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psnet.ahrq.gov/node/47108/psn-pdf
June 06, 2018 - Cognitive bias in clinical practice—nurturing healthy
skepticism among medical students.
June 6, 2018
Bhatti A. Cognitive bias in clinical practice - nurturing healthy skepticism among medical students. Adv Med
Educ Pract. 2018;9:235-237. doi:10.2147/AMEP.S149558.
https://psnet.ahrq.gov/issue/cognitive-bias-clinic…
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psnet.ahrq.gov/node/60233/psn-pdf
April 15, 2020 - Identifying safety hazards associated with intravenous
vancomycin through the analysis of patient safety event
reports.
April 15, 2020
Krukas A, Franklin ES, Bonk C, et al. Identifying safety hazards associated with intravenous vancomycin
through the analysis of patient safety event reports. Patient Safety. 2020;2…
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psnet.ahrq.gov/node/73689/psn-pdf
September 08, 2021 - Exploring mediating effects between nursing leadership
and patient safety from a person-centred perspective: a
literature review.
September 8, 2021
Wang M, Dewing J. Exploring mediating effects between nursing leadership and patient safety from a
person?centred perspective: a literature review. J Nurs Manag. 2021;…
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psnet.ahrq.gov/node/72844/psn-pdf
March 17, 2021 - Medical crisis checklists in the emergency department: a
simulation-based multi-institutional randomised
controlled trial.
March 17, 2021
Dryver E, Lundager Forberg J, Hård af Segerstad C, et al. Medical crisis checklists in the emergency
department: a simulation-based multi-institutional randomised controlled tri…
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psnet.ahrq.gov/node/45935/psn-pdf
September 29, 2017 - Radiology research in quality and safety: current trends
and future needs.
September 29, 2017
Zygmont ME, Itri JN, Rosenkrantz AB, et al. Radiology Research in Quality and Safety: Current Trends and
Future Needs. Acad Radiol. 2017;24(3):263-272. doi:10.1016/j.acra.2016.07.021.
https://psnet.ahrq.gov/issue/radiolog…
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psnet.ahrq.gov/node/74269/psn-pdf
January 19, 2022 - Safety culture, safety climate, and safety performance in
healthcare facilities: a systematic review.
January 19, 2022
Noor Arzahan IS, Ismail Z, Yasin SM. Safety culture, safety climate, and safety performance in healthcare
facilities: A systematic review. Safety Sci. 2022;147:105624. doi:10.1016/j.ssci.2021.10562…
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psnet.ahrq.gov/node/46141/psn-pdf
May 17, 2017 - Ethical dilemma in missed melanoma: what to tell the
patient and other providers.
May 17, 2017
Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and
other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016.08.030.
https://psnet.ahrq.gov/issue/et…
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psnet.ahrq.gov/node/864375/psn-pdf
March 13, 2024 - Experiences of physicians investigated for
professionalism concerns: a narrative review.
March 13, 2024
Im DS, Tamarelli CM, Shen MR. Experiences of physicians investigated for professionalism concerns: a
narrative review. J Gen Intern Med. 2024;39(2):283-300. doi:10.1007/s11606-023-08550-4.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/838177/psn-pdf
September 28, 2022 - Exploring care left undone in pediatric nursing.
September 28, 2022
Bagnasco A, Rossi S, Dasso N, et al. Exploring care left undone in pediatric nursing. J Patient Saf.
2022;18(6):e903-e911. doi:10.1097/pts.0000000000001044.
https://psnet.ahrq.gov/issue/exploring-care-left-undone-pediatric-nursing
Care left undone…
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psnet.ahrq.gov/node/36680/psn-pdf
July 10, 2008 - Identifying diagnostic errors in primary care using an
electronic screening algorithm.
July 10, 2008
Singh H, Thomas EJ, Khan MM, et al. Identifying diagnostic errors in primary care using an electronic
screening algorithm. Arch Intern Med. 2007;167(3):302-308.
https://psnet.ahrq.gov/issue/identifying-diagnostic-e…
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psnet.ahrq.gov/node/837670/psn-pdf
July 13, 2022 - The evidence base for US Joint Commission hospital
accreditation standards: cross sectional study.
July 13, 2022
Ibrahim SA, Reynolds KA, Poon E, et al. The evidence base for US joint commission hospital accreditation
standards: cross sectional study. BMJ. 2022;377:e063064. doi:10.1136/bmj-2020-063064.
https://psn…
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psnet.ahrq.gov/node/34700/psn-pdf
January 04, 2017 - Reducing adverse drug events: lessons from a
breakthrough series collaborative.
January 4, 2017
Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough
series collaborative. Jt Comm J Qual Improv. 2000;26(6):321-31.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-event…
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - Right Patient, Wrong Sample
Citation Text:
Astion ML. Right Patient, Wrong Sample. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Format:
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - Pregnant With Danger
Citation Text:
Pearlman MD, Desmond JS. Pregnant With Danger. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - CA-MRSA Skin Infections: An Ounce of Prevention is
Worth a Pound of Cure
October 1, 2012
Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet].
2012.
https://psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
Case Objectives
Identify risk f…
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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - What Happened on Telemetry?
April 1, 2019
Sandau KE, Funk M. What Happened on Telemetry? PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/what-happened-telemetry
Case Objectives
Describe current hospital practices for continuous telemetry monitoring.
Appreciate key recommendations from the Update to Practice…
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - Medication Safety Events Related to Diagnostic Imaging
Citation Text:
Sanchez L, Porras H, Lammers C. Medication Safety Events Related to Diagnostic Imaging. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument
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March 05, 2025 - Why is learning from patient safety incidents (still) so
hard? A sociocultural perspective on learning from
incidents in healthcare organizations.
March 5, 2025
Rowland P, Lan MF, Wan C, et al. Why is learning from patient safety incidents (still) so hard?
A sociocultural perspective on learning from incidents in …
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psnet.ahrq.gov/node/45453/psn-pdf
November 02, 2016 - Creating highly reliable health care: how reliability-
enhancing work practices affect patient safety in
hospitals.
November 2, 2016
Vogus TJ, Iacobucci D. Creating Highly Reliable Health Care. ILR Review. 2016;69(4).
doi:10.1177/0019793916642759.
https://psnet.ahrq.gov/issue/creating-highly-reliable-health-care-…