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psnet.ahrq.gov/node/38453/psn-pdf
January 02, 2017 - A multidisciplinary team approach to retained foreign
objects.
January 2, 2017
Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects.
Jt Comm J Qual Saf. 2009;35(3):123-132.
https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects
Th…
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psnet.ahrq.gov/node/39027/psn-pdf
September 29, 2017 - Disclosing clinical adverse events to patients: can
practice inform policy?
September 29, 2017
Sorensen R, Iedema R, Piper D, et al. Disclosing clinical adverse events to patients: can practice inform
policy? Health Expect. 2010;13(2):148-59. doi:10.1111/j.1369-7625.2009.00569.x.
https://psnet.ahrq.gov/issue/discl…
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psnet.ahrq.gov/node/853627/psn-pdf
September 20, 2023 - Understanding And Addressing Pre-Hospital Diagnostic
Delays.
September 20, 2023
Health Affairs Forefront; May-September 2023.
https://psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays
Diagnostic delays stem from both human and process failures. This series of articles examines how
s…
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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/38785/psn-pdf
September 02, 2009 - An ethnographic study of classifying and accounting for
risk at the sharp end of medical wards.
September 2, 2009
Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk
at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362-9. doi:10.1016/j.socscimed.2009.…
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psnet.ahrq.gov/node/41745/psn-pdf
October 10, 2012 - Email for communicating results of diagnostic medical
investigations to patients.
October 10, 2012
Meyer B, Atherton H, Sawmynaden P, et al. Email for communicating results of diagnostic medical
investigations to patients. Cochrane Database of Systematic Reviews. 2012.
doi:10.1002/14651858.cd007980.pub2.
https://…
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psnet.ahrq.gov/node/45638/psn-pdf
January 01, 2019 - Measures to improve diagnostic safety in clinical practice.
November 2, 2016
Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf.
2019;15(4):311-316. doi:10.1097/PTS.0000000000000338.
https://psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practic…
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psnet.ahrq.gov/node/44550/psn-pdf
September 30, 2015 - Infections associated with reprocessed flexible
bronchoscopes.
September 30, 2015
FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015.
https://psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes
Use of incompletely cleaned medical devices has b…
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psnet.ahrq.gov/node/36211/psn-pdf
February 13, 2008 - AORN Guidance Statement: Safe Medication Practices in
Perioperative Settings Across the Life Span.
February 13, 2008
AORN guidance statement: safe medication practices in perioperative settings across the life span. AORN
J. 2006;84(2):276-283.
https://psnet.ahrq.gov/issue/aorn-guidance-statement-safe-medication-pr…
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psnet.ahrq.gov/node/60627/psn-pdf
June 24, 2020 - Second opinions improve healthcare outcomes and
reduce costs.
June 24, 2020
Hébert AR. Second opinions improve healthcare outcomes and reduce costs. Employee Benefit News.
2020;June 8.
https://psnet.ahrq.gov/issue/second-opinions-improve-healthcare-outcomes-and-reduce-costs
Second opinions are a strategy for redu…
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psnet.ahrq.gov/node/39556/psn-pdf
May 26, 2010 - Adherence to a medication safety protocol: current
practice for labeling medications and solutions on the
sterile field.
May 26, 2010
Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling
medications and solutions on the sterile field. AORN J. 2010;91(5):610-7. doi:1…
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psnet.ahrq.gov/issue/breast-cancer-missed-screening-hindsight-or-mistakes
November 15, 2023 - January 29, 2020
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/discrepancies-between-clinical-and-autopsy-diagnosis-and-value-post-mortem-histology-meta
September 22, 2021 - March 23, 2012
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
April 21, 2011 - October 4, 2011
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
November 03, 2015 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis-electronic-health
January 19, 2012 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
May 01, 2013 - December 27, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
March 28, 2012 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
May 05, 2010 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
October 04, 2011 - June 18, 2013
Why Current Breast Pathology Practices Must Be Evaluated.