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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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 …
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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…
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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…
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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…
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psnet.ahrq.gov/node/50769/psn-pdf
February 15, 2017 - Cultural Competence and Patient Safety
December 27, 2019
Brach C, Hall KK, Fitall E. Cultural Competence and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
Background
Culture can be defined as the “personal identification, language, thoughts, co…
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psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
November 30, 2016 - Special or Theme Issue
20 years later: to err is a leadership failure.
Citation Text:
20 years later: to err is a leadership failure. Castellucci M, Meyer H. Modern Healthcare: November 11, 2019;49:18-22;28-30;32-34.
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psnet.ahrq.gov/issue/medical-liability-and-patient-safety-setting-proper-course
January 12, 2011 - Commentary
Medical liability and patient safety: setting the proper course.
Citation Text:
Pearlman MD, Gluck PA. Medical liability and patient safety: setting the proper course. Obstet Gynecol. 2005;105(5 Pt 1):941-943.
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psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
June 07, 2017 - Newsletter/Journal
ISMP Long-Term Care Advise-ERR.
Citation Text:
ISMP Long-Term Care Advise-ERR. Horsham, PA; Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/role-physician-specialty-board-certification-status-quality-movement
October 01, 2007 - Review
The role of physician specialty board certification status in the quality movement.
Citation Text:
Brennan TA, Horwitz RI, Duffy FD, et al. The Role of Physician Specialty Board Certification Status in the Quality Movement. JAMA. 2004;292(9). doi:10.1001/jama.292.9.1038.
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psnet.ahrq.gov/issue/supporting-nurses-essential-partners-diagnosis
August 05, 2020 - Newspaper/Magazine Article
Supporting nurses as essential partners in diagnosis.
Citation Text:
Supporting nurses as essential partners in diagnosis. Carr S. ImproveDx. March 2021:8(2)
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psnet.ahrq.gov/issue/employee-discipline-solution-patient-safety
September 15, 2011 - Commentary
Is employee discipline the solution for patient safety?
Citation Text:
Mace KA. Is employee discipline the solution for patient safety? Nurs Manag. 2005;36(12):57-59.
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psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care
October 18, 2017 - Newspaper/Magazine Article
Geisinger Health System's plan to fix America's health care.
Citation Text:
Geisinger Health System's plan to fix America's health care. Carbonara P. Fast Company. October 2008.
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psnet.ahrq.gov/issue/anesthesia-outside-or-cause-patient-safety-concerns
May 25, 2022 - Newspaper/Magazine Article
Anesthesia outside of the OR: cause for patient safety concerns?
Citation Text:
Anesthesia outside of the OR: cause for patient safety concerns? DePeau-Wilson M. MedPage Today. January 13, 2023.
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