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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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.…
  6. Psn-Pdf (pdf file)

    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://…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. 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.
  13. 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.
  14. 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.
  15. 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.
  16. 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.
  17. 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.
  18. 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.
  19. 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.
  20. 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.

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