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psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - sources (demographic, diagnostic, pharmacy, and
healthcare utilization data), it can be modified to incorporate
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psnet.ahrq.gov/node/60796/psn-pdf
August 12, 2020 - The challenges and opportunities for shared decision
making highlighted by COVID-19.
August 12, 2020
Abrams EM, Shaker M, Oppenheimer J, et al. The challenges and opportunities for shared decision making
highlighted by COVID-19. J Allergy Clin Immunol Pract. 2020;8(8):2474-2480.e1.
doi:10.1016/j.jaip.2020.07.003.
…
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psnet.ahrq.gov/node/50575/psn-pdf
October 23, 2019 - Dynamic pocket card for implementing ISBAR in shift
handover communication.
October 23, 2019
Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift
Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831.
https://psnet.ahrq.gov/issue/dynam…
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psnet.ahrq.gov/node/48093/psn-pdf
July 24, 2019 - Failure to report poor care as a breach of moral and
professional expectation.
July 24, 2019
Ion R, Olivier S, Darbyshire P. Failure to report poor care as a breach of moral and professional
expectation. Nurs Inq. 2019;26(3):e12299. doi:10.1111/nin.12299.
https://psnet.ahrq.gov/issue/failure-report-poor-care-breac…
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psnet.ahrq.gov/node/74703/psn-pdf
January 26, 2022 - Research to improve diagnosis: time to study the real
world.
January 26, 2022
Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf.
2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071.
https://psnet.ahrq.gov/issue/research-improve-diagnosis-time-study-real-world
Diagnostic …
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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - An implementation resource that healthcare organizations can use to incorporate NPSGs into their daily
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psnet.ahrq.gov/node/37641/psn-pdf
March 10, 2011 - EHR safety: the way forward to safe and effective
systems.
March 10, 2011
Walker JM, Carayon P, Leveson N, et al. EHR safety: the way forward to safe and effective systems. J Am
Med Inform Assoc. 2008;15(3):272-7. doi:10.1197/jamia.M2618.
https://psnet.ahrq.gov/issue/ehr-safety-way-forward-safe-and-effective-syste…
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psnet.ahrq.gov/node/42480/psn-pdf
August 07, 2013 - A multi-tiered approach to safety education.
August 7, 2013
Oates K, Sammut J, Kennedy P. A multi-tiered approach to safety education. Clin Teach. 2013;10(4):214-
8. doi:10.1111/tct.12037.
https://psnet.ahrq.gov/issue/multi-tiered-approach-safety-education
This commentary describes an initiative that incorporated …
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psnet.ahrq.gov/node/838137/psn-pdf
September 21, 2022 - How insight contributes to diagnostic excellence.
September 21, 2022
Shimizu T, Graber ML. How insight contributes to diagnostic excellence. Diagnosis (Berl). 2022;9(3):311-
315. doi:10.1515/dx-2022-0007.
https://psnet.ahrq.gov/issue/how-insight-contributes-diagnostic-excellence
Improving diagnostic reasoning skil…
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psnet.ahrq.gov/node/837154/psn-pdf
May 18, 2022 - Survey shows room for improvement with three new best
practices for hospitals.
May 18, 2022
ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.
https://psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
Practice changes take time to be fully incorporate…
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psnet.ahrq.gov/node/854992/psn-pdf
November 01, 2023 - Failure to rescue as a patient safety indicator for
neurosurgical patients: are we there yet?
November 1, 2023
Roy JM, Rumalla K, Skandalakis GP, et al. Failure to rescue as a patient safety indicator for neurosurgical
patients: are we there yet? A systematic review. Neurosurg Rev. 2023;46(1):227. doi:10.1007/s1014…
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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/74693/psn-pdf
January 26, 2022 - Including the reason for use on prescriptions sent to
pharmacists: scoping review.
January 26, 2022
Mercer K, Carter C, Burns C, et al. Including the reason for use on prescriptions sent to pharmacists:
scoping review. JMIR Hum Factors. 2021;8(4):e22325. doi:10.2196/22325.
https://psnet.ahrq.gov/issue/including-re…
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psnet.ahrq.gov/node/866960/psn-pdf
October 16, 2024 - The consequences of misdiagnosing race-based trauma
response in Black men: a critical examination.
October 16, 2024
Sanders AA, Roberts JD, McDowell MC, et al. The consequences of misdiagnosing race-based trauma
response in Black men: a critical examination. Soc Work Public Health. 2024;39(7):721-733.
doi:10.1080/…
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psnet.ahrq.gov/node/866119/psn-pdf
June 12, 2024 - Artificial intelligence in the provision of health care: an
American College of Physicians policy position paper.
June 12, 2024
Daneshvar N, Pandita D, Erickson S, et al. Artificial Intelligence in the Provision of Health Care: An
American College of Physicians Policy Position Paper. Ann Intern Med. 2024;177(7):964…
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psnet.ahrq.gov/node/865666/psn-pdf
April 24, 2024 - Why do nurses miss nursing care? A qualitative meta-
synthesis.
April 24, 2024
Peng M, Saito S, Mo W, et al. Why do nurses miss nursing care? A qualitative meta?synthesis. Jpn J Nurs
Sci. 2024;21(2):e12578. doi:10.1111/jjns.12578.
https://psnet.ahrq.gov/issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthe…
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psnet.ahrq.gov/node/43534/psn-pdf
January 22, 2016 - Creating a fellowship curriculum in patient safety and
quality.
January 22, 2016
Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality.
Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012.
https://psnet.ahrq.gov/issue/creating-fellowship-curriculum-pati…
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psnet.ahrq.gov/node/72826/psn-pdf
March 10, 2021 - Prescribers' perspectives on including reason for use
information on prescriptions and medication labels: a
qualitative thematic analysis.
March 10, 2021
Whaley C, Bancsi A, Ho JM-W, et al. Prescribers’ perspectives on including reason for use information on
prescriptions and medication labels: a qualitative thema…
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psnet.ahrq.gov/node/60984/psn-pdf
October 07, 2020 - Prospective validation of classification of intraoperative
adverse events (ClassIntra): international, multicentre
cohort study.
October 7, 2020
Dell-Kuster S, Gomes NV, Gawria L, et al. Prospective validation of classification of intraoperative adverse
events (ClassIntra): international, multicentre cohort study.…
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psnet.ahrq.gov/node/851918/psn-pdf
August 02, 2023 - Racism in health services for adolescents: a scoping
review.
August 2, 2023
Hilario C, Louie-Poon S, Taylor M, et al. Racism in health services for adolescents: a scoping review. Int J
Soc Determinants Health Health Serv. 2023;53(3):343-353. doi:10.1177/27551938231162560.
https://psnet.ahrq.gov/issue/racism-health…