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  1. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.188_slideshow.ppt
    November 01, 2008 - Spotlight Case [MONTH] 2003 Spotlight Case November 2008 Dangerous Shift Source and Credits This presentation is based on the November 2008 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Emily S. Patterson, PhD Institute for Ergonomics, Ohi…
  2. psnet.ahrq.gov/primer/responding-patient-safety-events
    October 18, 2023 - Responding to Patient Safety Events Citation Text: Shaikh U. Responding to Patient Safety Events. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60032/psn-pdf
    March 11, 2020 - Medical teamwork and the evolution of safety science: a critical review. March 11, 2020 Neuhaus C, Lutnæs DE, Bergström J. Medical teamwork and the evolution of safety science: a critical review. Cogn Technol Work. 2020;22(1):13-27. doi:10.1007/s10111-019-00545-8. https://psnet.ahrq.gov/issue/medical-teamwork-and-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865667/psn-pdf
    April 24, 2024 - Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture--a scoping review. April 24, 2024 Scanlan R, Flenady T, Judd J. Impact of short?notice accreditation assessments on hospitals' patient safety and quality culture- a scoping review. J Adv Nurs. 2024;80(10):3965-3976. d…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47601/psn-pdf
    December 21, 2018 - Clinical decision support in the era of artificial intelligence. December 21, 2018 Shortliffe EH, Sepúlveda MJ. Clinical Decision Support in the Era of Artificial Intelligence. JAMA. 2018;320(21):2199-2200. doi:10.1001/jama.2018.17163. https://psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intellige…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45705/psn-pdf
    January 23, 2017 - ASPEN Safe Practices for Enteral Nutrition Therapy. January 23, 2017 Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053. https://psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therap…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48133/psn-pdf
    November 01, 2024 - The NHS Patient Safety Strategy. November 1, 2024 NHS England https://psnet.ahrq.gov/issue/nhs-patient-safety-strategy The United Kingdom National Health Service (NHS) has been at the forefront of patient safety innovation. This strategy seeks to further implement approaches that explore and optimize the intersect…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37667/psn-pdf
    April 02, 2008 - Checklists for assessment and certification of clinical procedural skills omit essential competencies: a systematic review. April 2, 2008 McKinley RK, Strand J, Ward L, et al. Checklists for assessment and certification of clinical procedural skills omit essential competencies: a systematic review. Med Educ. 2008;…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46501/psn-pdf
    March 20, 2018 - Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment. March 20, 2018 Wang EY, Patrick L, Connor DM. Blind Obedience and an Unnecessary Workup for Hypoglycemia: A Teachable Moment. JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.7104. https://psnet.ahrq.gov/issue/blind…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45184/psn-pdf
    June 01, 2016 - Measuring patient safety in primary care: the development and validation of the "Patient Reported Experiences and Outcomes of Safety in Primary Care" (PREOS-PC). June 1, 2016 Ricci-Cabello I, Avery A, Reeves D, et al. Measuring Patient Safety in Primary Care: The Development and Validation of the "Patient Reporte…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42657/psn-pdf
    October 16, 2013 - Medication safety and knowledge-based functions: a stepwise approach against information overload. October 16, 2013 Patapovas A, Dormann H, Sedlmayr B, et al. Medication safety and knowledge-based functions: a stepwise approach against information overload. Br J Clin Pharmacol. 2013;76 Suppl 1:14-24. doi:10.1111/b…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73392/psn-pdf
    June 16, 2021 - AI for radiographic COVID-19 detection selects shortcuts over signal. June 16, 2021 DeGrave AJ, Janizek JD, Lee S-I. AI for radiographic COVID-19 detection selects shortcuts over signal. Nat Mach Intell. 2021;3:610–619. doi:10.1038/s42256-021-00338-7. https://psnet.ahrq.gov/issue/ai-radiographic-covid-19-detection…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851204/psn-pdf
    July 05, 2023 - Drugmakers are abandoning cheap generics, and now US cancer patients can’t get meds. July 5, 2023 Allen A. KFF Health News. June 21, 2023. https://psnet.ahrq.gov/issue/drugmakers-are-abandoning-cheap-generics-and-now-us-cancer-patients- cant-get-meds A variety of supply-chain, quality control, and economic factor…
  14. 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.
  15. 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.
  16. 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.
  17. 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.
  18. 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.
  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/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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