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psnet.ahrq.gov/node/35943/psn-pdf
August 02, 2010 - Follow-up of outpatient test results: a survey of house-
staff practices and perceptions.
August 2, 2010
Lin JJ, Dunn A, Moore C. Follow-up of outpatient test results: a survey of house-staff practices and
perceptions. Am J Med Qual. 2006;21(3):178-84.
https://psnet.ahrq.gov/issue/follow-outpatient-test-results-su…
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psnet.ahrq.gov/node/850936/psn-pdf
June 29, 2023 - After Roe: Challenges in the Provision of Lifesaving Care.
June 21, 2023
Washington DC; National Academies of Science, Engineering and Medicine: June 29, 2023.
https://psnet.ahrq.gov/issue/after-roe-challenges-provision-lifesaving-care
Delay in access to obstetric care hinders safe treatment for patients experienci…
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psnet.ahrq.gov/node/46059/psn-pdf
July 11, 2017 - Pathologists' perspectives on disclosing harmful
pathology error.
July 11, 2017
Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology
Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA.
https://psnet.ahrq.gov/issue/pathologists-perspectives…
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psnet.ahrq.gov/node/73660/psn-pdf
September 01, 2021 - Hospital inpatient falls across clinical departments.
September 1, 2021
Mikos M, Banas T, Czerw A, et al. Hospital inpatient falls across clinical departments. Int J Environ Res
Public Health. 2021;18(15):8167. doi:10.3390/ijerph18158167.
https://psnet.ahrq.gov/issue/hospital-inpatient-falls-across-clinical-departm…
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psnet.ahrq.gov/node/73861/psn-pdf
September 22, 2021 - Bringing the clinical laboratory into the strategy to
advance diagnostic excellence.
September 22, 2021
Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance
diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/dx-2020-0119.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/47311/psn-pdf
October 10, 2018 - Cognitive error in an academic emergency department.
October 10, 2018
Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis
(Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011.
https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
In 2015, the Nation…
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psnet.ahrq.gov/node/46329/psn-pdf
September 06, 2017 - Risk factors of missed colorectal lesions after
colonoscopy.
September 6, 2017
Lee J, Park SW, Kim YS, et al. Risk factors of missed colorectal lesions after colonoscopy. Medicine
(Baltimore). 2017;96(27):e7468. doi:10.1097/MD.0000000000007468.
https://psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-af…
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psnet.ahrq.gov/node/42031/psn-pdf
February 06, 2013 - Assessing diagnostic reasoning: a consensus statement
summarizing theory, practice, and future needs.
February 6, 2013
Ilgen JS, Humbert AJ, Kuhn G, et al. Assessing diagnostic reasoning: a consensus statement summarizing
theory, practice, and future needs. Acad Emerg Med. 2012;19(12):1454-61. doi:10.1111/acem.1203…
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psnet.ahrq.gov/node/60656/psn-pdf
July 08, 2020 - COVID-19: to be or not to be; that is the diagnostic
question.
July 8, 2020
Coleman JJ, Manavi K, Marson EJ, et al. COVID-19: to be or not to be; that is the diagnostic question.
Postgrad Med J. 2020;96(1137):392-398. doi:10.1136/postgradmedj-2020-137979.
https://psnet.ahrq.gov/issue/covid-19-be-or-not-be-diagnost…
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psnet.ahrq.gov/node/44546/psn-pdf
December 14, 2016 - Diagnostic delays in paediatric stroke.
December 14, 2016
Mallick AA, Ganesan V, Kirkham FJ, et al. Diagnostic delays in paediatric stroke. J Neurol Neurosurg
Psychiatry. 2015;86(8):917-21. doi:10.1136/jnnp-2014-309188.
https://psnet.ahrq.gov/issue/diagnostic-delays-paediatric-stroke
Diagnostic error is a rapidly …
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psnet.ahrq.gov/node/855104/psn-pdf
November 08, 2023 - Healthcare wants to fly as high as the aviation industry.
