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psnet.ahrq.gov/node/43701/psn-pdf
July 03, 2016 - Blink or think: can further reflection improve initial
diagnostic impressions?
July 3, 2016
Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic
impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550.
https://psnet.ahrq.gov/issue/blink-or-thi…
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psnet.ahrq.gov/node/43022/psn-pdf
May 29, 2014 - Using simulation to improve root cause analysis of
adverse surgical outcomes.
May 29, 2014
Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical
outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011.
https://psnet.ahrq.gov/issue/using-sim…
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psnet.ahrq.gov/node/46082/psn-pdf
February 25, 2019 - The opioid crisis: can improving diagnosis help solve the
problem?
February 25, 2019
Carr S. ImproveDx. April 2017;4:1-4.
https://psnet.ahrq.gov/issue/opioid-crisis-can-improving-diagnosis-help-solve-problem
The opioid epidemic has been widely discussed, but little research has examined how misdiagnosis can
contr…
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psnet.ahrq.gov/node/46427/psn-pdf
April 04, 2018 - Improving Diagnosis in Radiology—Progress and
Proposals.
April 4, 2018
Bruno MA, Johnson K, Argy N, Graber ML, eds. Diagnosis. 2017;4(3):111-191.
https://psnet.ahrq.gov/issue/improving-diagnosis-radiology-progress-and-proposals
Radiology plays a unique role in the determination of a diagnosis. Cognitive and system…
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psnet.ahrq.gov/node/46243/psn-pdf
June 05, 2019 - AHRQ Safety Program for Improving Surgical Care and
Recovery.
June 5, 2019
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery
Patients are vulnerable to harm after surgery. This program used methods from the Comprehensive Unit-
based S…
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psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - was commonly reported by provider associations and patient associations as a significant factor that improved … Another potential way patient safety could be improved is with medication compliance, maybe by picking
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psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
October 31, 2023 - prevention training for nurses, research has found that these trainings lead to increased confidence and improved … To achieve improved workforce safety, organizations should start with a systems approach, which includes
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - prevention training for nurses, research has found that these trainings lead to increased confidence and improved … To achieve improved workforce safety, organizations should start with a systems approach, which includes
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - Another potential way patient safety could be improved is with medication compliance, maybe by picking … was commonly reported by provider associations and patient associations as a significant factor that improved
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - It describes a repeatable process and structure that, we believe, can lead to improved safety in a variety
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psnet.ahrq.gov/issue/patient-centered-care-what-does-it-take
March 16, 2016 - Book/Report
Patient-Centered Care: What Does It Take?
Citation Text:
Patient-Centered Care: What Does It Take? Shaller D. The Commonwealth Fund. October 2007.
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psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-opioid-management-primary-care
September 29, 2017 - Multi-use Website
Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care.
Citation Text:
Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care. MacColl Center for Health Care Innovation at the Kaiser Permanente of Was…
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psnet.ahrq.gov/issue/patient-safety-organization-pso-program
December 24, 2008 - Multi-use Website
Classic
Patient Safety Organization (PSO) Program.
Citation Text:
Patient Safety Organization (PSO) Program. Agency for Healthcare Research and Quality
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psnet.ahrq.gov/issue/patient-safe-future
March 04, 2010 - Book/Report
A Patient-Safe Future.
Citation Text:
A Patient-Safe Future. Patient Safety Learning: London, UK; September 2018.
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psnet.ahrq.gov/issue/health-professions-education
August 30, 2023 - Special or Theme Issue
Health Professions Education.
Citation Text:
Health Professions Education. Dhaliwal G, Olson APJ, Singhal G, eds. Diagnosis (Berl). 2019;6(2):75-185.
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psnet.ahrq.gov/issue/advancing-effective-communication-cultural-competence-and-patient-and-family-centered-care
September 21, 2011 - Book/Report
Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals.
Citation Text:
Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals. Oakbrook Terrace, IL:…
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psnet.ahrq.gov/issue/five-years-experience-using-front-line-ownership-improve-healthcare-quality-and-safety
March 09, 2016 - Special or Theme Issue
Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and Safety.
Citation Text:
Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and Safety. Healthc Pap. 2017;17:1-61.
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psnet.ahrq.gov/issue/joint-commission-big-book-checklists-2nd-edition
December 21, 2008 - Book/Report
The Joint Commission Big Book of Checklists. 2nd Edition.
Citation Text:
The Joint Commission Big Book of Checklists. 2nd Edition. Oakbrook Terrance, IL: Joint Commission; 2018. ISBN: 9781635850598.
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psnet.ahrq.gov/issue/center-health-care-human-factors
July 09, 2019 - Multi-use Website
Center for Health Care Human Factors.
Citation Text:
Center for Health Care Human Factors. Armstrong Institute for Patient Safety and Quality.
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psnet.ahrq.gov/issue/health-life-keys-safer-hospitals
August 04, 2021 - Newspaper/Magazine Article
Health for life. Keys to safer hospitals.
Citation Text:
Berwick DM. Health for life. 6 keys to safer hospitals. Newsweek. 2005;146(24):76-8.
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