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psnet.ahrq.gov/node/72611/psn-pdf
December 23, 2020 - Improving Diagnosis in Medicine Act of 2020.
December 23, 2020
116th Congress 2d session. December 10, 2020.
https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2020
The strengthening of diagnostic error research and processes can strategically ensure lasting diagnostic
improvement. The ‘‘Improving Diagn…
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psnet.ahrq.gov/node/41697/psn-pdf
September 19, 2012 - From good to better: toward a patient safety initiative in
dentistry.
September 19, 2012
Ramoni R, Walji MF, White J, et al. From good to better: toward a patient safety initiative in dentistry. J Am
Dent Assoc. 2012;143(9):956-60.
https://psnet.ahrq.gov/issue/good-better-toward-patient-safety-initiative-dentistry…
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psnet.ahrq.gov/node/43948/psn-pdf
May 20, 2015 - Human factors engineering: its place and potential in OR
safety.
May 20, 2015
Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3.
doi:10.1016/j.aorn.2015.02.013.
https://psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
Human fa…
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psnet.ahrq.gov/node/39432/psn-pdf
April 08, 2011 - The response of the APPD, CoPS and AAP to the Institute
of Medicine report on resident duty hours.
April 8, 2011
Guralnick S, Rushton J, Bale JF, et al. The response of the APPD, CoPS and AAP to the Institute of
Medicine report on resident duty hours. Pediatrics. 2010;125(4):786-790. doi:10.1542/peds.2009-2149.
ht…
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psnet.ahrq.gov/node/36811/psn-pdf
August 26, 2011 - Expanded surgical time out: a key to real-time data
collection and quality improvement.
August 26, 2011
Altpeter T, Luckhardt K, Lewis JN, et al. Expanded surgical time out: a key to real-time data collection and
quality improvement. J Am Coll Surg. 2007;204(4):527-32.
https://psnet.ahrq.gov/issue/expanded-surgica…
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psnet.ahrq.gov/node/837746/psn-pdf
July 27, 2022 - Oxford Professional Practice: Handbook of Patient Safety.
July 27, 2022
Lachman P, Runnacles J, Jayadev A et al, eds. London, England; Oxford University Press; 2022. ISBN:
9780192846877.
https://psnet.ahrq.gov/issue/oxford-professional-practice-handbook-patient-safety
Patient safety needs to routinely involve new …
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psnet.ahrq.gov/node/44240/psn-pdf
June 23, 2015 - Risks are high at low-volume hospitals.
June 23, 2015
Sternberg S; Dougherty G.
https://psnet.ahrq.gov/issue/risks-are-high-low-volume-hospitals
This news article reports an independent analysis of patient risk at hospitals that provide surgeries they
infrequently perform, highlighting how high procedure volume an…
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psnet.ahrq.gov/node/47765/psn-pdf
February 20, 2019 - Negative behaviours in health care: prevalence and
strategies.
February 20, 2019
Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J
Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660.
https://psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-an…
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psnet.ahrq.gov/node/44329/psn-pdf
September 04, 2016 - Electronic medication reconciliation and medication
errors.
September 4, 2016
Hron JD, Manzi S, Dionne R, et al. Electronic medication reconciliation and medication errors. Int J Qual
Health Care. 2015;27(4):314-9. doi:10.1093/intqhc/mzv046.
https://psnet.ahrq.gov/issue/electronic-medication-reconciliation-and-med…
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psnet.ahrq.gov/node/45401/psn-pdf
August 17, 2016 - A better safety net for young doctors.
August 17, 2016
Landro L. Wall Street Journal. August. 8, 2016.
https://psnet.ahrq.gov/issue/better-safety-net-young-doctors
First-year residents may be reluctant to ask for assistance due to factors such as peer pressure to
demonstrate competency. This newspaper article repo…
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psnet.ahrq.gov/node/39554/psn-pdf
October 13, 2010 - Utilizing information technology to mitigate the handoff
risks caused by resident work hour restrictions.
