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psnet.ahrq.gov/node/838639/psn-pdf
October 19, 2022 - Calibrate Dx: A Resource to Improve Diagnostic
Decisions.
October 19, 2022
Rockville, MD: Agency for Healthcare Research and Quality; October 2022. AHRQ Publication no. 22(23)-
0047-2-EF.
https://psnet.ahrq.gov/issue/calibrate-dx-resource-improve-diagnostic-decisions
Delayed, wrong, and missed diagnoses are commo…
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psnet.ahrq.gov/node/47513/psn-pdf
October 24, 2021 - Measurement and Monitoring of Safety Framework
October 24, 2021
Healthcare Excellence Canada.
https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-canada-cpsi-safety-improvement-project
Collaboratives are a recognized strategy to support large-scale improvement. This program works to apply
a framework fo…
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psnet.ahrq.gov/node/862158/psn-pdf
February 07, 2024 - Current State of Diagnostic Safety: Implications for
Research, Practice, and Policy.
February 7, 2024
Khan S, Cholankeril R, Sloane J, et al. Rockville, MD: Agency for Healthcare Research and Quality;
January 2024. Publication no. 24-0010-1-EF.
https://psnet.ahrq.gov/issue/current-state-diagnostic-safety-implicati…
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psnet.ahrq.gov/node/866399/psn-pdf
July 31, 2024 - Typology of solutions addressing diagnostic disparities:
gaps and opportunities.
July 31, 2024
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.
https://psnet.ahrq.gov/issue/typol…
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psnet.ahrq.gov/node/42870/psn-pdf
January 15, 2014 - Variation in Patient Safety Outcomes and the Importance
of Being Informed.
January 15, 2014
Golden, CO: Healthgrades; 2013.
https://psnet.ahrq.gov/issue/variation-patient-safety-outcomes-and-importance-being-informed
This analysis of Medicare hospitalization data from 2009–2011 highlights hospital eff…
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psnet.ahrq.gov/node/35014/psn-pdf
August 17, 2011 - A team performance measurement model for continuous
improvement.
August 17, 2011
Çiçek MC, Köksal G, Özdemirel NE. A team performance measurement model for continuous
improvement. Total Quality Management & Business Excellence. 2007;16(3).
doi:10.1080/14783360500054129.
https://psnet.ahrq.gov/issue/team-performan…
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psnet.ahrq.gov/node/837709/psn-pdf
July 20, 2022 - Improving Diagnosis in Medicine Act of 2022.
July 20, 2022
117th Cong, 2d Sess (2022)
https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2022
Strengthening diagnostic error research and training can lead to sustained diagnostic improvement.
Expanding upon legislation introduced in 2020, the “Improving D…
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psnet.ahrq.gov/node/867529/psn-pdf
January 15, 2025 - “I had no idea this happened”: electronic feedback on
clinical reasoning for hospitalists.
January 15, 2025
Kotwal S, Udayappan KM, Kutheala N, et al. “I had no idea this happened”: electronic feedback on clinical
reasoning for hospitalists. J Gen Intern Med. 2024;39(16):3271-3277. doi:10.1007/s11606-024-09058-1.
…
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psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
February 17, 2021 - Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls
Citation Text:
Olson APJ. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departme…
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psnet.ahrq.gov/node/35379/psn-pdf
June 15, 2011 - Report 6: Managing Risk and Minimising Mistakes in
Services to Children and Families.
June 15, 2011
Bostock L, Bairstow S, Fish S, et al. London, UK: Social Care Institute for Excellence; September 2005.
https://psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families
This…
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psnet.ahrq.gov/node/37450/psn-pdf
June 13, 2011 - Technical patient safety solutions for medicines
reconciliation on admission of adults to hospital.
June 13, 2011
Manchester, UK: National Institute for Health and Clinical Excellence; 2015.
https://psnet.ahrq.gov/issue/technical-patient-safety-solutions-medicines-reconciliation-admission-adults-
hospital
This gu…
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psnet.ahrq.gov/curated-library/organizational-learning
September 15, 2025 - Breadcrumb
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team…
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psnet.ahrq.gov/node/50808/psn-pdf
January 15, 2020 - Health Services Research Priorities for Improving
Diagnostic Safety and Quality. Special Emphasis Notice
(SEN).
January 15, 2020
Rockville, MD: Agency for Healthcare Research and Quality. December 27, 2019. Publication No. NOT-
HS-20-004.
https://psnet.ahrq.gov/issue/health-services-research-priorities-improving-…
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psnet.ahrq.gov/node/861280/psn-pdf
January 24, 2024 - Factors influencing diagnostic accuracy among intensive
care unit clinicians - an observational study.
January 24, 2024
Bergl PA, Shukla N, Shah J, et al. Factors influencing diagnostic accuracy among intensive care unit
clinicians – an observational study. Diagnosis (Berl). 2024;11(1):31-39. doi:10.1515/dx-2023-00…
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psnet.ahrq.gov/node/867753/psn-pdf
March 12, 2025 - Enhancing patient safety and risk management through
clinical pathways in oncology.
March 12, 2025
Milanesi M, Fiorito R, Caloccia L, et al. Enhancing patient safety and risk management through clinical
pathways in oncology. BMJ Open Qual. 2025;14(1):e003012. doi:10.1136/bmjoq-2024-003012.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - 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/node/73653/psn-pdf
September 01, 2021 - Improving diagnostic performance through feedback: the
Diagnosis Learning Cycle.
September 1, 2021
Fernandez Branson C, Williams M, Chan TM, et al. Improving diagnostic performance through feedback:
the Diagnosis Learning Cycle. BMJ Qual Saf. 2021;30(12):1002-1009. doi:10.1136/bmjqs-2020-012456.
https://psnet.ahrq…
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psnet.ahrq.gov/node/43217/psn-pdf
May 28, 2014 - Bullying: a hidden threat to patient safety.
May 28, 2014
Longo J, Hain D. Bullying: a hidden threat to patient safety. Nephrol Nurs J. 2014;41(2):193-99; quiz 200.
https://psnet.ahrq.gov/issue/bullying-hidden-threat-patient-safety
This commentary relates how bullying and other disruptive behaviors remain a pervasi…
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psnet.ahrq.gov/node/42843/psn-pdf
January 22, 2014 - Patient safety in the obstetric and gynecologic office
setting.
January 22, 2014
Keats JP. Patient safety in the obstetric and gynecologic office setting. Obstet Gynecol Clin North Am.
2013;40(4):611-23. doi:10.1016/j.ogc.2013.08.004.
https://psnet.ahrq.gov/issue/patient-safety-obstetric-and-gynecologic-office-set…
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psnet.ahrq.gov/web-mm/coming-short
May 20, 2020 - At the individual level, the growth chart is an excellent "log book" of a child's health both in physical