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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33725/psn-pdf
    February 01, 2012 - Balancing Supervision and Autonomy: An Ongoing Tension February 1, 2012 Dine JC, Myers JS. Balancing Supervision and Autonomy: An Ongoing Tension. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension Perspective Graduate Medical Education (GME) has changed …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38692/psn-pdf
    March 04, 2015 - Errare humanum est: frequency of laterality errors in radiology reports. March 4, 2015 Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778. https://psnet.ahrq.gov/issue/errare-humanum-est-…
  3. psnet.ahrq.gov/issue/relationship-between-patients-perception-care-and-measures-hospital-quality-and-safety
    February 13, 2019 - Study Classic The relationship between patients' perception of care and measures of hospital quality and safety. Citation Text: Isaac T, Zaslavsky AM, Cleary PD, et al. The relationship between patients' perception of care and measures of hospital quality and …
  4. psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections
    July 28, 2023 - Study Emerging Classic Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. Citation Text: Newman-Toker DE, Schaffer AC, Yu-Moe CW, et al. Serious misdiagnosis-related harms in malpractice claims: T…
  5. psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
    September 18, 2024 - SPOTLIGHT CASE Diagnostic Delay in the Emergency Department Citation Text: Marshall K, Singh H. Diagnostic Delay in the Emergency Department. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format:…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39852/psn-pdf
    February 10, 2015 - National costs of the medical liability system. February 10, 2015 Mello MM, Chandra A, Gawande AA, et al. National costs of the medical liability system. Health Aff (Millwood). 2010;29(9):1569-1577. doi:10.1377/hlthaff.2009.0807. https://psnet.ahrq.gov/issue/national-costs-medical-liability-system The role of medi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45437/psn-pdf
    September 01, 2018 - Decreasing malpractice claims by reducing preventable perinatal harm. September 1, 2018 Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551. https://psnet.ahrq.gov/issue/decreasing-malpr…
  8. psnet.ahrq.gov/issue/final-check-say-it-out-loud
    July 31, 2023 - Multi-use Website The Final Check: Say it Out Loud. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 1, 2012 This Web site provides resources to help reduce incidence of …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49574/psn-pdf
    November 01, 2008 - A Mid-Summer Fog November 1, 2008 Braddock CH. A Mid-Summer Fog. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mid-summer-fog The Case A 33-year-old woman with type I diabetes mellitus was admitted for symptoms of left flank pain, dysuria, and emesis, concerning for pyelonephritis. The patient was taking …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33773/psn-pdf
    September 01, 2014 - Overuse as a Patient Safety Problem September 1, 2014 Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem Perspective Nearly half of primary care physicians in the United States believe that patients cared for in their own prac…
  11. psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases
    June 03, 2020 - Review The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. Citation Text: Johnson DDP, Blumstein DT, Fowler JH, et al. The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. Trends Ecol Evo…
  12. psnet.ahrq.gov/issue/handoff-communication-tools
    May 25, 2022 - Government Resource Handoff Communication Tools. Citation Text: Handoff Communication Tools. Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8. Copy Citation Save Save to your library Print Download PDF Share Fa…
  13. psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care
    January 04, 2009 - Book/Report Patient Safety: Achieving a New Standard for Care. Citation Text: Patient Safety: Achieving a New Standard for Care. Aspden P ed, Committee for Data Standards for Patient Safety, Institute of Medicine. Washington DC: National Academies Press; 2004. ISBN 0309090776. Copy…
  14. psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer
    March 13, 2019 - Newspaper/Magazine Article When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Citation Text: When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Gordon M. Health Shots. National Public Radio. April 10, 2019. Copy Citati…
  15. psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
    September 13, 2016 - Book/Report Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. Citation Text: Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. St. Paul, MN: Society to Improve Diagnosis …
  16. psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting
    February 16, 2011 - Study Physician perception of hospital safety and barriers to incident reporting. Citation Text: Schectman JM, Plews-Ogan M. Physician perception of hospital safety and barriers to incident reporting. Jt Comm J Qual Patient Saf. 2006;32(6):337-43. Copy Citation Format: Goog…
  17. psnet.ahrq.gov/issue/still-outside-bulls-eye-2014-2015-targeted-medication-safety-best-practices
    March 15, 2022 - Newspaper/Magazine Article Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. Citation Text: Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute care edition. March 27, 2014;19:1-5. Copy …
  18. psnet.ahrq.gov/issue/defensive-medicine-among-high-risk-specialist-physicians-volatile-malpractice-environment
    February 17, 2011 - Study Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. Citation Text: Studdert DM, Mello MM, Sage WM, et al. Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. JAMA. 2005;293(21):2609-17. Copy…
  19. psnet.ahrq.gov/issue/educational-agenda-diagnostic-error-reduction
    February 27, 2019 - Review Educational agenda for diagnostic error reduction. Citation Text: Trowbridge RL, Dhaliwal G, Cosby K. Educational agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22 Suppl 2:ii28-ii32. doi:10.1136/bmjqs-2012-001622. Copy Citation Format: DOI Google Scholar…
  20. psnet.ahrq.gov/issue/ethical-and-practical-aspects-disclosing-adverse-events-emergency-department
    April 04, 2011 - Review Ethical and practical aspects of disclosing adverse events in the emergency department. Citation Text: Stokes SL, Wu AW, Pronovost P. Ethical and practical aspects of disclosing adverse events in the emergency department. Emerg Med Clin North Am. 2006;24(3):703-714. Copy Citat…

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