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psnet.ahrq.gov/node/43437/psn-pdf
August 13, 2014 - Diagnostic error: untapped potential for improving patient
safety?
August 13, 2014
Groszkruger D. Diagnostic error: untapped potential for improving patient safety? J Healthc Risk Manag.
2014;34(1):38-43. doi:10.1002/jhrm.21149.
https://psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-saf…
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psnet.ahrq.gov/node/44535/psn-pdf
September 30, 2015 - Diagnostic experiences of children with attention-
deficit/hyperactivity disorder.
September 30, 2015
Visser SN, Zablotsky B, Holbrook JR, Danielson ML, Bitsko RH. Natl Health Stat Report. 2015;(81):1-8.
https://psnet.ahrq.gov/issue/diagnostic-experiences-children-attention-deficithyperactivity-disorder
This surve…
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psnet.ahrq.gov/node/45026/psn-pdf
April 19, 2016 - Managing the risks of concurrent surgeries.
April 19, 2016
Mello MM, Livingston EH. Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4.
doi:10.1001/jama.2016.2305.
https://psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries
Scheduling overlapping surgeries may improve operating room efficie…
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psnet.ahrq.gov/node/47047/psn-pdf
June 06, 2018 - MedStar Health Institute for Quality and Safety.
June 6, 2018
MedStar Health. 10980 Grantchester Way, Columbia, MD 21044.
https://psnet.ahrq.gov/issue/medstar-health-institute-quality-and-safety
Health care has recognized the importance of designing systems solutions that reduce risks. Established
within MedStar H…
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psnet.ahrq.gov/node/34899/psn-pdf
February 15, 2010 - Patient safety in anatomic pathology: measuring
discrepancy frequencies and causes.
February 15, 2010
Raab SS, Nakhleh RE, Ruby SG. Patient safety in anatomic pathology: measuring discrepancy frequencies
and causes. Arch Pathol Lab Med. 2005;129(4):459-466.
https://psnet.ahrq.gov/issue/patient-safety-anatomic-path…
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psnet.ahrq.gov/node/39126/psn-pdf
November 25, 2009 - Challenges faced in providing safe care in rural perinatal
settings.
November 25, 2009
Jukkala AM, Kirby RS. Challenges faced in providing safe care in rural perinatal settings. MCN Am J
Matern Child Nurs. 2009;34(6):365-371. doi:10.1097/01.NMC.0000363685.20315.0e.
https://psnet.ahrq.gov/issue/challenges-faced-pro…
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psnet.ahrq.gov/node/45478/psn-pdf
October 26, 2016 - Core principles of quality improvement and patient safety.
October 26, 2016
Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev.
2016;37(10):407-417.
https://psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
This review discusses key patient safet…
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psnet.ahrq.gov/node/42843/psn-pdf
January 22, 2014 - Patient safety in the obstetric and gynecologic office
setting.
January 22, 2014
Keats JP. Patient safety in the obstetric and gynecologic office setting. Obstet Gynecol Clin North Am.
2013;40(4):611-23. doi:10.1016/j.ogc.2013.08.004.
https://psnet.ahrq.gov/issue/patient-safety-obstetric-and-gynecologic-office-set…
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psnet.ahrq.gov/node/43217/psn-pdf
May 28, 2014 - Bullying: a hidden threat to patient safety.
May 28, 2014
Longo J, Hain D. Bullying: a hidden threat to patient safety. Nephrol Nurs J. 2014;41(2):193-99; quiz 200.
https://psnet.ahrq.gov/issue/bullying-hidden-threat-patient-safety
This commentary relates how bullying and other disruptive behaviors remain a pervasi…
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psnet.ahrq.gov/node/73191/psn-pdf
April 23, 2007 - The National Database of Nursing Quality Indicators(TM)
(NDNQI®).
April 23, 2007
Montalvo I. Online J Iss Nurs. 2007;12(3):Manuscript 2.
https://psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir
The quality of nursing care can impact patient outcomes and safety culture…
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psnet.ahrq.gov/node/47475/psn-pdf
January 23, 2019 - Patient Safety and Quality Improvement.
January 23, 2019
Shah RK, ed. Otolaryngol Clin North Am. 2019;52:1-194.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-0
Articles in this special issue apply safety concepts to reducing preventable patient harm in otolaryngology.
The reviews highlight sy…
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psnet.ahrq.gov/node/43495/psn-pdf
December 15, 2014 - Disruptive behaviors among physicians.
December 15, 2014
Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210.
doi:10.1001/jama.2014.10218.
https://psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
This commentary spotlights concerns about physicians with disruptive behaviors an…
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psnet.ahrq.gov/node/844060/psn-pdf
June 01, 2016 - Developing a measure of value in health care.
June 1, 2016
Ken Lee KH, Matthew Austin J, Pronovost PJ. Developing a measure of value in health care. Value Health.
2015;19(4):323-325. doi:10.1016/j.jval.2014.12.009.
https://psnet.ahrq.gov/issue/developing-measure-value-health-care
Value-based healthcare is emerging…
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psnet.ahrq.gov/node/45747/psn-pdf
December 21, 2016 - Implementing No Interruption Zones in the perioperative
environment.
December 21, 2016
Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536-
540. doi:10.1016/j.aorn.2016.09.018.
https://psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environme…
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psnet.ahrq.gov/node/46382/psn-pdf
December 19, 2017 - Medication errors and trainees: advice for learners and
organizations.
December 19, 2017
Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and
Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092.
https://psnet.ahrq.gov/issue/medication-errors-and…
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psnet.ahrq.gov/node/42981/psn-pdf
March 19, 2014 - Recognizing and managing errors of cognitive
underspecification.
March 19, 2014
Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5.
doi:10.1097/PTS.0b013e3182a5f6e1.
https://psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
Inc…
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psnet.ahrq.gov/node/47025/psn-pdf
April 11, 2018 - Chemotherapy medication errors.
April 11, 2018
Weingart SN, Zhang L, Sweeney M, et al. Chemotherapy medication errors. Lancet Oncol.
2018;19(4):e191-e199. doi:10.1016/S1470-2045(18)30094-9.
https://psnet.ahrq.gov/issue/chemotherapy-medication-errors
Chemotherapy errors can result in serious patient harm. This revi…
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psnet.ahrq.gov/node/46417/psn-pdf
October 11, 2017 - Center for Health Care Human Factors.
October 11, 2017
Armstrong Institute for Patient Safety and Quality.
https://psnet.ahrq.gov/issue/center-health-care-human-factors
Human factors engineering has provided unique insights into designing solutions to address human error
and system weaknesses that facilitate mista…
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psnet.ahrq.gov/node/45661/psn-pdf
November 09, 2016 - Center for Diagnostic Excellence.
November 9, 2016
Armstrong Institute for Patient Safety and Quality
https://psnet.ahrq.gov/issue/center-diagnostic-excellence
Diagnostic error has recently been recognized as a serious patient safety concern. Established within the
Armstrong Center for Patient Safety and Quality, …
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psnet.ahrq.gov/node/37326/psn-pdf
January 05, 2012 - Healthy work environments, nurse-physician
communication, and patients' outcomes.
January 5, 2012
Manojlovich M, DeCicco B. Healthy work environments, nurse-physician communication, and patients'
outcomes. Am J Crit Care. 2007;16(6):536-43.
https://psnet.ahrq.gov/issue/healthy-work-environments-nurse-physician-com…