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  1. Improving diagnosis by improving education: a policy brief on education in healthcare professions. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-improving-education-policy-brief-education-healthcare-professions
    August 28, 2019 - October 3, 2018 Narrowing the mindware gap in medicine.

  2. Acting Locally: Working in Clinical Microsystems CD-ROM. | PSNet

    psnet.ahrq.gov/issue/acting-locally-working-clinical-microsystems-cd-rom
    May 20, 2019 - July 8, 2016 Addressing the quality and safety gap—parts I-III.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60853/psn-pdf
    August 26, 2020 - Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. August 26, 2020 Cicero MX, Adelgais K, Hoyle JD, et al. Medication dosing safety for pediatric patients: recognizi…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38160/psn-pdf
    June 16, 2019 - Gaps in pediatric clinician communication and opportunities for improvement. June 16, 2019 Woods D, Holl JL, Angst DB, et al. Gaps in pediatric clinician communication and opportunities for improvement. J Healthc Qual. 2008;30(5):43-54. https://psnet.ahrq.gov/issue/gaps-pediatric-clinician-communication-and-opport…

  5. 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…

  6. COVID-19 exposes potential gaps in PPE training, effectiveness. | PSNet

    psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness
    May 26, 2021 - Newspaper/Magazine Article COVID-19 exposes potential gaps in PPE training, effectiveness. Citation Text: COVID-19 exposes potential gaps in PPE training, effectiveness. Ault A. Medscape Medical News. April 6, 2020. Copy Citation Save Save to your library …

  7. Duplicate medication order errors: safety gaps and recommendations for improvement. | PSNet

    psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement
    March 22, 2023 - Study Duplicate medication order errors: safety gaps and recommendations for improvement. Citation Text: Bocknek L, Kim T, Spaar P, et al. Duplicate medication order errors: safety gaps and recommendations for improvement. Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6. Co…

  8. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. | PSNet

    psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac
    June 01, 2022 - Study Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Citation Text: Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…

  9. Measuring and improving patient safety through health information technology: the Health IT Safety Framework. | PSNet

    psnet.ahrq.gov/issue/measuring-and-improving-patient-safety-through-health-information-technology-health-it-safety
    December 06, 2023 - The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap

  10. Applying the Universal Protocol to improve patient safety in radiology services. | PSNet

    psnet.ahrq.gov/issue/applying-universal-protocol-improve-patient-safety-radiology-services
    March 27, 2018 - July 13, 2016 Bridging the gap between work-as-imagined and work-as-done.

  11. 2017 ISMP Medication Safety Self Assessment for Community/Ambulatory Pharmacy. | PSNet

    psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessment-communityambulatory-pharmacy
    June 07, 2017 - February 6, 2019 ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices.

  12. Medication errors associated with documented allergies. | PSNet

    psnet.ahrq.gov/issue/medication-errors-associated-documented-allergies
    March 18, 2010 - March 18, 2010 Bridging the gap between work-as-imagined and work-as-done.

  13. A pinpoint beam strays invisibly, harming instead of healing. | PSNet

    psnet.ahrq.gov/issue/pinpoint-beam-strays-invisibly-harming-instead-healing
    March 09, 2011 - September 3, 2011 Gap assessment of hospitals' adoption of the just culture principles

  14. At VA hospital, a rogue cancer unit. | PSNet

    psnet.ahrq.gov/issue/va-hospital-rogue-cancer-unit
    March 09, 2011 - July 23, 2014 Gap assessment of hospitals' adoption of the just culture principles.

  15. ISMP QuarterWatch Reports. | PSNet

    psnet.ahrq.gov/issue/ismp-quarterwatch-reports
    June 07, 2017 - February 6, 2019 ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices.

  16. Patient Safety and the Invitational Conference on Contemporary Surgical Quality, Safety and Transparency. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-invitational-conference-contemporary-surgical-quality-safety-and
    October 16, 2008 - September 29, 2010 Bridging the communication gap in the operating room with medical

  17. The horror of awakening during surgery. | PSNet

    psnet.ahrq.gov/issue/horror-awakening-during-surgery
    October 21, 2010 - October 4, 2023 Real-time debriefing after critical events: exploring the gap between

  18. Why worry about near misses? | PSNet

    psnet.ahrq.gov/issue/why-worry-about-near-misses
    February 11, 2014 - September 18, 2019 Gap assessment of hospitals' adoption of the just culture principles

  19. Hospitals learn to say sorry. | PSNet

    psnet.ahrq.gov/issue/hospitals-learn-say-sorry
    October 24, 2012 - May 10, 2023 Mind the Implementation Gap.

  20. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-24
    December 01, 2011 - December 9, 2015 Addressing the quality and safety gap—parts I-III.
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