October 13, 2010
Bernstein J, MacCourt DC, Jacob DM, et al. Utilizing information technology to mitigate the handoff risks
caused by resident work hour restrictions. Clin Orthop Relat Res. 2010;468(10):2627-32.…
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psnet.ahrq.gov/node/44343/psn-pdf
July 22, 2015 - Speaking up to reduce noise in the OR.
July 22, 2015
Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9.
doi:10.1016/j.aorn.2015.04.019.
https://psnet.ahrq.gov/issue/speaking-reduce-noise-or
Noise in health care settings can hinder communication and contribute to distractions. This commentary…
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psnet.ahrq.gov/node/47364/psn-pdf
October 31, 2018 - AI can't replace doctors. But it can make them better.
October 31, 2018
Parikh R. MIT Technol Rev. October 23, 2018.
https://psnet.ahrq.gov/issue/ai-cant-replace-doctors-it-can-make-them-better
Computerized decision support and artificial intelligence (AI) are being utilized to enhance decision-making
in health ca…
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psnet.ahrq.gov/node/836832/psn-pdf
March 30, 2022 - Improving Education—A Key to Better Diagnostic
Outcomes.
March 30, 2022
Olson APJ, Danielson J, Stanley J, et al. Rockville, MD: Agency for Healthcare Research and Quality;
March 2022. AHRQ Publication No. 22-0026-1-EF
https://psnet.ahrq.gov/issue/improving-education-key-better-diagnostic-outcomes
Diagnostic skil…
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psnet.ahrq.gov/node/47321/psn-pdf
June 19, 2019 - Validation of a mobile app for reducing errors of
administration of medications in an emergency.
June 19, 2019
Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of
medications in an emergency. J Clin Monit Comput. . 2019;33(3):531-539. doi:10.1007/s10877-018-018…
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psnet.ahrq.gov/node/855435/psn-pdf
November 15, 2023 - Technology, Education and Safety
November 15, 2023
Arnal-Velasco, D, ed. Curr Opin Anaesthesiol. 2023;36(6):649-705.
https://psnet.ahrq.gov/issue/technology-education-and-safety-2
Adoption of new ideas is necessary to create safety in the perioperative environment. This collection of
reviews illustrates relationsh…
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psnet.ahrq.gov/node/848828/psn-pdf
May 10, 2023 - Nurse Staffing Standards for Hospital Patient Safety and
Quality Care Act of 2023.
May 10, 2023
118th Cong (2023-2024).
https://psnet.ahrq.gov/issue/nurse-staffing-standards-hospital-patient-safety-and-quality-care-act-2023
Nurse staffing and patient care outcomes are linked, yet variation exists in nursing covera…
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psnet.ahrq.gov/node/43457/psn-pdf
August 02, 2015 - A human factors subsystems approach to trauma care.
August 2, 2015
Catchpole K, Ley EJ, Wiegmann D, et al. A human factors subsystems approach to trauma care. JAMA
Surg. 2014;149(9):962-8.
https://psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care
Human factors analysis led to five system changes i…
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psnet.ahrq.gov/node/44576/psn-pdf
January 23, 2018 - Healthcare Quality and Patient Safety Award.
January 23, 2018
Iowa Healthcare Collaborative.
https://psnet.ahrq.gov/issue/healthcare-quality-and-patient-safety-award
This award seeks to recognize health care organizations and professionals that have exhibited leadership
and innovation in improving patient safety i…
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psnet.ahrq.gov/node/45215/psn-pdf
April 08, 2018 - Primary care pediatricians' interest in diagnostic error
reduction.
April 8, 2018
Rinke ML, Singh H, Ruberman S, et al. Primary care pediatricians' interest in diagnostic error reduction.
Diagnosis (Berl). 2016;3(2):65-69. doi:10.1515/dx-2015-0033.
https://psnet.ahrq.gov/issue/primary-care-pediatricians-interest-d…