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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43646/psn-pdf
    January 01, 2021 - Patient Safety Systems Chapter. January 1, 2021 In: 2021 Comprehensive Accreditation Manual for Hospitals. CAMH. Oakbrook Terrace, IL: Joint Commission; January 2021:PS1-PS46. https://psnet.ahrq.gov/issue/patient-safety-systems-chapter This chapter provides information about how organizations can re-design existin…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60961/psn-pdf
    September 30, 2020 - Identifying psychiatric diagnostic errors with the Safer Dx Instrument. September 30, 2020 Fletcher TL, Helm A, Vaghani V, et al. Identifying psychiatric diagnostic errors with the Safer Dx Instrument. Int J Qual Health Care. 2020;32(6):405-411. doi:10.1093/intqhc/mzaa066. https://psnet.ahrq.gov/issue/identifying-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36004/psn-pdf
    March 28, 2011 - Opportunities for performance improvement in relation to medication administration during pediatric stabilization. March 28, 2011 Morgan N. Opportunities for performance improvement in relation to medication administration during pediatric stabilization. Quality and Safety in Health Care. 2006;15(3). doi:10.1136/qs…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43985/psn-pdf
    December 06, 2017 - Development of a medication safety and quality survey for small rural hospitals. December 6, 2017 Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.0000000000000154. https://psnet.ahrq.go…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35708/psn-pdf
    March 28, 2011 - Interventions in primary care to reduce medication related adverse events and hospital admissions: systematic review and meta-analysis. March 28, 2011 Royal S, Smeaton L, Avery A, et al. Interventions in primary care to reduce medication related adverse events and hospital admissions: systematic review and meta-an…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45587/psn-pdf
    January 23, 2017 - Comparison of physician and computer diagnostic accuracy. January 23, 2017 Semigran HL, Levine DM, Nundy S, et al. Comparison of Physician and Computer Diagnostic Accuracy. JAMA Intern Med. 2016;176(12):1860-1861. doi:10.1001/jamainternmed.2016.6001. https://psnet.ahrq.gov/issue/comparison-physician-and-computer-d…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38431/psn-pdf
    February 25, 2009 - Surgical team training: the Northwestern Memorial Hospital experience. February 25, 2009 Halverson AL, Andersson JL, Anderson K, et al. Surgical team training: the Northwestern Memorial Hospital experience. Arch Surg. 2009;144(2):107-12. doi:10.1001/archsurg.2008.545. https://psnet.ahrq.gov/issue/surgical-team-tra…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40519/psn-pdf
    June 08, 2011 - A public health approach to patient safety reporting systems is urgently needed. June 8, 2011 Noble DJ, Panesar S, Pronovost P. A public health approach to patient safety reporting systems is urgently needed. J Patient Saf. 2011;7(2):109-12. doi:10.1097/PTS.0b013e31821b8a6c. https://psnet.ahrq.gov/issue/public-hea…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60885/psn-pdf
    September 02, 2020 - Becoming a High Reliability Organization. September 2, 2020 VHA Forum. Summer 2020;1-12. https://psnet.ahrq.gov/issue/becoming-high-reliability-organization High reliability attainment is a stated goal for health care organizations. This special issue covers established initiatives at the United States Veterans He…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48025/psn-pdf
    June 19, 2019 - Accuracy of a popular online symptom checker for ophthalmic diagnoses. June 19, 2019 Shen C, Nguyen M, Gregor A, et al. Accuracy of a Popular Online Symptom Checker for Ophthalmic Diagnoses. JAMA Ophthalmol. 2019;137(6):690-692. doi:10.1001/jamaophthalmol.2019.0571. https://psnet.ahrq.gov/issue/accuracy-popular-on…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42560/psn-pdf
    September 18, 2013 - Intra-operative monitoring—many alarms with minor impact. September 18, 2013 de Man FR, Greuters S, Boer C, et al. Intra-operative monitoring--many alarms with minor impact. Anaesthesia. 2013;68(8):804-10. doi:10.1111/anae.12289. https://psnet.ahrq.gov/issue/intra-operative-monitoring-many-alarms-minor-impact The…
  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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