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psnet.ahrq.gov/issue/liquid-based-papanicolaou-tests-endometrial-carcinoma-diagnosis-performance-error-root-cause
September 01, 2012 - Study
Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement.
Citation Text:
Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analys…
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psnet.ahrq.gov/issue/squire-guidelines-evaluation-field-5-years-post-release
November 18, 2016 - Study
The SQUIRE Guidelines: an evaluation from the field, 5 years post release.
Citation Text:
Davies L, Batalden P, Davidoff F, et al. The SQUIRE Guidelines: an evaluation from the field, 5 years post release. BMJ Qual Saf. 2015;24(12):769-75. doi:10.1136/bmjqs-2015-004116.
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psnet.ahrq.gov/issue/making-business-case-patient-safety
March 04, 2011 - Commentary
Making the business case for patient safety.
Citation Text:
Weeks WB, Bagian JP. Making the business case for patient safety. Jt Comm J Qual Saf. 2003;29(1):51-4, 1.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - the published trigger tools, consistently demonstrates compelling operator characteristics, including excellent … inter- and intra-rater reliability, very good to excellent sensitivity, and excellent specificity when … specific trigger tools available for areas such as pediatric and neonatal intensive care units, etc.)• Excellent
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - the published trigger tools, consistently demonstrates compelling operator characteristics, including excellent … inter- and intra-rater reliability, very good to excellent sensitivity, and excellent specificity when … specific trigger tools available for areas such as pediatric and neonatal intensive care units, etc.)• Excellent
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psnet.ahrq.gov/node/847542/psn-pdf
April 12, 2023 - Imagining the future of diagnostic performance feedback.
April 12, 2023
Rosner BI, Zwaan L, Olson APJ. Imagining the future of diagnostic performance feedback. Diagnosis
(Berl). 2023;10(1):31-37. doi:10.1515/dx-2022-0055.
https://psnet.ahrq.gov/issue/imagining-future-diagnostic-performance-feedback
Peer feedback i…
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psnet.ahrq.gov/node/74259/psn-pdf
January 19, 2022 - Diagnostic reasoning in cardiovascular medicine.
January 19, 2022
Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ.
2022;376:e064389. doi:10.1136/bmj-2021-064389.
https://psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine
Misdiagnosis of heart failure can lead to…
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psnet.ahrq.gov/node/841199/psn-pdf
December 07, 2022 - Press Play on Safety Conversations.
December 7, 2022
Healthcare Excellence Canada. 2022.
https://psnet.ahrq.gov/issue/press-play-safety-conversations
After a patient safety incident, effective discussions are critical for healing and improvement. This website
houses collections of materials to support constructive…
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psnet.ahrq.gov/node/866358/psn-pdf
July 24, 2024 - To improve health care, focus on fixing systems — not
people.
July 24, 2024
Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people.
Harvard Business Review. July 12, 2024;
https://psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
While a focus on the…
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psnet.ahrq.gov/node/867190/psn-pdf
November 20, 2024 - Misdiagnosis is dangerous. Help your doctor get it right.
November 20, 2024
Terry K. Misdiagnosis is dangerous. Help your doctor get it right. WebMD. November 11, 2024;
https://psnet.ahrq.gov/issue/misdiagnosis-dangerous-help-your-doctor-get-it-right
Patients are partners in health care and can inform actions to id…
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psnet.ahrq.gov/node/60008/psn-pdf
July 09, 2024 - IHI Patient Safety Congress.
July 9, 2024
Institute for Healthcare Improvement. San Diego, CA, March 10-11, 2025.
https://psnet.ahrq.gov/issue/ihi-patient-safety-congress
This annual conference will host pre-session workshops, panels, and presentations covering a variety of
patient safety topics that ali…
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psnet.ahrq.gov/node/866118/psn-pdf
June 12, 2024 - Factors Affecting the Delivery of Safe Care in Midwifery
Units.
June 12, 2024
Maternity and Newborn Safety Investigations Programme. Newcastle Upon Tyne, UK: Care Quality
Commission; May 2024.
https://psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units
Safe maternal care is a challenge world…
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psnet.ahrq.gov/node/33745/psn-pdf
February 01, 2013 - role that consumers might play in preventing medical errors and advancing patient
safety.(5) There is excellent
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - barking, "What would you expect when you wake up a patient in the
middle of the night from deep sleep—an excellent … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
Luckily, this case has a good outcome from excellent
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psnet.ahrq.gov/web-mm/wet-read
October 01, 2017 - Take-Home Points
Radiology residents provide excellent emergency coverage off-hours, but some significant … Image on right obtained with correct contrast bolus timing shows excellent pulmonary artery enhancement
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - barking, "What would you expect when you wake up a patient in the middle of the night from deep sleep—an excellent … Luckily, this case has a good outcome from excellent teamwork.
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psnet.ahrq.gov/node/33766/psn-pdf
May 01, 2014 - You are tempted to have excellent results at the time of accreditation, but it doesn't tell you that … themselves at an institutional level to know whether
the hospital is positioned to become a good or even an excellent
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psnet.ahrq.gov/node/72688/psn-pdf
October 06, 2022 - Request for proposals for clinical quality measures to
improve diagnosis.
October 6, 2022
Palo Alto CA; Gordon and Betty Moore Foundation: February 22, 2022.
https://psnet.ahrq.gov/issue/request-proposals-clinical-quality-measures-improve-diagnosis
A lack of consensus on measures for the effectiveness and ac…
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psnet.ahrq.gov/node/865521/psn-pdf
April 10, 2024 - Inappropriate diagnosis of pneumonia among
hospitalized adults.
April 10, 2024
Gupta AB, Flanders SA, Petty LA, et al. Inappropriate diagnosis of pneumonia among hospitalized adults.
JAMA Intern Med. 2024;184(4):548-556. doi:10.1001/jamainternmed.2024.0077.
https://psnet.ahrq.gov/issue/inappropriate-diagnosis-pneu…
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psnet.ahrq.gov/node/33871/psn-pdf
December 22, 2018 - Many excellent resources for maternal safety are freely available and the hemorrhage, hypertension,