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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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. …
  9. 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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. psnet.ahrq.gov/curated-library/organizational-learning
    September 15, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Organizational Learning  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team…
  13. Psn-Pdf (pdf file)

    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-…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. 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
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. 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

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