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psnet.ahrq.gov/issue/understanding-and-improving-diagnostic-safety-ambulatory-care
August 17, 2022 - Grant Announcement
Understanding and Improving Diagnostic Safety in Ambulatory Care.
Citation Text:
Understanding and Improving Diagnostic Safety in Ambulatory Care. Rockville, MD: Agency for Healthcare Quality and Research; August 22, 2023.
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psnet.ahrq.gov/issue/national-imperative-improve-nursing-home-quality-honoring-our-commitment-residents-families
November 15, 2022 - Book/Report
The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff.
Citation Text:
The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff. National Academies of Science…
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psnet.ahrq.gov/issue/improving-diagnosis-health-care-implementation-workshop
August 19, 2020 - Audiovisual Presentation
Improving Diagnosis in Health Care: An Implementation Workshop.
Citation Text:
National Academies of Sciences, Engineering, and Medicine; IOM.
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psnet.ahrq.gov/node/837633/psn-pdf
July 06, 2022 - Evaluation of feedback modalities and preferences
regarding feedback on decision-making in a pediatric
emergency department.
July 6, 2022
Graham JMK, Ambroggio L, Leonard JE, et al. Evaluation of feedback modalities and preferences
regarding feedback on decision-making in a pediatric emergency department. Diagnosi…
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psnet.ahrq.gov/issue/typology-solutions-addressing-diagnostic-disparities-gaps-and-opportunities
November 02, 2022 - Study
Typology of solutions addressing diagnostic disparities: gaps and opportunities.
Citation Text:
Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026. …
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psnet.ahrq.gov/issue/society-improve-diagnosis-medicine-dxqi-seed-grant-program
November 08, 2017 - Grant Announcement
Society to Improve Diagnosis in Medicine. DxQI Seed Grant Program.
Citation Text:
Society to Improve Diagnosis in Medicine. DxQI Seed Grant Program. Society to Improve Diagnosis in Medicine.
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psnet.ahrq.gov/issue/how-do-patients-and-care-partners-describe-diagnostic-uncertainty-emergency-department-or
October 23, 2024 - Study
How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting?
Citation Text:
DeGennaro AP, Gonzalez N, Peterson SM, et al. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent c…
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psnet.ahrq.gov/issue/aacn-standards-establishing-and-sustaining-healthy-work-environments-journey-excellence
January 27, 2021 - Organizational Policy/Guidelines
AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence.
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Apri…
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psnet.ahrq.gov/issue/empirical-investigation-channels-facilitate-total-quality-culture
December 21, 2022 - Study
An empirical investigation of the channels that facilitate a total quality culture.
Citation Text:
Gallear D, Ghobadian A. An Empirical Investigation of the Channels that Facilitate a Total Quality Culture. Total Quality Management & Business Excellence. 2004;15(8). doi:10.1080/14…
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psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care
September 07, 2021 - Book/Report
Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care.
Citation Text:
Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. National Academies of Sciences, Engineering, and Medicine 2021. Washington, DC: The National Acad…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
April 01, 2006 - The Myth of the “Surgical Personality”
Surgery requires a specific skill set
Excellent eye-hand coordination
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - • Naloxone has an excellent safety profile; however, due to the short
half-life, repeat doses of … oximetry have high prognostic value in
determining respiratory depression events.
• Naloxone has an excellent
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psnet.ahrq.gov/print/pdf/node/865864
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Diagnostic Error
Curated Library
Incidence of Diagnostic Errors
25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the
National Practitioner Data Bank.
Tehrani ASS, Lee HW, Mathews SC, et al. BMJ Qua…
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psnet.ahrq.gov/node/48173/psn-pdf
August 28, 2019 - Does learning from mistakes have to be painful? Analysis
of 5 years' experience from the Leeds radiology
educational cases meetings identifies common repetitive
reporting errors and suggests acknowledging and
celebrating excellence (ACE) as a more positive way of
teaching the same lessons.
August 28, 2019
Koo A,…
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psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop-brief
September 20, 2017 - Meeting/Conference Proceedings
Communicating Clearly About Medicines: Proceedings of a Workshop—in Brief.
Citation Text:
Communicating Clearly About Medicines: Proceedings of a Workshop—in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academie…
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psnet.ahrq.gov/issue/project-pivot
July 17, 2024 - Multi-use Website
Project Pivot.
Citation Text:
Project Pivot. Patients for Patient Safety US.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/periodic-issue/periodic-issue-454
September 25, 2024 - September 4, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repor…
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psnet.ahrq.gov/issue/how-safe-your-care-measurement-and-monitoring-safety-through-eyes-patients-and-their-care
August 16, 2016 - Book/Report
How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners.
Citation Text:
How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. Jefs L, Kuluski K, MacLaurin A, e…
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psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology
April 05, 2013 - Study
Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons.
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psnet.ahrq.gov/issue/success-resident-led-safety-council-model-satisfying-cler-pathways-excellence-patient-safety
August 01, 2018 - Study
Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals.
Citation Text:
Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goal…