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Clinical reasoning as a core competency. | PSNet

psnet.ahrq.gov/issue/clinical-reasoning-core-competency

August 20, 2018 - Commentary Clinical reasoning as a core competency. Citation Text: Connor DM, Durning SJ, Rencic J. Clinical Reasoning as a Core Competency. Acad Med. 2020;95(8):1166-1171. doi:10.1097/acm.0000000000003027. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…

Pharmacist medication assessments in a surgical preadmission clinic. | PSNet

psnet.ahrq.gov/issue/pharmacist-medication-assessments-surgical-preadmission-clinic

October 15, 2008 - Study Pharmacist medication assessments in a surgical preadmission clinic. Citation Text: Kwan Y, Fernandes O, Nagge JJ, et al. Pharmacist medication assessments in a surgical preadmission clinic. Arch Intern Med. 2007;167(10):1034-40. Copy Citation Format: Google Scholar…

The debrief imperative: building teaming competencies and team effectiveness. | PSNet

psnet.ahrq.gov/issue/debrief-imperative-building-teaming-competencies-and-team-effectiveness

December 16, 2020 - Commentary The debrief imperative: building teaming competencies and team effectiveness. Citation Text: Tannenbaum SI, Greilich PE. The debrief imperative: building teaming competencies and team effectiveness. BMJ Qual Saf. 2023;32(3):125-128. doi:10.1136/bmjqs-2022-015259. Copy Citati…

Vital Signs: Core Metrics for Health and Health Care Progress. | PSNet

psnet.ahrq.gov/issue/vital-signs-core-metrics-health-and-health-care-progress

November 24, 2021 - Book/Report Vital Signs: Core Metrics for Health and Health Care Progress. Citation Text: Vital Signs: Core Metrics for Health and Health Care Progress. Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washingto…

Health IT and Patient Safety: Building Safer Systems for Better Care. | PSNet

psnet.ahrq.gov/issue/health-it-and-patient-safety-building-safer-systems-better-care

June 16, 2011 - Book/Report Classic Health IT and Patient Safety: Building Safer Systems for Better Care. Citation Text: Health IT and Patient Safety: Building Safer Systems for Better Care. Committee on Patient Safety and Health Information Technology, Board on Health Care Ser…

Redesigning surgical decision making for high-risk patients. | PSNet

psnet.ahrq.gov/issue/redesigning-surgical-decision-making-high-risk-patients

July 20, 2016 - Commentary Redesigning surgical decision making for high-risk patients. Citation Text: Glance LG, Osler T, Neuman MD. Redesigning surgical decision making for high-risk patients. N Engl J Med. 2014;370(15):1379-1381. doi:10.1056/NEJMp1315538. Copy Citation Format: DOI Googl…

Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. | PSNet

psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming

October 19, 2016 - Book/Report Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Chi…

Guide to Patient and Family Engagement in Hospital Quality and Safety. | PSNet

psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety

December 24, 2008 - Multi-use Website Guide to Patient and Family Engagement in Hospital Quality and Safety. Citation Text: Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality; June 2013. Copy Citation Save …

Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors. | PSNet

psnet.ahrq.gov/issue/patient-experience-source-understanding-origins-impact-and-remediation-diagnostic-errors

August 16, 2023 - Book/Report Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors. Citation Text: Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors. Schlesinger M, Grob R, Gleason K, et al. Rock…

The Measurement and Monitoring of Safety. | PSNet

psnet.ahrq.gov/issue/measurement-and-monitoring-safety

October 01, 2024 - Book/Report The Measurement and Monitoring of Safety. Citation Text: The Measurement and Monitoring of Safety. Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447. Copy Citation Save Save to your library Prin…

Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. | PSNet

psnet.ahrq.gov/issue/pain-management-and-prescription-opioid-related-harms-exploring-state-evidence-proceedings

July 05, 2008 - Meeting/Conference Proceedings Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. Citation Text: Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Works…

Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. | PSNet

psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery

February 10, 2012 - Review Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Citation Text: Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-…

Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. | PSNet

psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-adverse-medical-events-and-monitoring

July 11, 2018 - Book/Report Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Citation Text: Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Washington, DC: United St…

Making polypharmacy safer for children with medical complexity. | PSNet

psnet.ahrq.gov/issue/making-polypharmacy-safer-children-medical-complexity

May 11, 2019 - Commentary Making polypharmacy safer for children with medical complexity. Citation Text: Feinstein JA, Orth LE. Making polypharmacy safer for children with medical complexity. J Pediatr. 2023;254:4-10. doi:10.1016/j.jpeds.2022.10.012. Copy Citation Format: DOI Google Schol…

Improving handoffs in the emergency department. | PSNet

psnet.ahrq.gov/issue/improving-handoffs-emergency-department

July 19, 2017 - Commentary Improving handoffs in the emergency department. Citation Text: Cheung DS, Kelly JJ, Beach C, et al. Improving handoffs in the emergency department. Ann Emerg Med. 2010;55(2):171-80. doi:10.1016/j.annemergmed.2009.07.016. Copy Citation Format: DOI Google Scholar…

Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions. | PSNet

psnet.ahrq.gov/issue/medicaid-program-payment-adjustment-provider-preventable-conditions-including-health-care

July 07, 2021 - Government Resource Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions. Citation Text: Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions. Centers for Medic…

Improving diagnosis: adding context to cognition. | PSNet

psnet.ahrq.gov/issue/improving-diagnosis-adding-context-cognition

July 12, 2023 - Commentary Improving diagnosis: adding context to cognition. Citation Text: Linzer M, Sullivan EE, Olson APJ, et al. Improving diagnosis: adding context to cognition. Diagnosis (Berl). 2023;10(1):4-8. doi:10.1515/dx-2022-0058. Copy Citation Format: DOI Google Scholar BibTeX…

Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). | PSNet

psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcement-examining-impact-artificial

July 22, 2024 - Grant Announcement Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). Citation Text: Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). Rockville, MD: Agency for Research and Quality; July 15, 2024. PA-24-261. Copy Citation …

Drawing boundaries: the difficulty in defining clinical reasoning. | PSNet

psnet.ahrq.gov/issue/drawing-boundaries-difficulty-defining-clinical-reasoning

June 26, 2019 - Commentary Emerging Classic Drawing boundaries: the difficulty in defining clinical reasoning. Citation Text: Young M, Thomas A, Lubarsky S, et al. Drawing Boundaries: The Difficulty in Defining Clinical Reasoning. Acad Med. 2018;93(7):990-995. doi:10.1097/ACM.0…

In Conversation with... Regina Hoffman about Building Capacity for Patient Safety | PSNet

psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety

July 31, 2023 - Trainings like TeamSTEPPS® (Team Strategies and Tools to Enhance Performance and Patient Safety) can … challenges in reporting and sharing will help facilitate the shift toward developing learning systems to enhance

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