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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838309/psn-pdf
    October 12, 2022 - Duplicate medication order errors: safety gaps and recommendations for improvement. October 12, 2022 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. https://psnet.ahrq.gov/issue/duplic…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837334/psn-pdf
    June 08, 2022 - Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. June 8, 2022 Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Catheter …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73856/psn-pdf
    September 22, 2021 - Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. September 22, 2021 Barber Doucet H, Ward VL, Johnson TJ, et al. Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. Clin Pediatr (Phila). 2021;60(9-10):408-417. doi:10…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72798/psn-pdf
    March 03, 2021 - Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study. March 3, 2021 Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observationa…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37570/psn-pdf
    February 27, 2008 - Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. February 27, 2008 Witherington EMA, Pirzada OM, Avery A. Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. Qual Saf Health Care. 2008;17(1):71-5. doi:1…

  6. 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…

  7. High-Priority Evidence Gaps for Clinical Preventive Services Improving the Health of Women Through Research (pdf file)

    www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/2015annlrpt%20(4)_0.pdf
    January 01, 2016 - The most significant research gap identified by the USPSTF is whether patients identified by screening … A critical gap in the evidence is the lack of an accurate screening strategy to identify vitamin D deficiency

  8. High-Priority Evidence Gaps for Clinical Preventive Services Improving the Health of Women Through Research (pdf file)

    www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/2015annlrpt%20(4).pdf
    January 01, 2016 - The most significant research gap identified by the USPSTF is whether patients identified by screening … A critical gap in the evidence is the lack of an accurate screening strategy to identify vitamin D deficiency

  9. 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…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73252/psn-pdf
    January 01, 2022 - Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. May 12, 2021 Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;37(1):137-144. doi:10.1007/s11606-021…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42850/psn-pdf
    May 21, 2019 - Confronting safety gaps across labor and delivery teams. May 21, 2019 Maxfield DG, Lyndon A, Kennedy HP, et al. Confronting safety gaps across labor and delivery teams. Am J Obstet Gynecol. 2013;209(5). doi:10.1016/j.ajog.2013.07.013. https://psnet.ahrq.gov/issue/confronting-safety-gaps-across-labor-and-delivery-te…

  12. AHRQ Slide Template 2009 (ppt file)

    effectivehealthcare.ahrq.gov/sites/default/files/selecting-evidence.ppt
    January 01, 2010 - significant numbers of published trials fail to report important harms, reviewers should report this gap … significant numbers of published trials fail to report important adverse events, reviewers should report this gap

  13. AHRQ Slide Template 2009 (ppt file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/selecting-evidence.ppt
    January 01, 2010 - significant numbers of published trials fail to report important harms, reviewers should report this gap … significant numbers of published trials fail to report important adverse events, reviewers should report this gap

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43713/psn-pdf
    December 03, 2014 - Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). December 3, 2014 West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care practices: A report from the sh…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47576/psn-pdf
    December 19, 2018 - Accurate measurement in California's safety-net health systems has gaps and barriers. December 19, 2018 Khoong EC, Cherian R, Rivadeneira NA, et al. Accurate Measurement In California's Safety-Net Health Systems Has Gaps And Barriers. Health Aff (Millwood). 2018;37(11):1760-1769. doi:10.1377/hlthaff.2018.0709. ht…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43124/psn-pdf
    August 02, 2015 - Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. August 2, 2015 Swary JH, Stratman EJ. Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. JAMA Dermatol. 2014;150(7):738-42. …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37237/psn-pdf
    December 15, 2011 - Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. December 15, 2011 Dekker SWA. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. J Law Med Ethics. 2007;35(3):463-70. https://psnet.ahrq.gov/issue/discontinuity-and-disaster-gaps-and…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41395/psn-pdf
    May 23, 2012 - Bridging gaps in handoffs: a continuity of care based approach. May 23, 2012 Abraham J, Kannampallil TG, Patel VL. Bridging gaps in handoffs: a continuity of care based approach. J Biomed Inform. 2012;45(2):240-54. doi:10.1016/j.jbi.2011.10.011. https://psnet.ahrq.gov/issue/bridging-gaps-handoffs-continuity-care-b…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40544/psn-pdf
    October 04, 2011 - Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-reported practices with computerized order entry. October 4, 2011 Spina JR, Glassman PA, Simon B, et al. Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45310/psn-pdf
    January 03, 2017 - Minding the gaps: assessing communication outcomes of electronic preconsultation exchange. January 3, 2017 Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54. https://psnet.ahrq.gov/issue/mind…
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