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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45750/psn-pdf
    February 01, 2017 - Cognitive biases associated with medical decisions: a systematic review. February 1, 2017 Saposnik G, Redelmeier DA, Ruff CC, et al. Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak. 2016;16(1):138. https://psnet.ahrq.gov/issue/cognitive-biases-associated-medical-de…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34722/psn-pdf
    April 07, 2011 - A preliminary taxonomy of medical errors in family practice. April 7, 2011 Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233-8. https://psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice Efforts to improv…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36076/psn-pdf
    September 28, 2010 - Variation in caregiver perceptions of teamwork climate in labor and delivery units. September 28, 2010 Sexton JB, Holzmueller CG, Pronovost PJ, et al. Variation in caregiver perceptions of teamwork climate in labor and delivery units. J Perinatol. 2006;26(8):463-70. https://psnet.ahrq.gov/issue/variation-caregiver…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42369/psn-pdf
    September 19, 2013 - Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses. September 19, 2013 Cresswell K, Howe A, Steven A, et al. Patient safety in healthcare preregistration educational curricula: multi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43826/psn-pdf
    June 01, 2015 - Radiation Oncology Incident Learning System. June 1, 2015 American Society for Radiation Oncology and American Association of Physicists in Medicine. https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system Reporting of near misses and adverse events can provide a foundation for learning from error.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46333/psn-pdf
    June 25, 2018 - High reliability leadership: a conceptual framework. June 25, 2018 Martínez-Córcoles M. High reliability leadership: A conceptual framework. J Contingencies Crisis Manage. 2017;26(2):237-246. doi:10.1111/1468-5973.12187. https://psnet.ahrq.gov/issue/high-reliability-leadership-conceptual-framework Leadership engag…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38573/psn-pdf
    April 22, 2009 - Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. April 22, 2009 Lippi G, Blanckaert N, Bonini P, et al. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. Clin Chem Lab Med. 2009;47(2):143-53. doi:10.1515/CCLM.2009.0…
  8. psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
    December 21, 2022 - In Conversation with…Troyen A. Brennan, MD, JD, MPH December 1, 2005  Citation Text: In Conversation with…Troyen A. Brennan, MD, JD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60952/psn-pdf
    September 30, 2020 - When the Lytes Go Out: A Case of Inpatient Cardiac Arrest September 30, 2020 Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest Disclosure of Relevant Financial Relationships: As a pr…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49787/psn-pdf
    March 01, 2017 - Diagnosing a Missed Diagnosis March 1, 2017 Reilly JB, Webster C. Diagnosing a Missed Diagnosis. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis The Case A 57-year old woman was admitted to the hospital with cough, slurred speech, confusion, and disorientation. She was taking mod…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33768/psn-pdf
    June 01, 2014 - In Conversation With… Dave deBronkart June 1, 2014 In Conversation With… Dave deBronkart. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-dave-debronkart Editor's note: A co-founder and co-chair of the Society for Participatory Medicine, Dave deBronkart, also known as e-Patient Dave, is a …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837607/psn-pdf
    June 29, 2022 - Common Formats for Event Reporting - Diagnostic Safety Version 1.0 June 29, 2022 Agency for Healthcare Research and Quality.  https://psnet.ahrq.gov/issue/common-formats-event-reporting-diagnostic-safety-version-10 Effective measurement of diagnostic error is essential for understanding the problem and genera…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60972/psn-pdf
    January 30, 2003 - Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. January 30, 2003 Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National Academies Press: 2003. ISBN 9780309082655. https://psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-dis…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60604/psn-pdf
    June 17, 2020 - The limits of current A.I. in health care: patient safety policing in hospitals. June 17, 2020 Furrow BR. NE Univ Law Rev. 2020;12(1):1-55. https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals Artificial intelligence (AI) has the potential to improve the use of big data to e…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34765/psn-pdf
    January 04, 2017 - The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition. January 4, 2017 Senge PM. New York, NY: Currency Doubleday; 2009. ISBN: 9780385517256. https://psnet.ahrq.gov/issue/fifth-discipline-art-practice-learning-organization-revised-updated-edition Senge’s seminal and oft-r…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41306/psn-pdf
    May 04, 2012 - Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. May 4, 2012 Flowerdew L, Brown R, Vincent CA, et al. Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. Ann Emerg Med. 2012;59…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40105/psn-pdf
    December 22, 2010 - Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. December 22, 2010 Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. Pediatr Emerg Ca…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34646/psn-pdf
    July 01, 2015 - The attributes of medical event reporting systems. July 1, 2015 Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicine. Arch Pathol Lab Med. 1998;122(3):231-8. https://psnet.ahrq.gov/iss…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46427/psn-pdf
    April 04, 2018 - Improving Diagnosis in Radiology—Progress and Proposals. April 4, 2018 Bruno MA, Johnson K, Argy N, Graber ML, eds. Diagnosis. 2017;4(3):111-191. https://psnet.ahrq.gov/issue/improving-diagnosis-radiology-progress-and-proposals Radiology plays a unique role in the determination of a diagnosis. Cognitive and system…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42199/psn-pdf
    June 12, 2013 - Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. June 12, 2013 McRobert AP, Causer J, Vassiliadis J, et al. Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. BMJ Qual Saf. 2013;2…

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