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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39224/psn-pdf
    August 11, 2015 - Diagnostic error and clinical reasoning. August 11, 2015 Norman GR, Eva KW. Diagnostic error and clinical reasoning. Med Educ. 2010;44(1):94-100. doi:10.1111/j.1365-2923.2009.03507.x. https://psnet.ahrq.gov/issue/diagnostic-error-and-clinical-reasoning This article reviews evidence on the cognitive origins of diag…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41842/psn-pdf
    March 08, 2015 - Patient safety in the OR. March 8, 2015 Stempniak M. Patient safety in the OR. Hospitals & health networks. 2012;86(10):8 p following 40. https://psnet.ahrq.gov/issue/patient-safety-or-0 This article examines patient safety concerns in the operating room, including their causes and how teamwork, checklists, and im…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34014/psn-pdf
    January 25, 2008 - Medication errors in pediatrics—the octopus evading defeat. January 25, 2008 Sullivan JE, Buchino JJ. Medication errors in pediatrics--the octopus evading defeat. J Surg Oncol. 2004;88(3):182-8. https://psnet.ahrq.gov/issue/medication-errors-pediatrics-octopus-evading-defeat This review examines pediatric medicat…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39312/psn-pdf
    February 17, 2010 - Patient safety in dermatology: a review of the literature. February 17, 2010 Cao LY, Taylor JS, Vidimos A. Patient safety in dermatology: a review of the literature. Dermatol Online J. 2010;16(1):3. https://psnet.ahrq.gov/issue/patient-safety-dermatology-review-literature This review examines numerous safety issue…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38881/psn-pdf
    November 08, 2012 - Are patients in part to blame when doctors miss the diagnosis? November 8, 2012 Chen PW https://psnet.ahrq.gov/issue/are-patients-part-blame-when-doctors-miss-diagnosis This column recounts a case of delayed diagnosis and examines how communication and process of care failures can contribute to diagnostic errors.…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38471/psn-pdf
    March 11, 2009 - Assessing the performance of surgical teams. March 11, 2009 Leach LS, Myrtle RC, Weaver FA, et al. Assessing the performance of surgical teams. Health Care Manage Rev. 2009;34(1):29-41. doi:10.1097/01.HMR.0000342977.84307.64. https://psnet.ahrq.gov/issue/assessing-performance-surgical-teams This qualitative study …

  7. The Effectiveness of an HIT-based Care Transition Information Transfer System to Improve Outpatient Post-Hospital Care for Medically Complex Patients - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017864-ciemins-final-report-2012.pdf
    January 01, 2012 - This study contributes to the literature by describing and examining the effects of an 6 intervention

  8. Binge-Eating Executive (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/binge-eating_executive.pdf
    December 01, 2015 - Differences in Course of Illness for Subgroups We found no evidence examining differences in the course … relatively short; only two trials reported followup beyond the end of treatment.111,112 Similar studies examining … Of particular concern in these studies is examining the important clinical and policy aspects of the

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42798/psn-pdf
    June 17, 2014 - The concept of shared mental models in healthcare collaboration. June 17, 2014 McComb SA, Simpson V. The concept of shared mental models in healthcare collaboration. J Adv Nurs. 2014;70(7):1479-88. doi:10.1111/jan.12307. https://psnet.ahrq.gov/issue/concept-shared-mental-models-healthcare-collaboration This conce…

  10. AHRQ Works | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/clinician/ahrq-works/index.html
    July 01, 2017 - AHRQ Works This series of documents provide examples of how AHRQ's research-backed tools are being used in practice. AHRQ Works: Building Bridges Between Research and Practice Provides examples of how AHRQ is building the bridge between research and practice to:  Keep patients safe. Help doctors and n…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40053/psn-pdf
    December 01, 2010 - Medical malpractice liability in the age of electronic health records. December 1, 2010 Mangalmurti SS, Murtagh L, Mello MM. Medical malpractice liability in the age of electronic health records. N Engl J Med. 2010;363(21):2060-7. doi:10.1056/NEJMhle1005210. https://psnet.ahrq.gov/issue/medical-malpractice-liabili…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39901/psn-pdf
    January 19, 2011 - Barriers to reporting medication errors: a measurement equivalence perspective. January 19, 2011 Etchegaray J, Throckmorton T. Barriers to reporting medication errors: a measurement equivalence perspective. Qual Saf Health Care. 2010;19(6):e14. doi:10.1136/qshc.2008.031534. https://psnet.ahrq.gov/issue/barriers-re…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37319/psn-pdf
    January 05, 2012 - Winning the battle for standardization. January 5, 2012 Durkee RP, Richard LW. Winning the battle for standardization. The U.S. Army Medical Department examines the EMR to develop a standardized process for medication reconciliation documentation. Health Manag Technol. 2007;28(10):34-37. https://psnet.ahrq.gov/iss…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50714/psn-pdf
    December 04, 2019 - Suicidal patient slips through the cracks. December 4, 2019 Oakbrook Terrace, IL: Joint Commission: October 2019. https://psnet.ahrq.gov/issue/suicidal-patient-slips-through-cracks Inpatient suicide is increasing as a safety concern. This case analysis offers two levels of examination of a hypothetical patient sui…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37494/psn-pdf
    January 23, 2008 - Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies. January 23, 2008 Levinson DR. Washington DC: US Department of Health and Human Services, Office of Inspector General. January 2008, OEI-02-06-00310. https://psnet.ahrq.gov/issue/physician-owned-specialty-hospitals-ability-manage-medic…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37370/psn-pdf
    March 28, 2012 - Communication skills and error in the intensive care unit. March 28, 2012 Reader TW, Flin R, Cuthbertson BH. Communication skills and error in the intensive care unit. Curr Opin Crit Care. 2007;13(6):732-6. https://psnet.ahrq.gov/issue/communication-skills-and-error-intensive-care-unit This article examines how ef…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36930/psn-pdf
    September 09, 2011 - Team structure and adverse events in home health care. September 9, 2011 Feldman PH, Bridges J, Peng T. Team structure and adverse events in home health care. Med Care. 2007;45(6):553-61. https://psnet.ahrq.gov/issue/team-structure-and-adverse-events-home-health-care The investigators examined the role of team var…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36396/psn-pdf
    December 22, 2010 - Interdisciplinary communication: an uncharted source of medical error? December 22, 2010 Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care. 2006;21(3):236-42; discussion 242. https://psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37967/psn-pdf
    August 27, 2009 - Life after death: the aftermath of perioperative catastrophes. August 27, 2009 Gazoni FM, Durieux ME, Wells L. Life after death: the aftermath of perioperative catastrophes. Anesth Analg. 2008;107(2):591-600. doi:10.1213/ane.0b013e31817a9c77. https://psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-ca…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33968/psn-pdf
    July 08, 2016 - Health Literacy: A Prescription to End Confusion. July 8, 2016 Nielsen-Bohlman L; Panzer AM; Kindig DA; Board on Neuroscience and Behavioral Health, Institute of Medicine. Washington, DC: The National Academies Press; 2004. ISBN: 9780309283328. https://psnet.ahrq.gov/issue/health-literacy-prescription-end-confusion…
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