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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…
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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-…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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.