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psnet.ahrq.gov/node/35913/psn-pdf
February 16, 2011 - Improving oversight of the graduate medical education
enterprise: one institution's strategies and tools.
February 16, 2011
Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise:
One Institution???s Strategies and Tools. Academic Medicine. 2006;81(5).
doi:10.1097/01.…
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psnet.ahrq.gov/node/37414/psn-pdf
April 19, 2011 - Medical and nursing staff highly value clinical
pharmacists in the emergency department.
April 19, 2011
Fairbanks RJ, Hildebrand JM, Kolstee KE, et al. Medical and nursing staff highly value clinical pharmacists
in the emergency department. Emergency Medicine Journal. 2007;24(10). doi:10.1136/emj.2006.044313.
http…
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psnet.ahrq.gov/node/845655/psn-pdf
March 08, 2023 - Crisis in the Lakeshore Hospital ER.
March 8, 2023
Derfel A. Montreal Gazette. February 24- March 1, 2023
https://psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er
Emergency room failures are often rooted in system weaknesses. This series examines six patient deaths
associated with emergency care that, w…
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psnet.ahrq.gov/node/34636/psn-pdf
June 14, 2011 - The wrong patient.
June 14, 2011
Chassin MR, Becher EC. The wrong patient. Ann Intern Med. 2002;136(11):826-833.
https://psnet.ahrq.gov/issue/wrong-patient
This case study describes the events of a patient who underwent an unintended invasive cardiac
electrophysiology study. While reviewing the details of the case…
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psnet.ahrq.gov/node/854639/psn-pdf
October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us
to Thrive.
October 18, 2023
Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069.
https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive
Despite the harm that failure can cause, its value as a learning opportunity, if exam…
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psnet.ahrq.gov/node/44832/psn-pdf
February 03, 2016 - Crowdsourcing diagnosis for patients with undiagnosed
illnesses: an evaluation of CrowdMed.
February 3, 2016
Meyer AND, Longhurst CA, Singh H. Crowdsourcing Diagnosis for Patients With Undiagnosed Illnesses:
An Evaluation of CrowdMed. J Med Internet Res. 2016;18(1):e12. doi:10.2196/jmir.4887.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/41969/psn-pdf
July 02, 2014 - The creation and impact of a dedicated section on quality
and patient safety in a clinical academic department.
July 2, 2014
Boudreaux AM, Vetter TR. The Creation and Impact of a Dedicated Section on Quality and Patient Safety
in a Clinical Academic Department. Academic Medicine. 2012;88(2). doi:10.1097/acm.0b013e3…
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psnet.ahrq.gov/node/50641/psn-pdf
November 06, 2019 - Taking Action Against Clinician Burnout: A Systems
Approach to Professional Well-Being.
November 6, 2019
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2019. ISBN: 9780309495509.
https://psnet.ahrq.gov/issue/taking-action-against-clinician-burnout-systems-a…
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psnet.ahrq.gov/node/40490/psn-pdf
June 01, 2011 - Standardized multidisciplinary protocol improves
handover of cardiac surgery patients to the intensive care
unit.
June 1, 2011
Joy BF, Elliott E, Hardy C, et al. Standardized multidisciplinary protocol improves handover of cardiac
surgery patients to the intensive care unit*. Pediatric Critical Care Medicine. 2010…
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psnet.ahrq.gov/node/60215/psn-pdf
April 08, 2020 - Pain Alleviation Toolkit.
April 8, 2020
American Society of Anesthesiologists, American Academy of Orthopaedic Surgeons. March 12, 2020.
https://psnet.ahrq.gov/issue/pain-alleviation-toolkit
Communication and shared decision-making are fundamental tactics to guide clinical team and patient
efforts to minimize the …
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psnet.ahrq.gov/node/42426/psn-pdf
January 14, 2014 - Documenting quality improvement and patient safety
efforts: the quality portfolio. A statement from the
Academic Hospitalist Taskforce.
January 14, 2014
Taylor BB, Parekh V, Estrada CA, et al. Documenting quality improvement and patient safety efforts: the
quality portfolio. A statement from the academic hospitali…
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psnet.ahrq.gov/training-catalog/artificial-intelligence-and-human-factors-health-care-quality-safety-conference
Artificial Intelligence and Human Factors in Health Care Quality & Safety Conference
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Organization:
Organization
Penn State College of Medicine…
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psnet.ahrq.gov/node/43658/psn-pdf
December 19, 2014 - Liability impact of the hospitalist model of care.
December 19, 2014
Schaffer A, Puopolo AL, Raman S, et al. Liability impact of the hospitalist model of care. J Hosp Med.
2014;9(12):750-5. doi:10.1002/jhm.2244.
https://psnet.ahrq.gov/issue/liability-impact-hospitalist-model-care
This review of closed malpractice …
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psnet.ahrq.gov/node/43282/psn-pdf
April 25, 2016 - Understanding the effect of resident duty hour reform: a
qualitative study.
April 25, 2016
Pattani R, Wu PE, Dhalla IA. Resident duty hours in Canada: past, present and future. Can Med Assoc J.
2014;186(10). doi:10.1503/cmaj.131053.
https://psnet.ahrq.gov/issue/understanding-effect-resident-duty-hour-reform-qualit…
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psnet.ahrq.gov/node/35108/psn-pdf
April 06, 2011 - Improving medication management for patients: the effect
of a pharmacist on post-admission ward rounds.
April 6, 2011
Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist
on post-admission ward rounds. Qual Saf Health Care. 2005;14(3):207-11.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/73354/psn-pdf
June 02, 2021 - Advancing Maternal Health Equity and Reducing Maternal
Mortality Workshop.
June 2, 2021
National Academies of Sciences, Engineering, and Medicine. June 7-8, 2021.
https://psnet.ahrq.gov/issue/advancing-maternal-health-equity-and-reducing-maternal-mortality-workshop
Maternal safety is challenged by clinical, equity…
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psnet.ahrq.gov/node/38225/psn-pdf
February 16, 2011 - Changing conversations: teaching safety and quality in
residency training.
February 16, 2011
Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency
training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8.
https://psnet.ahrq.gov/issue/changing-convers…
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psnet.ahrq.gov/node/40362/psn-pdf
April 13, 2011 - Role of clinical context in residents' physical examination
diagnostic accuracy.
April 13, 2011
Sibbald M, Panisko D, Cavalcanti RB. Role of clinical context in residents' physical examination diagnostic
accuracy. Med Educ. 2011;45(4):415-21. doi:10.1111/j.1365-2923.2010.03896.x.
https://psnet.ahrq.gov/issue/role-…
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psnet.ahrq.gov/node/48041/psn-pdf
July 10, 2019 - Accuracy of computer-aided diagnosis of melanoma: a
meta-analysis.
July 10, 2019
Dick V, Sinz C, Mittlböck M, et al. Accuracy of Computer-Aided Diagnosis of Melanoma. JAMA Dermatol.
2019;155(11):1291-1299. doi:10.1001/jamadermatol.2019.1375.
https://psnet.ahrq.gov/issue/accuracy-computer-aided-diagnosis-melanoma-m…
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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…