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psnet.ahrq.gov/node/34085/psn-pdf
February 09, 2011 - The authors discuss the lost opportunity for learning and the potential for closing such gaps with
improved
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psnet.ahrq.gov/node/39772/psn-pdf
December 21, 2014 - However, this survey of hospitalized
patients and their physicians revealed fundamental gaps in patients
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psnet.ahrq.gov/node/74001/psn-pdf
January 01, 2022 - Filling a gap in safety metrics: development of a patient-
centred framework to identify and categorise patient-
reported breakdowns related to the diagnostic process in
ambulatory care.
October 27, 2021
Bell SK, Bourgeois FC, DesRoches CM, et al. Filling a gap in safety metrics: development of a patient-
centred…
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psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center
April 10, 2024 - May 12, 2021
Fighting a common enemy: a catalyst to close intractable safety gaps.
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psnet.ahrq.gov/node/44228/psn-pdf
September 04, 2016 - Bridging the gap: a framework and strategies for
integrating the quality and safety mission of teaching
hospitals and graduate medical education.
September 4, 2016
Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality
and Safety Mission of Teaching Hospitals a…
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psnet.ahrq.gov/node/42802/psn-pdf
January 07, 2015 - The authors conclude that the
current literature leaves considerable gaps in knowledge regarding patient
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psnet.ahrq.gov/node/41437/psn-pdf
January 03, 2017 - bedside
nursing handoffs at shift change as a patient-centered approach to reducing communication gaps
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psnet.ahrq.gov/node/47871/psn-pdf
March 27, 2019 - Closing the disclosure gap: medical errors in pediatrics.
March 27, 2019
Lin M, Famiglietti H. Closing the Disclosure Gap: Medical Errors in Pediatrics. Pediatrics. 2019;143(4).
doi:10.1542/peds.2019-0221.
https://psnet.ahrq.gov/issue/closing-disclosure-gap-medical-errors-pediatrics
Disclosure of errors and advers…
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psnet.ahrq.gov/node/39374/psn-pdf
March 17, 2010 - Bridging the gap: leveraging business intelligence tools
in support of patient safety and financial effectiveness.
March 17, 2010
Ferranti JM, Langman MK, Tanaka D, et al. Bridging the gap: leveraging business intelligence tools in
support of patient safety and financial effectiveness. J Am Med Inform Assoc. 2010;1…
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psnet.ahrq.gov/node/837695/psn-pdf
July 20, 2022 - Narrowing the mindware gap in medicine.
July 20, 2022
Croskerry P. Narrowing the mindware gap in medicine. Diagnosis (Berl). 2022;9(2):176-183.
doi:10.1515/dx-2020-0128.
https://psnet.ahrq.gov/issue/narrowing-mindware-gap-medicine
In dual process thinking, Type 1 decisions are made rapidly, but can result in diagn…
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psnet.ahrq.gov/node/40748/psn-pdf
September 07, 2011 - Comprehensive stroke centers overcome the weekend
versus weekday gap in stroke treatment and mortality.
September 7, 2011
McKinney JS, Deng Y, Kasner SE, et al. Comprehensive stroke centers overcome the weekend versus
weekday gap in stroke treatment and mortality. Stroke. 2011;42(9):2403-9.
doi:10.1161/STROKEAHA.1…
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psnet.ahrq.gov/node/60896/psn-pdf
January 01, 2021 - Bias at warp speed: how AI may contribute to the
disparities gap in the time of COVID-19.
September 9, 2020
Röösli E, Rice B, Hernandez-Boussard T. Bias at Warp Speed: How AI may Contribute to the Disparities
Gap in the Time of COVID-19. J Am Med Inform Assoc. 2021;28(1):190-192. doi:10.1093/jamia/ocaa210.
https:/…
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psnet.ahrq.gov/node/40623/psn-pdf
July 20, 2011 - Policy and practice in the use of root cause analysis to
investigate clinical adverse events: mind the gap.
July 20, 2011
Nicolini D, Waring J, Mengis J. Policy and practice in the use of root cause analysis to investigate clinical
adverse events: mind the gap. Soc Sci Med. 2011;73(2):217-25. doi:10.1016/j.socscime…
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psnet.ahrq.gov/node/38467/psn-pdf
March 11, 2009 - patients-perceptions-safety-if-interpersonal-continuity-care-were-be-disrupted
https://psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety
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psnet.ahrq.gov/node/35611/psn-pdf
June 23, 2010 - Similarly,
persistent gaps existed between the full disclosure patients expect and the partial disclosure
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psnet.ahrq.gov/node/43378/psn-pdf
August 14, 2014 - effectiveness of interventions to reduce pediatric medication errors, though many
limitations and gaps
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psnet.ahrq.gov/node/42818/psn-pdf
October 31, 2014 - Evaluation of note quality revealed many gaps, including the lack of key information.
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psnet.ahrq.gov/node/45944/psn-pdf
August 15, 2018 - of problems with order cancellations in EHRs due
to ineffective interfacing of systems that led to gaps
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psnet.ahrq.gov/node/853073/psn-pdf
August 30, 2023 - Mind the power gap: how hierarchical leadership in
healthcare is a risk to patient safety.
August 30, 2023
Kanaris C. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. J Child
Health Care. 2023;27(3):319-322. doi:10.1177/13674935231196197.
https://psnet.ahrq.gov/issue/mind-…
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psnet.ahrq.gov/node/43287/psn-pdf
July 02, 2014 - Mind the gap between recommendation and
implementation—principles and lessons in the aftermath
of incident investigations: a semi-quantitative and
qualitative study of factors leading to the successful
implementation of recommendations.
July 2, 2014
Wrigstad J, Bergström J, Gustafson P. Mind the gap between recom…