare
Artificial intelligence (AI) systems…
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psnet.ahrq.gov/web-mm/dont-push
March 02, 2011 - Don't Push
Citation Text:
Meltzer HY. Don't Push. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - Preventing PICC Complications: Whose Line Is It?
Citation Text:
Moureau N. Preventing PICC Complications: Whose Line Is It?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - Add-on Case and the Missing Checklist
Citation Text:
Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/issue/advancing-safety-acute-pain-management
January 08, 2020 - Book/Report
Advancing the Safety of Acute Pain Management.
Citation Text:
Advancing the Safety of Acute Pain Management. Boston, MA: Institute for Healthcare Improvement; 2019.
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psnet.ahrq.gov/issue/medical-liability-and-patient-safety-setting-proper-course
January 12, 2011 - Commentary
Medical liability and patient safety: setting the proper course.
Citation Text:
Pearlman MD, Gluck PA. Medical liability and patient safety: setting the proper course. Obstet Gynecol. 2005;105(5 Pt 1):941-943.
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psnet.ahrq.gov/issue/our-story
December 04, 2016 - Commentary
Our story.
Citation Text:
King S. Our story. Pediatr Radiol. 2006;36(4):284-6.
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psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study
October 23, 2019 - Book/Report
Iowans' Views on Medical Errors: Iowa Patient Safety Study.
Citation Text:
Iowans' Views on Medical Errors: Iowa Patient Safety Study. Clive, IA: Heartland Health Research Institute; January 7, 2018.
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psnet.ahrq.gov/issue/patient-safety-and-patient-error
June 02, 2010 - Commentary
Patient safety and patient error.
Citation Text:
Buetow S, Elwyn G. Patient safety and patient error. Lancet. 2007;369(9556):158-61.
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psnet.ahrq.gov/issue/cognitive-bias-clinical-practice-nurturing-healthy-skepticism-among-medical-students
August 07, 2024 - Commentary
Cognitive bias in clinical practice—nurturing healthy skepticism among medical students.
Citation Text:
Bhatti A. Cognitive bias in clinical practice - nurturing healthy skepticism among medical students. Adv Med Educ Pract. 2018;9:235-237. doi:10.2147/AMEP.S149558.
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psnet.ahrq.gov/issue/beyond-patient-safety-flatland
September 04, 2024 - Commentary
Beyond patient safety Flatland.
Citation Text:
Braithwaite J, Coiera E. Beyond patient safety Flatland. J R Soc Med. 2010;103(6):219-25. doi:10.1258/jrsm.2010.100032.
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psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
October 06, 2022 - Multi-use Website
Diagnostic Excellence Initiative.
Citation Text:
Diagnostic Excellence Initiative. Gordon and Betty Moore Foundation.
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psnet.ahrq.gov/issue/inpatient-computerized-provider-order-entry-findings-ahrq-health-it-portfolio
May 24, 2015 - Book/Report
Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio.
Citation Text:
Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio. Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: …
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psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
November 27, 2018 - Book/Report
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events.
Citation Text:
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…