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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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 …
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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- …
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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 …
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…

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