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  1. psnet.ahrq.gov/perspective/diagnostic-errors
    December 01, 2013 - Annual Perspective Diagnostic Errors Urmimala Sarkar, MD; Kaveh Shojania, MD | January 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. Rockville (MD): Ag…
  2. psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
    June 19, 2024 - The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Apri…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34731/psn-pdf
    July 08, 2016 - Crossing the Quality Chasm: A New Health System for the 21st Century. July 8, 2016 Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: National Academies Press; 2001. ISBN: 9780309072809. https://psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century Following…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74215/psn-pdf
    October 25, 2011 - Race and the clinical diagnosis of depression in new primary care patients. October 25, 2011 Lukachko A, Olfson M. Race and the clinical diagnosis of depression in new primary care patients. Gen Hosp Psychiatry. 2011;34(1):98-100. doi:10.1016/j.genhosppsych.2011.09.008. https://psnet.ahrq.gov/issue/race-and-clinic…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72751/psn-pdf
    February 17, 2021 - The critical need for nursing education to address the diagnostic process. February 17, 2021 Gleason KT, Harkless G, Stanley J, et al. The critical need for nursing education to address the diagnostic process. Nurs Outlook. 2021;69(3):362-369. doi:10.1016/j.outlook.2020.12.005. https://psnet.ahrq.gov/issue/critica…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47336/psn-pdf
    March 04, 2019 - "Saying sorry": some strategies for effective apology within the workplace. March 4, 2019 Cleary M, Lees D, Lopez V. "Saying sorry": some strategies for effective apology within the workplace. Issues Ment Health Nurs. 2018;39(11):980-982. doi:10.1080/01612840.2018.1507571. https://psnet.ahrq.gov/issue/saying-sorry…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844551/psn-pdf
    February 15, 2023 - Emotional safety is patient safety. February 15, 2023 Lyndon A, Davis D-A, Sharma AE, et al. Emotional safety is patient safety. BMJ Qual Saf. 2023;32(7):369- 372. doi:10.1136/bmjqs-2022-015573. https://psnet.ahrq.gov/issue/emotional-safety-patient-safety Patient perspectives can provide unique insights into care …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855103/psn-pdf
    November 08, 2023 - Adverse Events. November 8, 2023 United States Office of the Inspector General: 2010-2023. https://psnet.ahrq.gov/issue/adverse-events-0 Large-scale data analysis provides insights to generate evidence-based improvement action. This collection of reports provides access to investigations of the impact of heal…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866524/psn-pdf
    August 14, 2024 - Generative artificial intelligence, patient safety and healthcare quality: a review. August 14, 2024 Howell MD. Generative artificial intelligence, patient safety and healthcare quality: a review. BMJ Qual Saf. 2024;33(11):748-754. doi:10.1136/bmjqs-2023-016690. https://psnet.ahrq.gov/issue/generative-artificial-i…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60156/psn-pdf
    March 25, 2020 - The cognitive health system. March 25, 2020 Coiera E. The cognitive health system. Lancet. 2020;395(10222):463-466. doi:10.1016/s0140- 6736(19)32987-3. https://psnet.ahrq.gov/issue/cognitive-health-system This article discusses the influence of artificial intelligence tools and cyber-social systems on human decis…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48068/psn-pdf
    June 12, 2019 - Health Professions Education. June 12, 2019 Dhaliwal G, Olson APJ, Singhal G, eds. Diagnosis (Berl). 2019;6(2):75-185. https://psnet.ahrq.gov/issue/health-professions-education Clinical and educational environments are increasingly focusing on improving diagnosis. This special issue explores an overarching approac…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837747/psn-pdf
    July 27, 2022 - Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. July 27, 2022 Rockville, MD: Agency for Healthcare Research and Quality; July 2022.  AHRQ Publication No. 22- 0038. https://psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events Diagno…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838142/psn-pdf
    September 21, 2022 - A health system that won't learn from its mistakes. September 21, 2022 Keller C. A health system that won't learn from its mistakes. Health Aff (Millwood). 2022;41(9):1353-1356. doi:10.1377/hlthaff.2022.00581. https://psnet.ahrq.gov/issue/health-system-wont-learn-its-mistakes Communication failures due to hierarch…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837847/psn-pdf
    August 17, 2022 - Defining and studying errors in surgical care: a systematic review. August 17, 2022 Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351. https://psnet.ahrq.gov/issue/defining-and-studying-err…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47229/psn-pdf
    August 01, 2018 - The practice of respect in the ICU. August 1, 2018 Brown SM, Azoulay E, Benoit D, et al. The Practice of Respect in the ICU. Am J Respir Crit Care Med. 2018;197(11):1389-1395. doi:10.1164/rccm.201708-1676CP. https://psnet.ahrq.gov/issue/practice-respect-icu This commentary explores the results of a multidisciplina…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38970/psn-pdf
    July 05, 2013 - Joint Commission Center for Transforming Healthcare. July 5, 2013 Joint Commission. https://psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare The Joint Commission has traditionally focused on accreditation of health care organizations and, through its Joint Commission Resources arm, on quality i…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60604/psn-pdf
    June 17, 2020 - The limits of current A.I. in health care: patient safety policing in hospitals. June 17, 2020 Furrow BR. NE Univ Law Rev. 2020;12(1):1-55. https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals Artificial intelligence (AI) has the potential to improve the use of big data to e…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854637/psn-pdf
    October 18, 2023 - A scoping review of clinical handover mnemonic devices. October 18, 2023 Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065. https://psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices Cogniti…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44946/psn-pdf
    February 01, 2017 - Quality gaps identified through mortality review. February 1, 2017 Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review Inpatien…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35176/psn-pdf
    June 23, 2009 - Mapping changes in surgical mortality over 9 years by peer review audit. June 23, 2009 Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52. https://psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-re…

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