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3641. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46945/psn-pdf
      August 29, 2018 - Patient safety initiatives in obstetrics: a rapid review. August 29, 2018 Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open. 2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170. https://psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review Variou…

3642. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47644/psn-pdf
      February 13, 2019 - Using computerized virtual cases to explore diagnostic error in practicing physicians. February 13, 2019 Trowbridge RL, Reilly JB, Clauser JC, et al. Using computerized virtual cases to explore diagnostic error in practicing physicians. Diagnosis (Berl). 2018;5(4):229-233. doi:10.1515/dx-2017-0044. https://psnet.a…

3643. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46438/psn-pdf
      September 20, 2017 - Communicating Clearly About Medicines: Proceedings of a Workshop. September 20, 2017 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press: 2017. ISBN: 9780309461856. https://psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop Patient h…

3644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838191/psn-pdf
      September 28, 2022 - Improved Diagnostic Accuracy Through Probability- Based Diagnosis. September 28, 2022 Rockville, MD: Agency for Healthcare Research and Quality; September 2022. AHRQ Publication No. 22- 0026-3-EF. https://psnet.ahrq.gov/issue/improved-diagnostic-accuracy-through-probability-based-diagnosis Correct consideration o…

3645. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60851/psn-pdf
      August 26, 2020 - Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. August 26, 2020 Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344. https://psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error Challenges to effective clinical reas…

3646. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47632/psn-pdf
      April 10, 2019 - Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. April 10, 2019 Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. …

3647. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837905/psn-pdf
      August 24, 2022 - How cisgender clinicians can help prevent harm during encounters with transgender patients. August 24, 2022 doi:10.1001/amajethics.2022.753. https://psnet.ahrq.gov/issue/how-cisgender-clinicians-can-help-prevent-harm-during-encounters- transgender-patients Implicit bias, discrimination, and stigmatization impact …

3648. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45970/psn-pdf
      March 22, 2017 - A learning health care system using computer-aided diagnosis. March 22, 2017 Cahan A, Cimino JJ. A Learning Health Care System Using Computer-Aided Diagnosis. J Med Internet Res. 2017;19(3):e54. doi:10.2196/jmir.6663. https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis Although…

3649. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46326/psn-pdf
      October 18, 2017 - Surgical Patient Safety: A Case-Based Approach. October 18, 2017 Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631. https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach Surgical residency can be a stressful learning experience. This textbook provides an introd…

3650. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43677/psn-pdf
      November 19, 2014 - Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. November 19, 2014 Bencheikh SR, Cousins D, Benabdallah G, et al. Geneva, Switzerland: World Health Organization; October 2014. ISBN: 9789241507943. https://psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-err…

3651. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44863/psn-pdf
      July 01, 2016 - Rating the raters: the inconsistent quality of health care performance measurement. July 1, 2016 Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.0000000000001631. https://psnet.ahrq.gov/is…

3652. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45011/psn-pdf
      May 25, 2016 - High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. May 25, 2016 Oster C, Braaten J, eds. Indianapolis, IN: Sigma Theta Tau International; 2016. ISBN: 9781940446387. https://psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality This publicati…

3653. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61054/psn-pdf
      October 21, 2020 - The optimal use of telehealth to deliver safe patient care. October 21, 2020 Quick Safety. October 6, 2020;55:1-4. https://psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care Telehealth benefits, barriers, and challenges have become more apparent due to its increased use due to COVID-19 phys…

3654. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45567/psn-pdf
      October 12, 2016 - Insulin Pens Devices. October 12, 2016 Am J Health Syst Pharm. 2016;73(19 suppl 5);s1-s47. https://psnet.ahrq.gov/issue/insulin-pens-devices As a high-alert medication, insulin has the potential to result in serious patient harm if administered incorrectly. Articles in this special issue discuss recommendations de…

3655. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854265/psn-pdf
      October 04, 2023 - Can AI help doctors come up with better diagnoses? October 4, 2023 Landro L. Wall Street Journal. September 24, 2023. https://psnet.ahrq.gov/issue/can-ai-help-doctors-come-better-diagnoses Artificial intelligence (AI) is being considered as a strong contender in the effort to reduce harmful diagnostic error, but c…

3656. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42913/psn-pdf
      January 29, 2014 - What to do with healthcare incident reporting systems. January 29, 2014 Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27. https://psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems Incident reporting sy…

3657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40070/psn-pdf
      December 08, 2010 - Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. December 8, 2010 Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10- Fold Dosing Error During Epidural Labor Analgesia With Ropivacaine. J Pat…

3658. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60766/psn-pdf
      August 05, 2020 - Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. August 5, 2020 McFarling UL. Stat. July 21, 2020. https://psnet.ahrq.gov/issue/dermatology-faces-reckoning-lack-darker-skin-textbooks-and-journals-harms- care-patients-color Dermatologists rely on v…

3659. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44714/psn-pdf
      November 25, 2015 - Continuous Improvement of Patient Safety: The Case for Change in the NHS. November 25, 2015 Illingworth J. London, UK: The Health Foundation; 2015. ISBN: 9781906461706. https://psnet.ahrq.gov/issue/continuous-improvement-patient-safety-case-change-nhs The Francis inquiry uncovered problems in the National Health S…

3660. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47997/psn-pdf
      May 08, 2019 - Blind spots in the science of safety. May 8, 2019 Bosk CL, Pedersen KZ. Blind spots in the science of safety. Lancet. 2019;393(10175):978-979. doi:10.1016/S0140-6736(19)30441-6. https://psnet.ahrq.gov/issue/blind-spots-science-safety Safety sciences offer methods to enhance processes and develop organizational cul…