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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47145/psn-pdf
    July 23, 2018 - The elusive and illusive quest for diagnostic safety metrics. July 23, 2018 Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2. https://psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics Measur…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43373/psn-pdf
    July 23, 2014 - From harm to hope and purposeful action: what could we do after Francis? July 23, 2014 Woodhead T, Lachman P, Mountford J, et al. From harm to hope and purposeful action: what could we do after Francis? BMJ Qual Saf. 2014;23(8):619-23. doi:10.1136/bmjqs-2013-002581. https://psnet.ahrq.gov/issue/harm-hope-and-purpo…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41438/psn-pdf
    January 03, 2017 - Implementing SBAR across a large multihospital health system. January 3, 2017 Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. https://psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48111/psn-pdf
    July 10, 2019 - Medication Safety in Key Action Areas. July 10, 2019 Geneva, Switzerland: World Health Organization; 2019. https://psnet.ahrq.gov/issue/medication-safety-key-action-areas Reducing adverse medication events is a worldwide challenge. This collection of technical reports explores key areas of concern that require act…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43898/psn-pdf
    February 11, 2015 - Special Section on Patient Safety and Quality in Healthcare. February 11, 2015 Andersen HB, Lipczak H, Borch-Johnsen K, eds. Cogn Technol Work. 2015;17:1-155. https://psnet.ahrq.gov/issue/special-section-patient-safety-and-quality-healthcare Articles in this special issue explore patient safety from a sociotechnic…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848829/psn-pdf
    May 10, 2023 - Lessons from the Covid War: An Investigative Report. May 10, 2023 Covid Crisis Group. New York: Public Affairs; 2023. ISBN?: ?9781541703803. https://psnet.ahrq.gov/issue/lessons-covid-war-investigative-report The transfer of failure experiences to generate learning and improve service is a complicated responsibilit…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842775/psn-pdf
    January 18, 2023 - Safer Together Survey: Advancing Patient and Workforce Safety January 18, 2023 Cambridge, MA: Institute for Healthcare Improvement: January 2023. https://psnet.ahrq.gov/issue/safer-together-survey-advancing-patient-and-workforce-safety The National Steering Committee for Patient Safety (NSC) was formed to engage w…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46026/psn-pdf
    May 03, 2017 - Key principles in quality and safety in radiology. May 3, 2017 Abujudeh H, Kaewlai R, Shaqdan K, et al. Key Principles in Quality and Safety in Radiology. American Journal of Roentgenology. 2017;208(3). doi:10.2214/ajr.16.16951. https://psnet.ahrq.gov/issue/key-principles-quality-and-safety-radiology This review s…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40577/psn-pdf
    July 06, 2011 - Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy. July 6, 2011 Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary preventio…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836871/psn-pdf
    April 06, 2022 - The spectrum of harm associated with modern medicine. April 6, 2022 Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664- 667. doi:10.1007/s11606-021-06997-x. https://psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine Interest in harm resulting from medical…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46462/psn-pdf
    April 11, 2018 - Speaking up: an ethical action exercise. April 11, 2018 Dwyer J, Faber-Langendoen K. Speaking Up: An Ethical Action Exercise. Acad Med. 2018;93(4):602-605. doi:10.1097/ACM.0000000000002047. https://psnet.ahrq.gov/issue/speaking-ethical-action-exercise Speaking up about concerns is a cornerstone to safety improveme…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72601/psn-pdf
    January 01, 2021 - Increasing physician reporting of diagnostic learning opportunities. December 23, 2020 Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. https://psnet.ahrq.gov/issue/increasing-physician-reporting…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45477/psn-pdf
    October 05, 2016 - Promoting safety through well-being: an experience in healthcare. October 5, 2016 Bruno A, Bracco F. Promoting Safety through Well-Being: An Experience in Healthcare. Front Psychol. 2016;7:1208. doi:10.3389/fpsyg.2016.01208. https://psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare Th…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73970/psn-pdf
    October 21, 2021 - The Good, The Bad, and The Ugly: Patient Experiences with CRPs. October 13, 2021 Collaborative for Accountability and Improvement. October 21, 2021.  https://psnet.ahrq.gov/issue/good-bad-and-ugly-patient-experiences-crps Communication-and-resolution program (CRP) initiatives are a valuable strategy for impro…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44846/psn-pdf
    August 31, 2016 - Making health care safer: protect patients from antibiotic resistance. August 31, 2016 CDC; Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/making-health-care-safer-protect-patients-antibiotic-resistance Health care–associated infections (HAI) are a worldwide patient safety problem. This a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45386/psn-pdf
    November 23, 2016 - Balancing doctor egos and errors. November 23, 2016 Sweeney JF. Medical Economics. November 10, 2016. https://psnet.ahrq.gov/issue/balancing-doctor-egos-and-errors Disclosure and candor with patients after a medical error has gained support from organizations, clinicians, and patients. This magazine article discus…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47353/psn-pdf
    October 03, 2018 - The need for cognition and the curse of cognition. October 3, 2018 Croskerry P. The need for cognition and the curse of cognition. Diagnosis (Berl). 2018;5(3):91-94. doi:10.1515/dx-2018-0072. https://psnet.ahrq.gov/issue/need-cognition-and-curse-cognition Cognitive bias is increasingly receiving recognition as a b…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73896/psn-pdf
    September 29, 2021 - Policies to promote shared responsibility for safer electronic health records. September 29, 2021 Sittig DF, Singh H. Policies to promote shared responsibility for safer electronic health records. JAMA. 2021;326(15):1477-1478. doi:10.1001/jama.2021.13945. https://psnet.ahrq.gov/issue/policies-promote-shared-respon…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73543/psn-pdf
    July 28, 2021 - AMC PSO Resource Center. July 28, 2021 Academic Medical Center Patient Safety Organization. https://psnet.ahrq.gov/issue/amc-pso-resource-center Patient Safety organizations (PSO) are in a unique position to educate their members and the larger community on patient safety challenges. This PSO resource collection i…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846455/psn-pdf
    March 22, 2023 - Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). March 22, 2023 PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023 https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed Approaching diagnosis as a team activity is seen as a key approach to di…

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