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psnet.ahrq.gov/training-catalog/upcoming-online-events
August 09, 2025 - Upcoming online events
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Organization:
Organization
University of California, San Francisco Coordinating Center For Diagnostic Excellence
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psnet.ahrq.gov/node/74275/psn-pdf
December 06, 2023 - Spotlight Series
December 6, 2023
Healthcare Excellence Canada. 2020-2024.
https://psnet.ahrq.gov/issue/all-one-and-one-all-how-patient-safety-starts-healthcare-workers
This quarterly webinar series focuses on a variety of topics that support patient safety and quality
improvement such as learning from event revie…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
July 01, 2010 - in the obese patient, including minimal need for airway manipulation
Epidural catheters can provide excellent
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psnet.ahrq.gov/node/49571/psn-pdf
October 01, 2008 - At the individual level, the growth chart is an excellent "log book" of a child's health both in physical
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psnet.ahrq.gov/issue/tracking-progress-improving-diagnosis-framework-defining-undesirable-diagnostic-events
September 01, 2021 - Commentary
Classic
Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events.
Citation Text:
Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J G…
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-cognitive-bias-and-medical-error-obstetrics
May 18, 2022 - Organizational Policy/Guidelines
Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities.
Citation Text:
Atallah F, Hamm RF, Davidson CM, et al. Society for Maternal-Fetal Medicine Special Statement: Cognitive bia…
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psnet.ahrq.gov/issue/ahrq-announces-interest-research-about-epidemiology-patient-safety-risks-and-harms-ambulatory
August 15, 2018 - Government Resource
AHRQ Announces Interest in Research About the Epidemiology of Patient Safety Risks and Harms in Ambulatory Health Care Settings.
Citation Text:
AHRQ Announces Interest in Research About the Epidemiology of Patient Safety Risks and Harms in Ambulatory Health Care Setti…
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psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
April 24, 2018 - Commentary
Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.
Citation Text:
Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…
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psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-facilities-r18
May 30, 2018 - Grant Announcement
Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18).
Citation Text:
Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018.…
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psnet.ahrq.gov/issue/diagnostic-errors-and-diagnostic-calibration
April 04, 2018 - Commentary
Diagnostic errors and diagnostic calibration.
Citation Text:
Cifu AS. Diagnostic Errors and Diagnostic Calibration. JAMA. 2017;318(10):905-906. doi:10.1001/jama.2017.11030.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…
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psnet.ahrq.gov/issue/how-use-article-about-quality-improvement
August 03, 2010 - Commentary
How to use an article about quality improvement.
Citation Text:
Fan E, Laupacis A, Pronovost P, et al. How to use an article about quality improvement. JAMA. 2010;304(20):2279-87. doi:10.1001/jama.2010.1692.
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Format:
DOI Google Scholar PubMed BibTe…
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psnet.ahrq.gov/issue/teaching-about-diagnostic-errors-through-virtual-patient-cases-pilot-exploration
September 18, 2013 - Study
Teaching about diagnostic errors through virtual patient cases: a pilot exploration.
Citation Text:
Geha R, Trowbridge RL, Dhaliwal G, et al. Teaching about diagnostic errors through virtual patient cases: a pilot exploration. Diagnosis (Berl). 2018;5(4):223-227. doi:10.1515/dx-201…
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psnet.ahrq.gov/node/35586/psn-pdf
March 15, 2021 - Healthcare Excellence Canada.
March 15, 2021
150 Kent Street, Suite 200, Ottawa, Ontario, K1P 0E4 Canada.
https://psnet.ahrq.gov/issue/canadian-patient-safety-institute
This new organization fosters collaboration between governments and stakeholders in developing patient
safety initiatives. This Web site provides …
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psnet.ahrq.gov/node/851099/psn-pdf
June 28, 2023 - The hand and foot have excellent collateral blood flow and the radial and
dorsalis pedis arteries therefore … As a result of excellent
collateral blood supply in the hand and foot, radial and dorsalis pedis arterial
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psnet.ahrq.gov/issue/measurement-essential-improving-diagnosis-and-reducing-diagnostic-error-report-institute
January 23, 2017 - Commentary
Classic
Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine.
Citation Text:
McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…
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psnet.ahrq.gov/issue/identifying-adverse-events-reflections-imperfect-gold-standard-after-20-years-patient-safety
September 09, 2015 - Commentary
Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research.
Citation Text:
Shojania KG, Marang-van de Mheen PJ. Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research.…
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psnet.ahrq.gov/issue/crossing-global-quality-chasm-improving-health-care-worldwide
June 15, 2011 - Book/Report
Classic
Crossing the Global Quality Chasm: Improving Health Care Worldwide.
Citation Text:
Crossing the Global Quality Chasm: Improving Health Care Worldwide. Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,…
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psnet.ahrq.gov/node/45241/psn-pdf
October 31, 2023 - Hospital Harm Project.
October 31, 2023
Canadian Institute for Health Information, Health Excellence Canada.
https://psnet.ahrq.gov/issue/hospital-harm-project
Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative
developed a measure to track unintended harm in acute c…
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psnet.ahrq.gov/node/848105/psn-pdf
April 26, 2023 - GoodDx.org
April 26, 2023
GoodDx.
https://psnet.ahrq.gov/issue/gooddxorg
Effective feedback is an important component of individual, team and organizational learning in order to
achieve safe diagnosis. GoodDx.org houses a variety of diagnostic performance feedback resources for
use by clinicians, patient safety p…
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psnet.ahrq.gov/node/865934/psn-pdf
May 01, 2023 - MHA Person- and Family-Centered Care.
May 1, 2023
MHA Keystone Center. Michigan Health and Hospital Association.
https://psnet.ahrq.gov/issue/mha-person-and-family-centered-care
Person- and family-centered (PFC) care puts the patient and their family at the center of decision making
and planning for their health a…