Can it?
November 8, 2023
Twenter P. Becker's Clinical Leadership. October 30, 2023.
https://psnet.ahrq.gov/issue/healthcare-wants-fly-high-aviation-industry-can-it
Health care has long held commercial aviation as a beacon to guide patient safety improv…
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psnet.ahrq.gov/node/45489/psn-pdf
October 24, 2018 - Tolerating uncertainty—the next medical revolution?
October 24, 2018
Simpkin AL, Schwartzstein RM. Tolerating Uncertainty - The Next Medical Revolution? New Engl J Med.
2016;375(18):1713-1715.
https://psnet.ahrq.gov/issue/tolerating-uncertainty-next-medical-revolution
Uncertainty is a difficult concept to accept f…
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psnet.ahrq.gov/node/73477/psn-pdf
July 07, 2021 - Closing Death’s Door: Legal Innovations to End the
Epidemic of Healthcare Harm.
July 7, 2021
Saks M, Landsman S. New York, NY: Oxford University Press; 2021. ISBN: 9780190667986.
https://psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm
A weave of systemic factors c…
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psnet.ahrq.gov/node/41421/psn-pdf
November 26, 2014 - "Learning by Doing"—resident perspectives on
developing competency in high-quality discharge care.
November 26, 2014
Greysen R, Schiliro D, Curry LA, et al. "Learning by doing"--resident perspectives on developing
competency in high-quality discharge care. J Gen Intern Med. 2012;27(9):1188-94. doi:10.1007/s11606-
…
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psnet.ahrq.gov/node/72805/psn-pdf
March 03, 2021 - When machine learning goes off the rails. A guide to
managing the risks.
March 3, 2021
Babic B, Cohen IG, Evgeniou T, et al. Harv Bus Rev. 2021 January/February;99(1):76-
84.
https://psnet.ahrq.gov/issue/when-machine-learning-goes-rails-guide-managing-risks
This article discusses how machine lea…
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psnet.ahrq.gov/node/40670/psn-pdf
August 03, 2011 - ED revamp: team approach to care reduces errors, boosts
patient and clinician satisfaction.
August 3, 2011
ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. ED
management : the monthly update on emergency department management. 2011;23(7):78-80.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/46659/psn-pdf
December 06, 2017 - Focus On: Health Care Policy and Quality.
December 6, 2017
AJR Am J Roentgenol. 2017;209(5):965-1008;w333-w334.
https://psnet.ahrq.gov/issue/focus-health-care-policy-and-quality
Radiologists play a critical role in safe diagnostic imaging and communication of test results. Articles in this
special issue explore cl…
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psnet.ahrq.gov/node/38707/psn-pdf
June 17, 2009 - Doctors' views of attitudes towards peer medical error.
June 17, 2009
Asghari F, Fotouhi A, Jafarian A. Doctors' views of attitudes towards peer medical error. Qual Saf Health
Care. 2009;18(3):209-12. doi:10.1136/qshc.2007.025015.
https://psnet.ahrq.gov/issue/doctors-views-attitudes-towards-peer-medical-error
The …
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psnet.ahrq.gov/node/73255/psn-pdf
May 12, 2021 - Implementing High-Quality Primary Care: Rebuilding the
Foundation of Health Care.
May 12, 2021
National Academies of Sciences, Engineering, and Medicine 2021. Washington, DC: The National
Academies Press.
https://psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care
Primary…
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psnet.ahrq.gov/node/33933/psn-pdf
March 02, 2011 - Patient safety and medical malpractice: a case study.
March 2, 2011
Brennan TA, Mello MM. Patient safety and medical malpractice: a case study. Ann Intern Med.
2003;139(4):267-73.
https://psnet.ahrq.gov/issue/patient-safety-and-medical-malpractice-case-study
This case study discusses the ongoing challenges in bala…